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RGP Vs. VGP
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RGP Vs. VGP

› Forums › General Melanoma Community › RGP Vs. VGP

  • Post
    • July 15, 2014 at 6:40 pm
    ltalley
    Participant

      I would clearly like to know more about the Radial Growth Phase versus the Vertical Growth Phase, and if it is so imporatant why doesn't every pathologists report it in a patients path report? All information on this would be greatly appreciated..

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    • Replies
        • July 15, 2014 at 7:45 pm
        JC
        Participant

          Growth phase is subjective, and not all pathologists even comment on it.  Some pathologists don't use the vertical and radial growth phase in their report. They should. But nothing is standardized

           

          0.30mm level II, you have a pretty good prognosis

            • July 15, 2014 at 9:42 pm
            Cooper
            Participant

              Radial growth phase means there is no likelihood of metastasis happening, vertical growth phase means the melanoma started to grow into the skin and is riskier.  Pathologists should use these terms and forget the Clark level.

              • July 15, 2014 at 9:42 pm
              Cooper
              Participant

                Radial growth phase means there is no likelihood of metastasis happening, vertical growth phase means the melanoma started to grow into the skin and is riskier.  Pathologists should use these terms and forget the Clark level.

                • July 15, 2014 at 9:42 pm
                Cooper
                Participant

                  Radial growth phase means there is no likelihood of metastasis happening, vertical growth phase means the melanoma started to grow into the skin and is riskier.  Pathologists should use these terms and forget the Clark level.

                • July 15, 2014 at 7:45 pm
                JC
                Participant

                  Growth phase is subjective, and not all pathologists even comment on it.  Some pathologists don't use the vertical and radial growth phase in their report. They should. But nothing is standardized

                   

                  0.30mm level II, you have a pretty good prognosis

                  • July 15, 2014 at 7:45 pm
                  JC
                  Participant

                    Growth phase is subjective, and not all pathologists even comment on it.  Some pathologists don't use the vertical and radial growth phase in their report. They should. But nothing is standardized

                     

                    0.30mm level II, you have a pretty good prognosis

                    • July 16, 2014 at 2:39 pm
                    Janner
                    Participant

                      It's not so important.  It's not universally accepted.  How do you get depth without vertical growth?  Changes take time – even mitosis has taken time to be added to path reports and it has a lot of science behind it.  Ifgrowth  phase is ever accepted with good science to give significant prognostic value, it will be added to staging and THEN it will appear on path reports.

                      You have a small stage 1a lesion.  Extremely high survival rate.  Confirmation of whether it is VGP or RGP really won't change anything at this point.

                        • July 16, 2014 at 4:34 pm
                        Cooper
                        Participant

                           

                          they still use Clarks Level which was replaced by Breslow years ago.  Vertical or radial gp does give you accurate likelihood of disease progression.  Doubt change will happen

                          • July 16, 2014 at 4:34 pm
                          Cooper
                          Participant

                             

                            they still use Clarks Level which was replaced by Breslow years ago.  Vertical or radial gp does give you accurate likelihood of disease progression.  Doubt change will happen

                            • July 16, 2014 at 4:34 pm
                            Cooper
                            Participant

                               

                              they still use Clarks Level which was replaced by Breslow years ago.  Vertical or radial gp does give you accurate likelihood of disease progression.  Doubt change will happen

                            • July 16, 2014 at 2:39 pm
                            Janner
                            Participant

                              It's not so important.  It's not universally accepted.  How do you get depth without vertical growth?  Changes take time – even mitosis has taken time to be added to path reports and it has a lot of science behind it.  Ifgrowth  phase is ever accepted with good science to give significant prognostic value, it will be added to staging and THEN it will appear on path reports.

                              You have a small stage 1a lesion.  Extremely high survival rate.  Confirmation of whether it is VGP or RGP really won't change anything at this point.

                              • July 16, 2014 at 2:39 pm
                              Janner
                              Participant

                                It's not so important.  It's not universally accepted.  How do you get depth without vertical growth?  Changes take time – even mitosis has taken time to be added to path reports and it has a lot of science behind it.  Ifgrowth  phase is ever accepted with good science to give significant prognostic value, it will be added to staging and THEN it will appear on path reports.

                                You have a small stage 1a lesion.  Extremely high survival rate.  Confirmation of whether it is VGP or RGP really won't change anything at this point.

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