It was on the base of the neck, above the shoulder. He is under the care of melanoma specialists is original path report stated the following: Malignant Melanoma, Nodular, 2.5mm in thickness extending to the base of the biopsy with a separate portion of tissue showing a 2 mm thick portion of melanoma. Greater than 10 mitosis per millimeter squared. 3 mm of ulceration. Melanoma seen in vascular spaces. Clark level IV (deeper invasion cannot be excluded) No perineural invasion. Tumor infiltrating lymphocytes – non brisk. cautery effect. incompletely excised.
Seen by surgical oncologist and went in for a wide excision and sentinel node biopsy. 2 sentinel nodes were removed. Of the two, one showed metastatic malignant melanoma. Of the five supraclavicular nodes, none showed evidence. The path report also states that the largest focus of metastatic malignant melanoma measures approx 3mm in greatest dimension for the positive sentinel node. Lesional cells are present in the lymph node parenchyma and capsular sinus. No extracapsular extension is identified. An incidental predominantly intradermal melanocytic nevus is present in the excised site.
It just seems like an eternity when you are waiting for pending tests to be done….
