My pathology report
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My pathology report

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  • Post
    • December 23, 2016 at 11:36 am
    Nemesis
    Participant

    Tumor Site: Back
    Primary Tumor:
    Histologic Type: Superficial spreading
    Tumor Thickness (pT): 0.94 mm
    Ulceration: Absent
    Macroscopic Tumor: Present
    Tumo
    r Size: 0.5 cm in largest dimension
    Microscopic satellite nodule(s): Not observed
    Macroscopic satellite nodule(s): Not applicable
    Margins:
    Lateral: Uninvolved, nevus extends to a
    peripheral margin
    Deep: Uninvolved
    Regression: Not observed
    Associated Melanocytic Nevus: Present
    Angiolymphatic Invasion: Not observed
    Perineural Invasion: Not observed
    Mitotic Index: >/=1 mitoses/mm2
    Pathologic Stage (pTNM): pT1b Nx

     

    Histologic sections of skin on six H&E slides from two blocks
    are reviewed. The specimen shows a compound proliferation of atypical
    melanocytes. Junctional melanocytes are epithelioid in appearance
    with enlarged nuclei and prominent nucleoli. There is transepidermal
    migration of melanocytes. Similar appearing atypical melanocytes are
    noted in the dermis at a depth of 0.94mm. Smaller, more bland
    appearing melanocytes are present in the dermis and extend more deeply
    around dermal vessels and adnexal struc
    tures. Mitotic figures are
    present in dermal tumor cells at a rate of 1/mm2.

     

    I think I undestand most of it. but hat is your opinion?

Viewing 2 reply threads
  • Replies
      • December 23, 2016 at 1:19 pm
      Janner
      Participant

      It's a pretty standard report.  The two negative factors are depth and a mitosis of 1.  You obviously want 0 depth and 0 mitosis if possible.  But there is nothing else surprising.  Hopefully, the SNB will be clear and you move on.  I had a similar lesion (0.88mm, mitosis 1, no SNB) removed 15 years ago and I'm still here pestering folks.  Still stage 1.

      Good luck!

      • December 23, 2016 at 1:19 pm
      Janner
      Participant

      It's a pretty standard report.  The two negative factors are depth and a mitosis of 1.  You obviously want 0 depth and 0 mitosis if possible.  But there is nothing else surprising.  Hopefully, the SNB will be clear and you move on.  I had a similar lesion (0.88mm, mitosis 1, no SNB) removed 15 years ago and I'm still here pestering folks.  Still stage 1.

      Good luck!

        • December 23, 2016 at 6:17 pm
        Nemesis
        Participant

        Thank you. Fingers crossed for a clean biopsy.

        • December 23, 2016 at 6:17 pm
        Nemesis
        Participant

        Thank you. Fingers crossed for a clean biopsy.

        • December 23, 2016 at 6:17 pm
        Nemesis
        Participant

        Thank you. Fingers crossed for a clean biopsy.

        • February 8, 2018 at 9:32 pm
        Nemesis
        Participant

        Does this sound like a Clark level IV or V?

        • June 11, 2018 at 3:29 am
        Nemesis
        Participant

        I was reading it again, and now I wonder if the depth is wrong. It does say that there are bad cells deeper than .94, just that they are "blander"

      • December 23, 2016 at 1:19 pm
      Janner
      Participant

      It's a pretty standard report.  The two negative factors are depth and a mitosis of 1.  You obviously want 0 depth and 0 mitosis if possible.  But there is nothing else surprising.  Hopefully, the SNB will be clear and you move on.  I had a similar lesion (0.88mm, mitosis 1, no SNB) removed 15 years ago and I'm still here pestering folks.  Still stage 1.

      Good luck!

Viewing 2 reply threads
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