› Forums › General Melanoma Community › radial or vertical growth
- This topic has 15 replies, 3 voices, and was last updated 12 years ago by
natasha.
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- March 29, 2012 at 2:37 pm
Hello everone!
I was searching in internet again and found out , that melanoma with ANY Breslow thickness,even 0.1 mm ,already have vertical growth in it.
My path report says MM Breslow 0.2 mm , vertical growth – absent, radial growth – present.
Is it mistake in pathology ? Does anyone had the same ???
Hello everone!
I was searching in internet again and found out , that melanoma with ANY Breslow thickness,even 0.1 mm ,already have vertical growth in it.
My path report says MM Breslow 0.2 mm , vertical growth – absent, radial growth – present.
Is it mistake in pathology ? Does anyone had the same ???
Thank you for your support and information. It is more then 3 months since my diagnosys ,but I still worry a lot, my doctor put me on antidepressants 🙁 I am sorry about this post , and I know I am not in the worst place to be with my pathology ,but I just cant help myself worrying.
I am checking my every freckle and all seems a new melanomas for me. I think I am going mad.
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- March 29, 2012 at 2:58 pm
In general, the statement is correct. Most every lesion with a depth has vertical growth. But more recent study has indicated that some moles exist within the dermis and don't HAVE to have vertical growth even though they have a depth. Not all pathologists even look for this. It's not common, not always looked for, and not always spelled out. It's not universally accepted. If a pathology report has a depth but says nothing about growth phase, it is assumed to be vertical. But the research that does exist shows the radial growth lesions with a depth have a prognosis more consistent with in situ than invasive melanoma. No, your pathology isn't likely wrong and was probably done at a larger research institution.
Janner
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- March 29, 2012 at 2:58 pm
In general, the statement is correct. Most every lesion with a depth has vertical growth. But more recent study has indicated that some moles exist within the dermis and don't HAVE to have vertical growth even though they have a depth. Not all pathologists even look for this. It's not common, not always looked for, and not always spelled out. It's not universally accepted. If a pathology report has a depth but says nothing about growth phase, it is assumed to be vertical. But the research that does exist shows the radial growth lesions with a depth have a prognosis more consistent with in situ than invasive melanoma. No, your pathology isn't likely wrong and was probably done at a larger research institution.
Janner
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- March 29, 2012 at 2:58 pm
In general, the statement is correct. Most every lesion with a depth has vertical growth. But more recent study has indicated that some moles exist within the dermis and don't HAVE to have vertical growth even though they have a depth. Not all pathologists even look for this. It's not common, not always looked for, and not always spelled out. It's not universally accepted. If a pathology report has a depth but says nothing about growth phase, it is assumed to be vertical. But the research that does exist shows the radial growth lesions with a depth have a prognosis more consistent with in situ than invasive melanoma. No, your pathology isn't likely wrong and was probably done at a larger research institution.
Janner
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- April 3, 2012 at 11:38 pm
My pathology report was very similar. Mine was .25 mm and radial growth phase. I recently had a wide excision and a SNB both of which were negative for addition melanoma. I only had the SNB because my lesion had regrown in 6 mos. after a previous biopsy and my surgeon at a renowned melanoma hospital was worried and strongly recommended the SNB even though my lesion was very shallow.
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- April 7, 2012 at 5:20 pm
SNB is very unusual in sutuations like mine or yours. Did you have mitosis or ulceration?If not , 6 months growth period is not even a case to do SNB.
How often do you need to go to check ups?I need to go once every 3 months for 1 year.
Did your doctor explained you about radial growth and 0.25 mm?
I will see my doc for first check up after surgery in week time and I will ask him for much more information on this question.
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- April 7, 2012 at 5:20 pm
SNB is very unusual in sutuations like mine or yours. Did you have mitosis or ulceration?If not , 6 months growth period is not even a case to do SNB.
How often do you need to go to check ups?I need to go once every 3 months for 1 year.
Did your doctor explained you about radial growth and 0.25 mm?
I will see my doc for first check up after surgery in week time and I will ask him for much more information on this question.
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- April 7, 2012 at 5:20 pm
SNB is very unusual in sutuations like mine or yours. Did you have mitosis or ulceration?If not , 6 months growth period is not even a case to do SNB.
How often do you need to go to check ups?I need to go once every 3 months for 1 year.
Did your doctor explained you about radial growth and 0.25 mm?
I will see my doc for first check up after surgery in week time and I will ask him for much more information on this question.
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- April 3, 2012 at 11:38 pm
My pathology report was very similar. Mine was .25 mm and radial growth phase. I recently had a wide excision and a SNB both of which were negative for addition melanoma. I only had the SNB because my lesion had regrown in 6 mos. after a previous biopsy and my surgeon at a renowned melanoma hospital was worried and strongly recommended the SNB even though my lesion was very shallow.
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- April 3, 2012 at 11:38 pm
My pathology report was very similar. Mine was .25 mm and radial growth phase. I recently had a wide excision and a SNB both of which were negative for addition melanoma. I only had the SNB because my lesion had regrown in 6 mos. after a previous biopsy and my surgeon at a renowned melanoma hospital was worried and strongly recommended the SNB even though my lesion was very shallow.
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- April 16, 2012 at 9:50 pm
Today I had my first follow up appointment with Doctor after my diagnosys in January this year.
I asked question about Breslow thickness and radial / vertical growth phases and Doc explained itis possible to have Breslow thickness in tumor and still have only gorizontal melanoma phase ,and it depends on cell's deviding in tumor. I did not understand all termnology Doc used ,but it looks like low Breslow thickness can have only radial and not vertical growth .
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- April 16, 2012 at 9:50 pm
Today I had my first follow up appointment with Doctor after my diagnosys in January this year.
I asked question about Breslow thickness and radial / vertical growth phases and Doc explained itis possible to have Breslow thickness in tumor and still have only gorizontal melanoma phase ,and it depends on cell's deviding in tumor. I did not understand all termnology Doc used ,but it looks like low Breslow thickness can have only radial and not vertical growth .
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- April 16, 2012 at 9:50 pm
Today I had my first follow up appointment with Doctor after my diagnosys in January this year.
I asked question about Breslow thickness and radial / vertical growth phases and Doc explained itis possible to have Breslow thickness in tumor and still have only gorizontal melanoma phase ,and it depends on cell's deviding in tumor. I did not understand all termnology Doc used ,but it looks like low Breslow thickness can have only radial and not vertical growth .
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