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Help With Pathology Report

Forums General Melanoma Community Help With Pathology Report

  • Post
    Christine.P
    Participant

      A brief history: Stage 4a; tumors removed, from right calf and left elbow, skin graft, and lymph nodes removed under left arm in fall of 2015. Recurrance/new tumor just above inital tumor site in right calf in February 2017. Just had surgery (March 1) to remove this most recent tumor and was wondering about a few of the things in the pathology report. (Did 3 doses of ipi/nivo and have been on nivo alone for 9 months or so.)

      I would like to know what the following terms might mean and, if anyone has had similar reports, what this might mean for treatment going forward. 

      1. lymphovascular invasion present

      2. perineural invasion present

      I had a PET scan today and won't get to meet with my oncologist to go over the reports until Wednesday. Any information to help me understand what this means and to help me prepare questions will be greatly appreciated. 

      Thank you!

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        stars
        Participant

          Unfortunately those terms mean that melanoma is on the move. Lymphovascular invasion means actvity in both lymph and blood systems (two separate ways that melanoma moves), perineural means around the nerves. I'm not sure what the implicaitons are for you but it's basically on the move.

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