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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 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!

                      • 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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