› Forums › Cutaneous Melanoma Community › Mitotic Rate Unreported
- This topic has 1 reply, 1 voice, and was last updated 5 years, 11 months ago by Janner.
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- May 10, 2018 at 8:13 pm
Hey y'all, I'm Maddie.
Back in April I had a shave biopsy done on a mole on my scalp and it came back as Melanoma.
In the path report, it stated depth of 0.5mm and no ulceration. The margins were poorly defined. It failed to report the Mitotic rate. My surgeon requested the mitotic rate from the pathologist.
Without the mitotic rate, the current plan of action is to excise more of the spot with 1cm margins (next week). He said that we wouldn't look into lymph nodes unless the mitotic rate came back as abnormal or if there were abnormal findings during the excision.
I was wondering if anyone else has had issues with their mitotic rate not being reported?
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- May 11, 2018 at 7:27 pm
Mitotic rate isn't always reported, but most often is when there is a depth involved. Most times, if things are not seen, they are left off the report.
If you are basing the next step off the pathology, then I would choose to send the slides to a different pathologist BEFORE I had the next excision. The lymph node biopsy is most effective when the original tumor site has not had a lot of tissue removed. Once you remove with 1cm margins, you may alter the lymph node drainage patterns compromising a later sentinel node biopsy. I'd get the mitosis answer before you do anything else. That's me, you do what makes you comfortable.
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Tagged: cutaneous melanoma
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