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Pathology 2nd Opinion for thin lesions???

Forums General Melanoma Community Pathology 2nd Opinion for thin lesions???

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      Hi, been researchIng if pathology 2nd opinion would be beneficial with my low risk legion?  

      Appears I do not qualify for SLNB as my lesion is just below the .76 mm cut off and I have no ulceration although a 1mm2 mitotic rate.  My pathology was performed by a dermopatholigst and also reviewed by an additional dermopatholigst in the same lab who agreed with the results.  I am very thankful to be considered low risk but want to be sure I don’t “fall through the cracks” by being so close to the cut off for additional testing.  

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          This is totally up to you.  Personally, I checked out the dermpaths who read my slides.  They see lots of melanoma.  I was fine with not getting a second opinion especially on seemingly low risk lesions.  Where I'd be more worried is if the pathologist was not a dermatopathologist and didn't seem much in the way of melanoma.  Just as an aside, mitotic rate has been removed from the staging and 1 is still considered "low".  Since you had an invasive lesion, seeing some cell division makes sense.  Just ask your derm to show you how to check your own lymph node basins and continue to watch your skin.  I had a .88mm lesion / no ulceration / 1mitosis removed 17 years ago (no SNB as it was under 1mm) – still here, still stage 1b.

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