Newly Diagnosed- Need help understanding pathology report!
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Newly Diagnosed- Need help understanding pathology report!

› Forums › General Melanoma Community › Newly Diagnosed- Need help understanding pathology report!

  • Post
    • April 26, 2013 at 8:42 pm
    alyssa21
    Participant

      Just diagnosed with Malignant Melanoma, pathology report states:

      0.82mm, Clark's level III, 1 mitosis per mm2.  Type superficial spreading, no ulcerations, microsatellitosis, lymphvascular invasion, or regressions.  The juncional component is comprised of large cells arranges as irregular sized nests and individual units seen throughout all levels of the epidermis. The dermis contains similar nests and individual melanocytes with a dense lymphoplasmacellular infiltrate.  Elsewhere in dermis there is second population of nests of smaller melanocytes.

      Just diagnosed with Malignant Melanoma, pathology report states:

      0.82mm, Clark's level III, 1 mitosis per mm2.  Type superficial spreading, no ulcerations, microsatellitosis, lymphvascular invasion, or regressions.  The juncional component is comprised of large cells arranges as irregular sized nests and individual units seen throughout all levels of the epidermis. The dermis contains similar nests and individual melanocytes with a dense lymphoplasmacellular infiltrate.  Elsewhere in dermis there is second population of nests of smaller melanocytes.

      What does this mean?  Is that a fairly good prognosis?  Any help would be wonderful!  Thanks!

    Viewing 11 reply threads
    • Replies
        • April 27, 2013 at 3:09 am
        Janner
        Participant

          This is a stage IB lesion.  I had a very similar lesion (.88mm, everything else the same) removed almost 12 years ago.  Yes, it has a good prognosis.  Not "no risk", but "low risk".  Get the surgery taken care of (extra margins).  Learn how to palpate your lymph node basin.  Watch your other moles for change.  Practice sun safety.  LIVE LIFE!

          Best wishes

          Janner

          • April 27, 2013 at 3:09 am
          Janner
          Participant

            This is a stage IB lesion.  I had a very similar lesion (.88mm, everything else the same) removed almost 12 years ago.  Yes, it has a good prognosis.  Not "no risk", but "low risk".  Get the surgery taken care of (extra margins).  Learn how to palpate your lymph node basin.  Watch your other moles for change.  Practice sun safety.  LIVE LIFE!

            Best wishes

            Janner

            • April 27, 2013 at 3:09 am
            Janner
            Participant

              This is a stage IB lesion.  I had a very similar lesion (.88mm, everything else the same) removed almost 12 years ago.  Yes, it has a good prognosis.  Not "no risk", but "low risk".  Get the surgery taken care of (extra margins).  Learn how to palpate your lymph node basin.  Watch your other moles for change.  Practice sun safety.  LIVE LIFE!

              Best wishes

              Janner

              • April 28, 2013 at 11:57 am
              Cooper
              Participant

                I would go a step further and ask about the Sentinel Node Biopsy.  For your Breslow Depth and mitosis rate (although low) it may be indicated at many treatments centers.  Here's a good explanation of it:  http://www.melanomainternational.org/melanoma_info/sentinel_node_biopsy.html     You might be more reassured if you consider this to check the lymph nodes a bit further.  You have an excellent prognosis!

                • April 28, 2013 at 11:57 am
                Cooper
                Participant

                  I would go a step further and ask about the Sentinel Node Biopsy.  For your Breslow Depth and mitosis rate (although low) it may be indicated at many treatments centers.  Here's a good explanation of it:  http://www.melanomainternational.org/melanoma_info/sentinel_node_biopsy.html     You might be more reassured if you consider this to check the lymph nodes a bit further.  You have an excellent prognosis!

                  • April 28, 2013 at 11:57 am
                  Cooper
                  Participant

                    I would go a step further and ask about the Sentinel Node Biopsy.  For your Breslow Depth and mitosis rate (although low) it may be indicated at many treatments centers.  Here's a good explanation of it:  http://www.melanomainternational.org/melanoma_info/sentinel_node_biopsy.html     You might be more reassured if you consider this to check the lymph nodes a bit further.  You have an excellent prognosis!

                    • April 28, 2013 at 11:57 am
                    Cooper
                    Participant

                      I would go a step further and ask about the Sentinel Node Biopsy.  For your Breslow Depth and mitosis rate (although low) it may be indicated at many treatments centers.  Here's a good explanation of it:  http://www.melanomainternational.org/melanoma_info/sentinel_node_biopsy.html     You might be more reassured if you consider this to check the lymph nodes a bit further.  You have an excellent prognosis!

                      • April 28, 2013 at 11:57 am
                      Cooper
                      Participant

                        I would go a step further and ask about the Sentinel Node Biopsy.  For your Breslow Depth and mitosis rate (although low) it may be indicated at many treatments centers.  Here's a good explanation of it:  http://www.melanomainternational.org/melanoma_info/sentinel_node_biopsy.html     You might be more reassured if you consider this to check the lymph nodes a bit further.  You have an excellent prognosis!

                        • April 28, 2013 at 11:57 am
                        Cooper
                        Participant

                          I would go a step further and ask about the Sentinel Node Biopsy.  For your Breslow Depth and mitosis rate (although low) it may be indicated at many treatments centers.  Here's a good explanation of it:  http://www.melanomainternational.org/melanoma_info/sentinel_node_biopsy.html     You might be more reassured if you consider this to check the lymph nodes a bit further.  You have an excellent prognosis!

                          • April 29, 2013 at 2:23 am
                          alyssa21
                          Participant

                            Thanks for the information!  It is overwhelming at first- but I am starting to see some light and optimism.  I think the phone call when they call you should be full of information!  Trying to figure all this out for yourself is difficult and is like learning a foreign language- but I guess it is a language I should be starting to learn.

                             

                            Thanks Again!

                            • April 29, 2013 at 2:23 am
                            alyssa21
                            Participant

                              Thanks for the information!  It is overwhelming at first- but I am starting to see some light and optimism.  I think the phone call when they call you should be full of information!  Trying to figure all this out for yourself is difficult and is like learning a foreign language- but I guess it is a language I should be starting to learn.

                               

                              Thanks Again!

                              • April 29, 2013 at 2:23 am
                              alyssa21
                              Participant

                                Thanks for the information!  It is overwhelming at first- but I am starting to see some light and optimism.  I think the phone call when they call you should be full of information!  Trying to figure all this out for yourself is difficult and is like learning a foreign language- but I guess it is a language I should be starting to learn.

                                 

                                Thanks Again!

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