I am having a new primary excised next Wednesday. In preparation for seeing my surgeon again, I thought I would go get a copy of my pathology report so that I can ask him for any services I have not yet received. Please tell me if I need anything my oncologist has missed.
Type: Superficial Spreading Melanoma
Tumour Thickness: 0.88mm
Clark's Level: IV
Ulceration: no ulceration identified
Peripheral Margins: uninvolved by invasive melanoma, closest margin is 4mm
I am having a new primary excised next Wednesday. In preparation for seeing my surgeon again, I thought I would go get a copy of my pathology report so that I can ask him for any services I have not yet received. Please tell me if I need anything my oncologist has missed.
Type: Superficial Spreading Melanoma
Tumour Thickness: 0.88mm
Clark's Level: IV
Ulceration: no ulceration identified
Peripheral Margins: uninvolved by invasive melanoma, closest margin is 4mm
Deep Margin: distance of invasive melanoma by margin is 16mm
Mitotic Index: less than 1/mm squared
Microsatellitosis: not identified
Tumour-infiltrating Lymphocytes: present, brisk
Growth phase: vertical
*** The following week I had a re-excision of the same spot. No evidence of atypical melanocytes or residual malignant melanoma. I also had a lymph node ultrasound, with normal-appearing lymph nodes bilaterally. Chest x-ray was also normal.
My surgeon is quite proactive, moreso than my oncologist. He will order whatever tests I feel necessary. I did not have a sentinal node biopsy, so with my mitotic index not being at 0, does anyone thiink this is necessary?
