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Written Pathology Report. Better than hoped but please help me make sense!!
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Written Pathology Report. Better than hoped but please help me make sense!!

› Forums › General Melanoma Community › Written Pathology Report. Better than hoped but please help me make sense!!

  • Post
    • December 12, 2016 at 6:03 pm
    John Bruno 2613
    Participant

      A. Right mid paraspinal: Malignant Melanoma without ulceration, clark level 3, 0.45 mm in breslow thickness, with a mitotic index of 0 (pTla).

      Tumor Anatomic site: Mid paraspinal.

      Histologic type: Superficial spreading melanoma.

      Maximum tumor thickness: (Breslow) 0.45mm.

      Anatomic level: Clark Level 3

      Ulceration: Not identified.

      Margins:

      Peripheral margins uninvolved by invasive melanoma. Distance of invasive melanoma from closest peripheral mergin: 1.4mm. Peripheral margins uninvolved by melanoma in situ. Distance of melanoma in situ from closest peripheral margin: 0.9mm. Deep Margin uninvolved by invasive melanoma. Distance of invasive melanoma from deep margin: 0.5mm.

       

      Mitotic Rate: not identified

      Microsatellitosis: Not identified

      Lymph-vascular invasion: Not identified

      Tumor infiltrating lymphocytes: Not identified

      Tumor regression: Not identified

      Growth phase: Radial and focally vertical.

      Additional patholog findings: Dermal nevus.

       

      Let me know if you need any other info!!!!

    Viewing 2 reply threads
    • Replies
        • December 12, 2016 at 6:10 pm
        jennunicorn
        Participant

          Great results. Sucks to ever have to hear the word melanoma, but this report shows that it's a stage 1a, not very thick and no ulceration (which is good). Now, your brother will go for regular dermatologist skin checks every year (probably every 6 months for a while) and he will be aware of any more new things that pop up in the furture and get them biopsied. It's really the best report one can get besides in situ (stage 0). 

          All the best,

          • December 12, 2016 at 6:10 pm
          jennunicorn
          Participant

            Great results. Sucks to ever have to hear the word melanoma, but this report shows that it's a stage 1a, not very thick and no ulceration (which is good). Now, your brother will go for regular dermatologist skin checks every year (probably every 6 months for a while) and he will be aware of any more new things that pop up in the furture and get them biopsied. It's really the best report one can get besides in situ (stage 0). 

            All the best,

              • December 12, 2016 at 9:29 pm
              John Bruno 2613
              Participant

                Thank you so much for the reassuring news!! It truly means a lot! When I was on the phone with my brother he thought the doctor said 4.5mm breslow level the first time he talked to him so I was freaking out! 

                • December 12, 2016 at 9:29 pm
                John Bruno 2613
                Participant

                  Thank you so much for the reassuring news!! It truly means a lot! When I was on the phone with my brother he thought the doctor said 4.5mm breslow level the first time he talked to him so I was freaking out! 

                  • December 12, 2016 at 11:09 pm
                  jennunicorn
                  Participant

                    Understandably… that's why it's always best to wait for the report.. since our brains don't always retain info well after hearing words like melanoma. 

                    Happy Holidays 

                    • December 12, 2016 at 11:09 pm
                    jennunicorn
                    Participant

                      Understandably… that's why it's always best to wait for the report.. since our brains don't always retain info well after hearing words like melanoma. 

                      Happy Holidays 

                      • December 13, 2016 at 7:46 am
                      John Bruno 2613
                      Participant

                        You as well!!! Also one more question if he has had one melanoma does that mean that he is more susceptible to get them in the future? Or not necessarily??

                        • December 13, 2016 at 4:31 pm
                        jennunicorn
                        Participant

                          Yes, but it is still unusual for someone to have more than 1 primary melanoma. Seems like he is already aware of his body and new spots, so he'll know to get anything new checked out. Even if he had multiple stage 1 melanomas, that's lightyears better than having 1 mel that spread 🙂

                          • December 13, 2016 at 11:53 pm
                          John Bruno 2613
                          Participant

                            Went back to doctor today to have a closer look at his body. He wanted 2 more off and the doctor wanted 4. So he got a total of 6 taken off! I'm hoping none come back worse than this previous case and that they are either stage 1 or just altogether normal. 

