Pathology, in situ
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Pathology, in situ

› Forums › Cutaneous Melanoma Community › Pathology, in situ

  • Post
    • September 29, 2014 at 2:06 pm
    Scribe
    Participant

    I realize that so many here have much more serious situations, but if someone wouldn't mind commenting on this, it would be much appreciated. My husband, who is 72 and has some cognition issues, was diagnosed in February with melanoma and had a wide exicision in March. He hasn't asked many questions of his doctor about this. It has taken some time, but I was able to go with him today to the dermatologist and got a copy of the original pathology report. I realize there is probably nothing much to be concerned about, but since he is older and has a long history of other skin cancers, including some large sqamous, I just want to have a sense of this:

    Melanoma in situ. Reviewed by dermapathologists. 2.0 x 1.5x 0.1 cm.  Poorly defined lateral margins and comprised of atypical melanocytes throughout all levels of the epidermis.

    (Later, after the WLE, the plastic surgeon told him the biopsy report had said they had missed 1 cell.) 

    Thanks in advance for your comments. 

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  • Replies
      • September 29, 2014 at 2:14 pm
      Scribe
      Participant

      Also, the 2.0 x 1.5 x 0.1 cm – which is the depth, length & width. Thanks –

      • September 29, 2014 at 2:14 pm
      Scribe
      Participant

      Also, the 2.0 x 1.5 x 0.1 cm – which is the depth, length & width. Thanks –

      • September 29, 2014 at 2:14 pm
      Scribe
      Participant

      Also, the 2.0 x 1.5 x 0.1 cm – which is the depth, length & width. Thanks –

        • September 29, 2014 at 9:51 pm
        Janner
        Participant

        Not much to get overly concerned about.  The original biospy did not have good margins, but since he had the WLE (I'm assuming that is where the "1 cell" is mentioned), then hopefully everything is not taken care of.  All I can say is to watch the scar area.  Any signs of pigment regrowth, head back to the derm for evaluation.  Otherwise… just keep watching the rest of his skin.  Melanoma is found most often in men over 60 so your husband fits in to that trend.  My Dad was 81 when he was diagnosed.

        • September 29, 2014 at 9:51 pm
        Janner
        Participant

        Not much to get overly concerned about.  The original biospy did not have good margins, but since he had the WLE (I'm assuming that is where the "1 cell" is mentioned), then hopefully everything is not taken care of.  All I can say is to watch the scar area.  Any signs of pigment regrowth, head back to the derm for evaluation.  Otherwise… just keep watching the rest of his skin.  Melanoma is found most often in men over 60 so your husband fits in to that trend.  My Dad was 81 when he was diagnosed.

        • September 29, 2014 at 9:51 pm
        Janner
        Participant

        Not much to get overly concerned about.  The original biospy did not have good margins, but since he had the WLE (I'm assuming that is where the "1 cell" is mentioned), then hopefully everything is not taken care of.  All I can say is to watch the scar area.  Any signs of pigment regrowth, head back to the derm for evaluation.  Otherwise… just keep watching the rest of his skin.  Melanoma is found most often in men over 60 so your husband fits in to that trend.  My Dad was 81 when he was diagnosed.

        • September 29, 2014 at 9:52 pm
        Janner
        Participant

        "not taken care of" should be "now taken care of".  I hate it when typos actually change the content!

        • September 29, 2014 at 9:52 pm
        Janner
        Participant

        "not taken care of" should be "now taken care of".  I hate it when typos actually change the content!

        • September 29, 2014 at 9:52 pm
        Janner
        Participant

        "not taken care of" should be "now taken care of".  I hate it when typos actually change the content!

        • September 30, 2014 at 12:25 am
        Scribe
        Participant

        Thank you, Janner.

        • September 30, 2014 at 12:25 am
        Scribe
        Participant

        Thank you, Janner.

        • September 30, 2014 at 12:25 am
        Scribe
        Participant

        Thank you, Janner.

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