› Forums › General Melanoma Community › Shave method
- This topic has 18 replies, 4 voices, and was last updated 10 years, 11 months ago by
pasadenagirl.
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- October 9, 2014 at 10:00 pm
This is a little after the fact now, but should I be concerend that my melanoma was dx with a shave biopsy? .86MM Thick. I have been reading that this is not the best method when melanoma is suspected.
DX as of now Nevoid melanoma .86mm thick, Clarks level III, Mitioc rate of 3 No ulceration, Non Brisk
Both radical and vertical growth present
Predominat Cytology: Epitheloid
Thanks
g
- Replies
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- October 10, 2014 at 12:45 am
Hard to be sure of the accurate depth. with it over .75 and mitosis of 3 i would expect that they wouldlook at the lymph nodes closed to the new lesion and possibly do a PET scan.
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- October 10, 2014 at 12:48 am
Pitfalls in Dermatopathology: Nevoid Melanoma – Medscape
http://www.medscape.com/viewarticle/776166_3Medscape
Nevoid melanoma is a broad term defined as an uncommon form of melanoma that resembles a common benign melanocytic nevus on histologic examination.
Nevoid melanoma – Right Diagnosis
http://www.rightdiagnosis.com/n/nevoid_melanoma/intro.htmJun 17, 2014 – Nevoid melanoma information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and .
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- October 10, 2014 at 12:52 am
Abstract
Nevoid melanoma is a rare variant of melanoma characterized by deceptive morphologic features reminiscent of a benign melanocytic nevus. Twenty (13 nodular, 7 verrucous) nevoid melanomas were reviewed with the goal of identifying the predominant architectural patterns, cytologic features, and prognostic indicators. Although at scanning magnification, many lesions showed a strong resemblance to banal compound or dermal nevi, careful inspection in all cases demonstrated subtle pleomorphism and impaired maturation with depth, invariably accompanied by multiple dermal mitoses. Four tumors recurred and three metastasized, with subsequent death of the patients. Follow-up information for a period of at least 3 years was available in eight cases. In this group, mortality was 37.5%, the metastasis rate was 37.5%, and the local recurrence rate was 75%, with an average tumor thickness of 2.5 mm. We conclude that nevoid melanoma may be distinguished from a benign melanocytic nevus by a high index of suspicion, a careful analysis of architecture, and attention to cytologic features. Our data and a review of the literature do not support the notion that nevoid melanoma has a better prognosis than ordinary melanoma.
http://www.ncbi.nlm.nih.gov/pubmed/11391094
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- October 10, 2014 at 12:52 am
Abstract
Nevoid melanoma is a rare variant of melanoma characterized by deceptive morphologic features reminiscent of a benign melanocytic nevus. Twenty (13 nodular, 7 verrucous) nevoid melanomas were reviewed with the goal of identifying the predominant architectural patterns, cytologic features, and prognostic indicators. Although at scanning magnification, many lesions showed a strong resemblance to banal compound or dermal nevi, careful inspection in all cases demonstrated subtle pleomorphism and impaired maturation with depth, invariably accompanied by multiple dermal mitoses. Four tumors recurred and three metastasized, with subsequent death of the patients. Follow-up information for a period of at least 3 years was available in eight cases. In this group, mortality was 37.5%, the metastasis rate was 37.5%, and the local recurrence rate was 75%, with an average tumor thickness of 2.5 mm. We conclude that nevoid melanoma may be distinguished from a benign melanocytic nevus by a high index of suspicion, a careful analysis of architecture, and attention to cytologic features. Our data and a review of the literature do not support the notion that nevoid melanoma has a better prognosis than ordinary melanoma.
http://www.ncbi.nlm.nih.gov/pubmed/11391094
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- October 10, 2014 at 12:52 am
Abstract
Nevoid melanoma is a rare variant of melanoma characterized by deceptive morphologic features reminiscent of a benign melanocytic nevus. Twenty (13 nodular, 7 verrucous) nevoid melanomas were reviewed with the goal of identifying the predominant architectural patterns, cytologic features, and prognostic indicators. Although at scanning magnification, many lesions showed a strong resemblance to banal compound or dermal nevi, careful inspection in all cases demonstrated subtle pleomorphism and impaired maturation with depth, invariably accompanied by multiple dermal mitoses. Four tumors recurred and three metastasized, with subsequent death of the patients. Follow-up information for a period of at least 3 years was available in eight cases. In this group, mortality was 37.5%, the metastasis rate was 37.5%, and the local recurrence rate was 75%, with an average tumor thickness of 2.5 mm. We conclude that nevoid melanoma may be distinguished from a benign melanocytic nevus by a high index of suspicion, a careful analysis of architecture, and attention to cytologic features. Our data and a review of the literature do not support the notion that nevoid melanoma has a better prognosis than ordinary melanoma.
http://www.ncbi.nlm.nih.gov/pubmed/11391094
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- October 10, 2014 at 12:48 am
Pitfalls in Dermatopathology: Nevoid Melanoma – Medscape
http://www.medscape.com/viewarticle/776166_3Medscape
Nevoid melanoma is a broad term defined as an uncommon form of melanoma that resembles a common benign melanocytic nevus on histologic examination.