                            • December 14, 2016 at 12:35 am
                            jennunicorn
                            Participant

                              Most likely they will come back as nothing to worry about, probably atypical. Hopefully he will be done getting cut up for a while after this, poor guy.

                              • December 14, 2016 at 12:36 am
                              John Bruno 2613
                              Participant

                                Hopefully! And I am praying for you nightly! Thank you so much for the continued support! 

                                • December 14, 2016 at 12:41 am
                                jennunicorn
                                Participant

                                  Thank you! Glad I could help 🙂

                                  • December 15, 2016 at 8:43 am
                                  John Bruno 2613
                                  Participant

                                    when you say it is unusual for him to have more than 1 primary melanoma what does that mean? How does one know if they have other melanomas or which is the primary?? Thanks so much just kinda lost! 

                                    • December 15, 2016 at 8:43 am
                                    John Bruno 2613
                                    Participant

                                      when you say it is unusual for him to have more than 1 primary melanoma what does that mean? How does one know if they have other melanomas or which is the primary?? Thanks so much just kinda lost! 

                                      • December 15, 2016 at 5:34 pm
                                      jennunicorn
                                      Participant

                                        Primary is the original tumor. So, for melanoma being a skin cancer, the original tumor shows as a mole or skin lesion. So, if he has another mole on another part of his body that gets biopsied and is melanoma, then it would be a separate occurance, not related to the first, and would be considered a second primary tumor. No way to know if another mole we have is melanoma, other than looking for signs like change and the "ugly duckling" scenario, which is a mole that looks different from all other moles on one's body. Things like that are cause for biopsy to investigate if it's worriesome. My dermatologist, who is a melanoma specialist, told me that if I were to have another primary melanoma, meaning a new mole show up on my skin that is melanoma, it will look very similar to my first one. Usually people will not have a second primary be a different type of melanoma or look much different from the first.

                                        • December 15, 2016 at 5:34 pm
                                        jennunicorn
                                        Participant

                                          Primary is the original tumor. So, for melanoma being a skin cancer, the original tumor shows as a mole or skin lesion. So, if he has another mole on another part of his body that gets biopsied and is melanoma, then it would be a separate occurance, not related to the first, and would be considered a second primary tumor. No way to know if another mole we have is melanoma, other than looking for signs like change and the "ugly duckling" scenario, which is a mole that looks different from all other moles on one's body. Things like that are cause for biopsy to investigate if it's worriesome. My dermatologist, who is a melanoma specialist, told me that if I were to have another primary melanoma, meaning a new mole show up on my skin that is melanoma, it will look very similar to my first one. Usually people will not have a second primary be a different type of melanoma or look much different from the first.

                                          • December 15, 2016 at 5:34 pm
                                          jennunicorn
                                          Participant

                                            Primary is the original tumor. So, for melanoma being a skin cancer, the original tumor shows as a mole or skin lesion. So, if he has another mole on another part of his body that gets biopsied and is melanoma, then it would be a separate occurance, not related to the first, and would be considered a second primary tumor. No way to know if another mole we have is melanoma, other than looking for signs like change and the "ugly duckling" scenario, which is a mole that looks different from all other moles on one's body. Things like that are cause for biopsy to investigate if it's worriesome. My dermatologist, who is a melanoma specialist, told me that if I were to have another primary melanoma, meaning a new mole show up on my skin that is melanoma, it will look very similar to my first one. Usually people will not have a second primary be a different type of melanoma or look much different from the first.

                                            • December 15, 2016 at 8:43 am
                                            John Bruno 2613
                                            Participant

                                              when you say it is unusual for him to have more than 1 primary melanoma what does that mean? How does one know if they have other melanomas or which is the primary?? Thanks so much just kinda lost! 

