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Question about my pathology report; in situ or stage I?

Forums Cutaneous Melanoma Community Question about my pathology report; in situ or stage I?

  • Post
    Barbara_R
    Participant

      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.

    Viewing 2 reply threads
    • Replies
        JC
        Participant

          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. 

            Barbara_R
            Participant

              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.

              Barbara_R
              Participant

                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.

                Barbara_R
                Participant

                  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.

                JC
                Participant

                  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. 

                  JC
                  Participant

                    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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