lindas58

The surgery was Jan5th. The thing that bothers me the most is that is what brought his attention to the melanoma in the first place.  He had a weird mole that we saw in the summer & the dr said "no worries." In Dec it itched & he had me look at it (on back) I did & it had grown..off he went to his primary, shave biopsy ect….so now when he says its bothering him again I am lost.

The surgery was Jan5th. The thing that bothers me the most is that is what brought his attention to the melanoma in the first place.  He had a weird mole that we saw in the summer & the dr said "no worries." In Dec it itched & he had me look at it (on back) I did & it had grown..off he went to his primary, shave biopsy ect….so now when he says its bothering him again I am lost.

pre-surgery

Gross Describtion

Upper back

received in formalin designated on the requisition form to be from "skin" is a shaved portion of unoriented tan-brown

firm to rubbery skin measuring 1.6 x 1.1 cm. Marked blue, sectioned and entirely submitted in a single cassette.

Microscopic Describtion:

Slides examined. Sections show a melanocytic proliferation consisting of predominantly of junctional nests with atypia, with infrequent papillary dermal junction melanocytic nests. Occasional individual atypical melanocytes percolate into low to mid epidermis.

Addendum:

Severely atypical compound melanocytic proliferation favor superficially invasive malignant melanoma, breslow depth depth 0.42 mm, Clarks level lll, extending to one lateral margin.

Post surgery:

Melanoma-back is in oriented lightly pigmented ellipse of skin with underlying subcutaneous tissue, marked with a long white suture at the superior margin, short white suture at the inferior margin,long black suture at the left margin and short black suture at the right margin. The tissue measures 7.9 cm from the superior to inferior x 2.4 cm from right to leftand is excised to a maximum depth of 2 cm. The skin surface displays a central depressed tan lession which measures 1.4 x 0.8 cm and comes to  within 0.4 cm from the left side margin, 0.8cm from the right side margin, 3.1 cm from the inferior margin, and 3.3 cm from the superior margin. The margins are differentially inked as follows: superior to right blue, right to inferior orange, and inferior to lateral to superior black. Sectioning reveals that the depressed central lession extends a depth of 0.2 cm.Representative sections are submitted as follows;C1 superior tip perpendicular, c2-c7 one slice per cassette to contain the entire central depressed ulcerative lesion cb inferior tip perpendicular.

pre-surgery

Gross Describtion

Upper back

received in formalin designated on the requisition form to be from "skin" is a shaved portion of unoriented tan-brown

firm to rubbery skin measuring 1.6 x 1.1 cm. Marked blue, sectioned and entirely submitted in a single cassette.

Microscopic Describtion:

Slides examined. Sections show a melanocytic proliferation consisting of predominantly of junctional nests with atypia, with infrequent papillary dermal junction melanocytic nests. Occasional individual atypical melanocytes percolate into low to mid epidermis.

Addendum:

Severely atypical compound melanocytic proliferation favor superficially invasive malignant melanoma, breslow depth depth 0.42 mm, Clarks level lll, extending to one lateral margin.

Post surgery:

Melanoma-back is in oriented lightly pigmented ellipse of skin with underlying subcutaneous tissue, marked with a long white suture at the superior margin, short white suture at the inferior margin,long black suture at the left margin and short black suture at the right margin. The tissue measures 7.9 cm from the superior to inferior x 2.4 cm from right to leftand is excised to a maximum depth of 2 cm. The skin surface displays a central depressed tan lession which measures 1.4 x 0.8 cm and comes to  within 0.4 cm from the left side margin, 0.8cm from the right side margin, 3.1 cm from the inferior margin, and 3.3 cm from the superior margin. The margins are differentially inked as follows: superior to right blue, right to inferior orange, and inferior to lateral to superior black. Sectioning reveals that the depressed central lession extends a depth of 0.2 cm.Representative sections are submitted as follows;C1 superior tip perpendicular, c2-c7 one slice per cassette to contain the entire central depressed ulcerative lesion cb inferior tip perpendicular.

Thank- you so much for the reply. Its so much to absorb. I always thought of melanoma as a simple skin cancer, boy have I learned otherwise by reading these posts.  I am not sure if we are seeing the right drs either. The surgery was performed by a surgeon who specializes in breast cancer surgery & the dermatologist is a physician assistant. His surgery was Jan 5th. They tell us "no worries." Scares the hell out of me!

Thank- you so much for the reply. Its so much to absorb. I always thought of melanoma as a simple skin cancer, boy have I learned otherwise by reading these posts.  I am not sure if we are seeing the right drs either. The surgery was performed by a surgeon who specializes in breast cancer surgery & the dermatologist is a physician assistant. His surgery was Jan 5th. They tell us "no worries." Scares the hell out of me!

Thanks for the info! My husband had a nuclear test done the morning of surgery & it showed activity between the 2 nodes & the melanoma so they were removed as a precaution, they were clear. Yes since removal the nodes have swollen & we do believe it is because of fluid build up.

I am just so confused about melanoma, it just happened so quickly. 

Thanks for the info! My husband had a nuclear test done the morning of surgery & it showed activity between the 2 nodes & the melanoma so they were removed as a precaution, they were clear. Yes since removal the nodes have swollen & we do believe it is because of fluid build up.

I am just so confused about melanoma, it just happened so quickly. 

Thank-you so much for your input Janner.  My usband has had some trouble with his lymph nodes swelling up. He goes back to the surgeon in a couple of weeks for follow up care & will ask about it.  I have read alot of the stories here & it amazes me the strength everyone seems to have. I applaud all of you.

Thank-you so much for your input Janner.  My usband has had some trouble with his lymph nodes swelling up. He goes back to the surgeon in a couple of weeks for follow up care & will ask about it.  I have read alot of the stories here & it amazes me the strength everyone seems to have. I applaud all of you.