                                              • December 14, 2016 at 12:41 am
                                              jennunicorn
                                              Participant

                                                Thank you! Glad I could help 🙂

                                                • December 14, 2016 at 12:41 am
                                                jennunicorn
                                                Participant

                                                  Thank you! Glad I could help 🙂

                                                  • December 14, 2016 at 12:36 am
                                                  John Bruno 2613
                                                  Participant

                                                    Hopefully! And I am praying for you nightly! Thank you so much for the continued support! 

                                                    • December 14, 2016 at 12:36 am
                                                    John Bruno 2613
                                                    Participant

                                                      Hopefully! And I am praying for you nightly! Thank you so much for the continued support! 

                                                      • December 14, 2016 at 12:35 am
                                                      jennunicorn
                                                      Participant

                                                        Most likely they will come back as nothing to worry about, probably atypical. Hopefully he will be done getting cut up for a while after this, poor guy.

                                                        • December 14, 2016 at 12:35 am
                                                        jennunicorn
                                                        Participant

                                                          Most likely they will come back as nothing to worry about, probably atypical. Hopefully he will be done getting cut up for a while after this, poor guy.

                                                          • December 13, 2016 at 11:53 pm
                                                          John Bruno 2613
                                                          Participant

                                                            Went back to doctor today to have a closer look at his body. He wanted 2 more off and the doctor wanted 4. So he got a total of 6 taken off! I'm hoping none come back worse than this previous case and that they are either stage 1 or just altogether normal. 

                                                            • December 13, 2016 at 11:53 pm
                                                            John Bruno 2613
                                                            Participant

                                                              Went back to doctor today to have a closer look at his body. He wanted 2 more off and the doctor wanted 4. So he got a total of 6 taken off! I'm hoping none come back worse than this previous case and that they are either stage 1 or just altogether normal. 

                                                              • December 13, 2016 at 4:31 pm
                                                              jennunicorn
                                                              Participant

                                                                Yes, but it is still unusual for someone to have more than 1 primary melanoma. Seems like he is already aware of his body and new spots, so he'll know to get anything new checked out. Even if he had multiple stage 1 melanomas, that's lightyears better than having 1 mel that spread 🙂

                                                                • December 13, 2016 at 4:31 pm
                                                                jennunicorn
                                                                Participant

                                                                  Yes, but it is still unusual for someone to have more than 1 primary melanoma. Seems like he is already aware of his body and new spots, so he'll know to get anything new checked out. Even if he had multiple stage 1 melanomas, that's lightyears better than having 1 mel that spread 🙂

                                                                  • December 13, 2016 at 7:46 am
                                                                  John Bruno 2613
                                                                  Participant

                                                                    You as well!!! Also one more question if he has had one melanoma does that mean that he is more susceptible to get them in the future? Or not necessarily??

                                                                    • December 13, 2016 at 7:46 am
                                                                    John Bruno 2613
                                                                    Participant

                                                                      You as well!!! Also one more question if he has had one melanoma does that mean that he is more susceptible to get them in the future? Or not necessarily??

                                                                      • December 12, 2016 at 11:09 pm
                                                                      jennunicorn
                                                                      Participant

                                                                        Understandably… that's why it's always best to wait for the report.. since our brains don't always retain info well after hearing words like melanoma. 

                                                                        Happy Holidays 

                                                                        • December 12, 2016 at 9:29 pm
                                                                        John Bruno 2613
                                                                        Participant

                                                                          Thank you so much for the reassuring news!! It truly means a lot! When I was on the phone with my brother he thought the doctor said 4.5mm breslow level the first time he talked to him so I was freaking out! 

                                                                        • December 12, 2016 at 6:10 pm
                                                                        jennunicorn
                                                                        Participant

                                                                          Great results. Sucks to ever have to hear the word melanoma, but this report shows that it's a stage 1a, not very thick and no ulceration (which is good). Now, your brother will go for regular dermatologist skin checks every year (probably every 6 months for a while) and he will be aware of any more new things that pop up in the furture and get them biopsied. It's really the best report one can get besides in situ (stage 0). 

                                                                          All the best,

                                                                      Viewing 2 reply threads
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