Nevoid melanoma – Right Diagnosis
http://www.rightdiagnosis.com/n/nevoid_melanoma/intro.htmJun 17, 2014 – Nevoid melanoma information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and .
-
- October 10, 2014 at 12:48 am
Pitfalls in Dermatopathology: Nevoid Melanoma – Medscape
http://www.medscape.com/viewarticle/776166_3Medscape
Nevoid melanoma is a broad term defined as an uncommon form of melanoma that resembles a common benign melanocytic nevus on histologic examination.
Nevoid melanoma – Right Diagnosis
http://www.rightdiagnosis.com/n/nevoid_melanoma/intro.htmJun 17, 2014 – Nevoid melanoma information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and .
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- October 10, 2014 at 12:45 am
Hard to be sure of the accurate depth. with it over .75 and mitosis of 3 i would expect that they wouldlook at the lymph nodes closed to the new lesion and possibly do a PET scan.
-
- October 10, 2014 at 12:45 am
Hard to be sure of the accurate depth. with it over .75 and mitosis of 3 i would expect that they wouldlook at the lymph nodes closed to the new lesion and possibly do a PET scan.
-
- October 10, 2014 at 5:07 am
The only time a shave biopsy is problematic is if the deep margin isn't clear. That's it. If the melanoma was bisected in the biopsy, you lose staging info. From the path report you posted, it doesn't specify margins. But if your deep margin was clear, then the biopsy method does not matter in the least.
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- October 10, 2014 at 6:50 pm
HI g
Shave biopsies happen to be one of my two pet peeves My original dx was fom a shave and because of that… they were not sure where to go. When the derm said.. I AM NOT SURE I SHOULD DO A SHAVE BIIOPSY OR NOT… being naive and at the same time my gut said don't do it I told him that and said it's my mooto IF IN DOUBT DON'T DO IT.
Thankfully I had great docs and they I believe handled it the right way. I am completely against shave biopsys and punch, Just me
Love and light
Carole K
Stage IV NED 13 yrs. 9 months afer bain and lung mets
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- October 14, 2014 at 11:54 am
Thank you all for the replies. I feel like since my dx of melanoma I am questioning every thing. Every mole, spot and freckle looks ominous to me now. I question if they changed, did I have it before, does my WLE scar look different. I know how fortunate I am that my dx is stage 1B and that although I need to be vigilant in my checkups and be aware that I need to move past the constant worry. Any Suggestions?
As always thank you, this site has been a blessing to say the least.
G
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- October 14, 2014 at 11:54 am
Thank you all for the replies. I feel like since my dx of melanoma I am questioning every thing. Every mole, spot and freckle looks ominous to me now. I question if they changed, did I have it before, does my WLE scar look different. I know how fortunate I am that my dx is stage 1B and that although I need to be vigilant in my checkups and be aware that I need to move past the constant worry. Any Suggestions?
As always thank you, this site has been a blessing to say the least.
G
-
- October 14, 2014 at 11:54 am
Thank you all for the replies. I feel like since my dx of melanoma I am questioning every thing. Every mole, spot and freckle looks ominous to me now. I question if they changed, did I have it before, does my WLE scar look different. I know how fortunate I am that my dx is stage 1B and that although I need to be vigilant in my checkups and be aware that I need to move past the constant worry. Any Suggestions?
As always thank you, this site has been a blessing to say the least.
G
-
- October 10, 2014 at 6:50 pm
HI g
Shave biopsies happen to be one of my two pet peeves My original dx was fom a shave and because of that… they were not sure where to go. When the derm said.. I AM NOT SURE I SHOULD DO A SHAVE BIIOPSY OR NOT… being naive and at the same time my gut said don't do it I told him that and said it's my mooto IF IN DOUBT DON'T DO IT.
Thankfully I had great docs and they I believe handled it the right way. I am completely against shave biopsys and punch, Just me
Love and light
Carole K
Stage IV NED 13 yrs. 9 months afer bain and lung mets
-
- October 10, 2014 at 6:50 pm
HI g
Shave biopsies happen to be one of my two pet peeves My original dx was fom a shave and because of that… they were not sure where to go. When the derm said.. I AM NOT SURE I SHOULD DO A SHAVE BIIOPSY OR NOT… being naive and at the same time my gut said don't do it I told him that and said it's my mooto IF IN DOUBT DON'T DO IT.
Thankfully I had great docs and they I believe handled it the right way. I am completely against shave biopsys and punch, Just me
Love and light
Carole K
Stage IV NED 13 yrs. 9 months afer bain and lung mets
-
- October 10, 2014 at 5:07 am
The only time a shave biopsy is problematic is if the deep margin isn't clear. That's it. If the melanoma was bisected in the biopsy, you lose staging info. From the path report you posted, it doesn't specify margins. But if your deep margin was clear, then the biopsy method does not matter in the least.
-
- October 10, 2014 at 5:07 am
The only time a shave biopsy is problematic is if the deep margin isn't clear. That's it. If the melanoma was bisected in the biopsy, you lose staging info. From the path report you posted, it doesn't specify margins. But if your deep margin was clear, then the biopsy method does not matter in the least.
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