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accuracy os shaved biopsy

Forums General Melanoma Community accuracy os shaved biopsy

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    caman
    Participant

      Hi, Would anyone know which biopsy would be more accurate in reference to size of the primary, the shaved biopsy or the biospy done after the Wide Local excision ??

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        stars
        Participant

          I really don't know, but If I had to guess, I'd say the shaved because it's 'ground zero' so to speak, but that said the reason I won't accept shaves is they often dissect the base of the melanoma or leave cells behind around the edges, and that's bad because then you can never ascertain true depth. To me the WLE is a blunt instrument that says either clear or not clear, but no longer offers what you most need to know which is true depth of the melanoma – the most important prognostic indicator. Why do you ask? Did your WLE show up something more ominous than the original shave? I

            caman
            Participant

              My WLE biopsyu was much less depth then the shaved biospy.   I had the WLE pathology done twice by a different pathologist.  The numbers were identical. Thats what my oncologist is going with.

              caman
              Participant

                Now im totally lost and I think my melanoma specialist is lieing to me for some reason.  My shave biospy indicated a 3.8 breslow thickness.  My WLE pathology diagnosis indicated a residual melanoma with a breslow depth of 2.4.  My doctor tells me the WLE 2.4mm is the one he is going by not the original shaved biopsy.  From what im reading that is wrong and the 3.8mm is the true depth.  Whats going on?..Thank you if you can help, any info would be appreciated

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