Folks, here is my path report. FYI, a PET scan and Brain MRI were all clear, I guess my question is, do I really need to go through a year with NIVO every two weeks since the cancer hasn't spread, or even the surgery for that matter?
Thoughts?
NOTE)
Surgical Final Report
Patient Name: TELLMAN, THEODORE R
Accession #:S18-4295
Taken: 1/31/2018
Received: 1/31/2018
Reported: 2/7/2018
Physician(s): DEVI K CHETTIAR
Final Pathologic Diagnosis
Skin, left upper back, excision:
1. Dermal melanoma
2. Tumor extends to a peripheral margin and to within 0.1 mm of
the deep margin
3. See comment
Comments
The lesion is centered deeply in the dermis and the findings are most
supportive of metastatic melanoma. Correlation with clinical findings
and imaging studies is recommended. Dr. Warren Goodman has seen this
case and agrees with the interpretation. Devi Chettiar, PA was
notified via telephone conversation on 2/6/18 at 3 pm.
*Electronically Signed Out By*
Katherine E. Brick, MD
Procedures/Addenda
Clinical History
Cyst
Gross Description
The specimen is received in formalin and labeled with the patient's
name and "left upper back". The speci
men consists of a 2 x 1.3 x 1.2
cm portion of tan-yellow fibrofatty tissue with an attached 2 x 0.6 cm
tan-pink skin ellipse. No orientation is provided and the external
surface is inked green. Sectioning reveals firm pale tan centrally
incised cut surfaces throughout and abutting the margin. The specimen
is entirely submitted in six cassettes.
1. Representative sections
2. Ellipse tips
3-6. Remainder of specimen. cl
cll/1/31/2018
Microscopic Description
Histologic sections of skin on six (6) H&E slides from six blocks
are reviewed. There is a dermally based tumor located deep within the
dermis and extending up to the subcutis. There are multiple cohesive
nodules composed of cells with pale cytoplasm, enlarged nuclei,
prominent nucleoli, and abundant mitotic activity. The nodules display
areas of central necrosis and form a mass encompassing the mid to deep
dermis. Immunostains show that these cells are positive for S100,
SOX-10, and Viment
in, and negative for CD34, cytokeratin Oscar,
cytokeratin AE1/AE3, Melan-A, and EMA. The tumor extends to a
peripheral margin and to within 0.1 mm of the deep margin.
keb/2/7/2018
Katherine E. Brick, MD
Regions Hospital
Department of Pathology
640 Jackson Street
St. Paul, MN 55101
.
