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Initial Pathology Results Help to Understand- How Bad is it?
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Initial Pathology Results Help to Understand- How Bad is it?

› Forums › Cutaneous Melanoma Community › Initial Pathology Results Help to Understand- How Bad is it?

  • Post
    • August 14, 2018 at 1:27 am
    Kfred
    Participant

      Milagnant Melanoma

      Histologic Type: Nodular

      Thickness: AT LEAST 3.42 mm

      Clarks Level:AT LEAST IV

      Growth Phase:Vertical

      Ulceration: Not Identified

      Mitotic Rate-2-3/mm

      Tumor  Infiltrating lymphosites-Non Brisk

      Pathologic Stage- AT LEAST pT3a

      Margins- extends to involve the base of the biopsy

      Breslow depth -pathologic stage may require revision on the excision

      all other catagories are listed as Not Identified.

      Microscopic Descrition: Atypical melonocyctes are present within the epidermis and papillary and reticular dermis

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        • August 14, 2018 at 10:19 am
        stars
        Participant
          Not great. Nodular is a more aggressive subtype. Depth is such that a semtinel node lymph biopsy will be offered to see if theres spread to nearby nodes. Base has been dissected so its pretty difficult to determine actual depth now. The tumor was actively growing as shown in the mitotic rate and vertical growth. All on all a concerning picture but the main thing is that you have found and (almost) removed the it. I may ne eaily resolved, but is serious enough to warrant careful follow up.
            • August 14, 2018 at 11:53 am
            Kfred
            Participant

              thank you for you honest answer!  We have a appointment with a surgeon today. I guess our Journey begins.

            • August 16, 2018 at 7:14 pm
            melanomamafia
            Participant

              In my thoughts! 

                • August 18, 2018 at 3:11 pm
                Kfred
                Participant

                  That bad huh? yes, surgery is done and docs aren't saying much. It's just so scary.

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