- March 4, 2019 at 8:54 am
I hope you dont mind asking this question, it has been playing on my mind.
I received a copy of my path report and I have been analysising it… maybe a little too much.
The histology laboratory description, I have been trying to break down and understand and I was wondering if they have maybe over diagnosed my biopsy (clutching at straws)
I understand that a large number of atypical melanocytic lesions fall into a boarderline area, does my biopsy description sound like this? Should I get a second opinion?
Here is some of my pathlogy report, I am based in the UK:-
The excision biopsy of skin contains atypical predominantly junctional but focally compound melanocytic lesion.
It is non-uncerated although there is some thinning/consumption of the epidermis.
The juncation component shows features of an in-situ melanoma of superficial spreading subtype with large atypical melanocytes showing some suprabasal spread singly and in nest.
Beneath this there is much chronic inflammation and pigment incontinence with regression with a thickness of 0.6mm
In addition, within this inflammed area, there is a focal invasive melanoma component
Invasion present – invasive melanoma
mitotic index – 1
Growth – Vertical
TIL – Brisk
Ulceration – not identified
Microsatellite/in-transit metastasis – not identified
in-situ component – clear 2.3mm
invasive component peripheral – clear 4.4mm
invasive compnent deep – clear 6.8mm
- March 4, 2019 at 10:21 pm
I’m also in the UK bit certainly no expert on this. However; the pathology report seems pretty clear that it’s Melanoma but fortunately only very shallow.
I suggest listening to your medical team, move on with getting your wide local excision, go to your check ups and try to forget about it. It appears to be a shallow melanoma so you hopefully won’t have any further issues
- March 6, 2019 at 6:47 am
Best of luck to you – I’m sure you are aware the MDT meeting is a meeting of your local specialists that will determine next steps. Hopefully it will just be a WLE and at your depth it is highly unlikely to spread.
My other advice is to not read all the stories on here. Most of us are the unfortunate minority and this is very unlikely to happen to you
- March 6, 2019 at 10:20 am
Thank you for your kind wishes. My meeting with the nurse seemed all of a blur, but she mentioned that MDT will give me the date for the WLE, which I do hope is soon.
May I wish you all the best for your new plan, please keep us posted how you are getting on. Will be thinking of you.
- March 6, 2019 at 1:10 pm
I am no expert on this, either, but I saw the magic words "in situ" in your report. For melanoma, it doesn't get any better than that. "In situ" means it's confined to the upper layers of the skin and has not spread beyond that. So, this was caught very early, which is good.
The only things left to do are to heal from your surgery, be vigiliant about any changes to moles on your skin, follow up routinely with your dermatologist, and practice common sense sun safety.
I know it's all still scary for you but the dust will settle. Remember that new routine we talked about in another post? It will be a piece of cake.
- March 6, 2019 at 1:22 pm
Thank you so much for responding and lovely to hear from you. I see the specialist next week and from there a date for my WLE. The information you gave me was fab, and I hope that embracing the routine each day will be soon second nature to me.. albeit still a little scary.
Take care of you
- March 6, 2019 at 3:40 pm
It's quite scary, I know. It took me a while to come to terms with my diagnosis. But I'm in a better place mentally and emotionally now.
I just had my follow up visit yesterday. My scan was clean, bloodwork is good. It's officially 8 years for me, now.
I used to be a total basket case at these visits but no more. What helps is knowing that the longer you go without a recurrence, the chances of getting a recurrence go down. Also, we have more treatment options than ever before. I try to keep all that in the back of my mind when I'm getting the CT scan. It seems to work for me. You're also in a better position than I was, so I know that reminding yourself that you have a 98% chance of never having to deal with melanoma again will work for you in getting your life back together.
- March 6, 2019 at 5:21 pm
Your message just put a huge smile on my face, to hear that all your scans and blood work are all clear.. that is so amazing! Sharing your experiences with me makes me feel not so alone.
I am still too nervous to think positively, I do try but I must stop surfing the web as it’s scary!
Thank you for making me feel more at ease, you and everyone on this site are so lovely and I really appreciate your time in talking to me.
Love and hugs
- March 8, 2019 at 11:00 am
It's not quite that simple. The path report shows an in situ melanoma, wiht an iinvasive melanoma component with a Breslow depth .57mm. Thiis is now what is leading, it is most likely a stage 1A melanoma, it is definitely no longer 'just' an in situ. That said, it is the next best thing: a shallow, non-ulcerated, completely excised stage 1 melanoma. It is highly unlikely that the wide level excision (1cm border all around the existing excision) will show up anything other than healthy skin, but OP has had a stage 1 melanoma. OP, the WLE is likely all you will need, and either six monthly or yearly skin checks depending how vigilant your dermatologist is.
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