Hi everyone!
I’m new here, just got the call on Monday. I’ve learned so much since yesterday reading thru all of your posts. I wish I had know more when I asked my GP to take a mole off last week. He did the basic biopsy (scrape I think it called). I regret that but I’m also happy that I actually went in to have it removed. It’s been nagging at me for awhile. Anyway…. my question is about the pathology report. Since it wasn’t a biopsy done by a fern, ate the results not as complete? I’ll copy and paste the results here. I’m just worried about it being worse that it shows on this report. I realize the Breslow could be deeper but is the rest of it reliable? Here is the report….
Histologic sections demonstrate a shave biopsy of
– skin with an atypical melanocytic proliferation
– with epidermal and dermal components. Within the
– epidermis, severely atypical melanocytes are seen
– in nests and as scattered solitary cells. There
– is both confluence of cells along the
– dermal-epidermal junction and pagetoid spread of
– single cells. The tumor extends inferiorly from
– the base of the epidermis in small budding nests.
– The tumor also extends down the adnexa. Focally,
– atypical melanocytes are also identified within
– the dermis.
F A DIAGNOSIS WZV
– Malignant melanoma, 0.6 mm (see synoptic report).
F A COMMENT WZV
– SYNOPTIC REPORT:
– Procedure: biopsy
– Laterality: left
– Tumor site: wrist
– Tumor size: not provided
– Histologic type: malignant melanoma, superficial
– spreading type
– Maximum tumor thickness (Breslow depth): 0.6 mm
– Clark level: II
– Ulceration: not identified
– Macroscopic satellite nodules: not identified
– Regression: not identified
– Lymphovascular invasion: not identified
– Neurotropism: not identified
– Margins: positive; melanoma in situ focally
– involves the superficial edge of the shave
– Mitotic rate per sq mm: 0
– Microsatellitosis: not identified
– Pathologic stage:
– TNM descriptors: not applicable
– Primary tumor: pT1a
– Regional lymph nodes: pNX
– Distant metastasis: cannot be assessed
I have an appointment tomorrow for the WE
Thank you!!
Karmen
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