› Forums › Cutaneous Melanoma Community › Question about my pathology report; in situ or stage I?
- This topic has 6 replies, 2 voices, and was last updated 10 years, 1 month ago by Barbara_R.
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- April 24, 2014 at 10:40 am
Hi there,
First of all, English is not my native language, so please don't be distracted by my use of the language.
In 2013 I had a mole removed that had changed color on my right upper leg (<5 millimeters). My family doctor told me it was melanoma in situ, and told me that I needed to have a re-excision in hospital, because the cancerous tissue was too close to the border of the biopt. In the operating room however, I saw that someone had written 'stage I' on my chart. The surgeon told me she presumed it was stage I.
After a few excruciating weeks of waiting I got a good result back: there was no longer any evidence of malignancy found in the skin they removed during the surgery.
Now, I'm at a point where I am trying to move on with my life. I'm finding this very hard, being worried a lot and always checking my skin and wondering if I am being alert or hypochondric about is. I also asked for the pathology report of the first mole removal, because I wish to understand what stage my melanoma was in.
The conclusion said that the pattern of melanocytic cells they saw in my skin was mostly something that would fit a melanoma in situ, however there was a focal laesion of 0,3 mm that was 'strongly suspect for beginning invasive growth'.
I keep wondering if the 0,3 mm is the Breslow thickness and if suspect means inconclusive or if it is just a eufemism for 'it is melanoma stage I'?
Can anyone help me?
It may seem arbitrary, but I can't seem to let this go, it is important to me.
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- April 24, 2014 at 11:22 am
You could get another pathology opinion, but whether it is in situ or IA (if you had one invasive area to a depth of 0.3mm), if the other features of your pathology are positive (no regression, no ulceration, no mitosis) then it is a very low risk lesion. The standard procedure if it were IA would be to have WLE (wide local excision) where they take 1cm margins. Periodic followups with a dermatologist is standard.
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- April 24, 2014 at 12:18 pm
Thank you so much for your reply! The report stated no regression , no ulceration, no satellite leasions and no mitotic activity in the dermis, so that's good then. I had an excision with 2 cm margins because they weren't sure how big the laesion was. Now I will just have to 'get back to normal', but it seems that I'm having more difficulty dealing with it now then I did shortly after the surgery.
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- April 24, 2014 at 12:18 pm
Thank you so much for your reply! The report stated no regression , no ulceration, no satellite leasions and no mitotic activity in the dermis, so that's good then. I had an excision with 2 cm margins because they weren't sure how big the laesion was. Now I will just have to 'get back to normal', but it seems that I'm having more difficulty dealing with it now then I did shortly after the surgery.
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- April 24, 2014 at 12:18 pm
Thank you so much for your reply! The report stated no regression , no ulceration, no satellite leasions and no mitotic activity in the dermis, so that's good then. I had an excision with 2 cm margins because they weren't sure how big the laesion was. Now I will just have to 'get back to normal', but it seems that I'm having more difficulty dealing with it now then I did shortly after the surgery.
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- April 24, 2014 at 11:22 am
You could get another pathology opinion, but whether it is in situ or IA (if you had one invasive area to a depth of 0.3mm), if the other features of your pathology are positive (no regression, no ulceration, no mitosis) then it is a very low risk lesion. The standard procedure if it were IA would be to have WLE (wide local excision) where they take 1cm margins. Periodic followups with a dermatologist is standard.
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- April 24, 2014 at 11:22 am
You could get another pathology opinion, but whether it is in situ or IA (if you had one invasive area to a depth of 0.3mm), if the other features of your pathology are positive (no regression, no ulceration, no mitosis) then it is a very low risk lesion. The standard procedure if it were IA would be to have WLE (wide local excision) where they take 1cm margins. Periodic followups with a dermatologist is standard.
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Tagged: cutaneous melanoma
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