Got my pathology report
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Got my pathology report

› Forums › General Melanoma Community › Got my pathology report

  • Post
    • November 14, 2014 at 7:01 pm
    jennifer83
    Participant

    I got my pathology report and would love it if anyone can help me determine anything from it regarding staging or advice, etc…

     

    DIAGNOSIS:

    A) Skin, Right mid back (shave)

    Malignant Melanoma, Superficial Spreading Type, Clark's Level III-IV, Depth of Invastion 0.70 MM, extending to peripheral margin (does this just mean they didn't get it all?)

    Synoptic Report:

    Specimen: Laterally: Right

    Tumor Size: Grossly Indeterminate

    Macroscopic Satelite Nodule(s): Interteminate

    Histologic Type: Superficial spreading

    Maximum Tumor Thickness: 0.70 MM

    Ulceration: Not identified

    Margins: Involved by tumor

    Mitotic Index: 1 per MM squared

    Microsatellitosis: Indeterminate

    Lymph-Vacualr Invastion: Not identified

    Comment: Key poritions of this care were reviewed by one or more additional dermatopathologists

    Gross Discription:  Specimen labeld s "R mid back" is recieved in formalin and identified with two patient identifiers.  The specimen consists of a single portion(s) of  ___ skin (I can't identify the word before skin), measuring 0.7 x 0.5 x 0.1cm.  The skin is almost entirely surfaced by a 0.5 x 0.5 cm brown lesion.  The margin is inked.  The speciman is trisected and entirely submitted in one cassette(s) (NC).

     

    Any comments on this would be great!  I'm headed to a general surgeon on Monday to consult on a WLE and SLN biopsy.  

     

Viewing 2 reply threads
  • Replies
      • November 14, 2014 at 8:20 pm
      Janner
      Participant

      Stage IB.  The important bit is that the deep margin is clear because that is required for staging.  It's not uncommon to have a lateral margin involved, they will get that with the WLE surgery.  Very unlikely that the sentinel node would be positive.  Hang in there!

      • November 14, 2014 at 8:20 pm
      Janner
      Participant

      Stage IB.  The important bit is that the deep margin is clear because that is required for staging.  It's not uncommon to have a lateral margin involved, they will get that with the WLE surgery.  Very unlikely that the sentinel node would be positive.  Hang in there!

      • November 14, 2014 at 8:20 pm
      Janner
      Participant

      Stage IB.  The important bit is that the deep margin is clear because that is required for staging.  It's not uncommon to have a lateral margin involved, they will get that with the WLE surgery.  Very unlikely that the sentinel node would be positive.  Hang in there!

        • November 14, 2014 at 8:50 pm
        jennifer83
        Participant

        Thank you both for responding!  Do you think they'd recommend a PET scan, too?  

        • November 14, 2014 at 8:50 pm
        jennifer83
        Participant

        Thank you both for responding!  Do you think they'd recommend a PET scan, too?  

        • November 14, 2014 at 8:50 pm
        jennifer83
        Participant

        Thank you both for responding!  Do you think they'd recommend a PET scan, too?  

        • November 14, 2014 at 9:19 pm
        Janner
        Participant

        No scans for stage I.  If the SNB were positive, then maybe.  PET scans don't catch microscopic disease.

        • November 14, 2014 at 9:19 pm
        Janner
        Participant

        No scans for stage I.  If the SNB were positive, then maybe.  PET scans don't catch microscopic disease.

        • November 14, 2014 at 9:19 pm
        Janner
        Participant

        No scans for stage I.  If the SNB were positive, then maybe.  PET scans don't catch microscopic disease.

        • November 14, 2014 at 11:45 pm
        jennifer83
        Participant

        Is it possible, since they didn't clear margins, that my depth on invasion will be beyond the 0.70 mm found in the shave biopsy?  If so, does that increase the chance of being a higher stage?  Thank you for your help… this is all so new and my head is spinning with a hundred questions…

         

        Thank you! 

        • November 14, 2014 at 11:45 pm
        jennifer83
        Participant

        Is it possible, since they didn't clear margins, that my depth on invasion will be beyond the 0.70 mm found in the shave biopsy?  If so, does that increase the chance of being a higher stage?  Thank you for your help… this is all so new and my head is spinning with a hundred questions…

         

        Thank you! 

        • November 14, 2014 at 11:45 pm
        jennifer83
        Participant

        Is it possible, since they didn't clear margins, that my depth on invasion will be beyond the 0.70 mm found in the shave biopsy?  If so, does that increase the chance of being a higher stage?  Thank you for your help… this is all so new and my head is spinning with a hundred questions…

         

        Thank you! 

        • November 15, 2014 at 12:09 am
        Janner
        Participant

        Lateral margins are margins on the side, not depth.  The report would have said if the depth was transected .  So no, no change in staging from the WLE surgery.  The SNB, if it were positive, could change your stage.  But a positive SNB is unlikely.  Your depth is marginal to even do it.

        • November 15, 2014 at 12:09 am
        Janner
        Participant

        Lateral margins are margins on the side, not depth.  The report would have said if the depth was transected .  So no, no change in staging from the WLE surgery.  The SNB, if it were positive, could change your stage.  But a positive SNB is unlikely.  Your depth is marginal to even do it.

        • November 15, 2014 at 12:09 am
        Janner
        Participant

        Lateral margins are margins on the side, not depth.  The report would have said if the depth was transected .  So no, no change in staging from the WLE surgery.  The SNB, if it were positive, could change your stage.  But a positive SNB is unlikely.  Your depth is marginal to even do it.

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