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B_Hutz
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B_Hutz

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      • July 13, 2016 at 7:31 pm
      B_Hutz
      Participant

        Thank you for the clarification!  No one discussed my stage in 2009.  I just looked at the pathology report again and reads:

        Clarks Level 4.  Breslow depth of invasion .8mm.  Ulceration not present.  The margins are uninvolved by tumor.  The mitotic rate is less than 1/mm2.  

        Unfortunately, it showed up again in my lymph nodes nearest the excision in June of 2015.  Pathology from my axillary dissection reads:

        ADDENDUM DIAGNOSIS:

        FINAL DIAGNOSIS:
        A. LYMPH NODES, LEFT AXILLA, DISSECTION:
        1. METASTATIC MELANOMA DETECTED IN ONE OF SIXTEEN LYMPH NODES (1/16).
         
        Microscopic Description: Pan-melanoma cocktail was performed on all
        blocks, highlighting metastatic melanoma in block A15, which represents a small
        sampling from a 4 cm grossly-positive lymph node with tumor necrosis and
        extracapsular extension. Some immunoreactive cells are also present in block
        A3, but given their small size, often flattened shape, and mostly intracapsular
        setting, they are interpreted as a nodal nevus. The current pathologic nodal
        staging is pN1b.
         
        The neoplastic cells are immunohistochemically negative for BRAF.
         
         
         
         
         
         
         
        • July 13, 2016 at 7:31 pm
        B_Hutz
        Participant

          Thank you for the clarification!  No one discussed my stage in 2009.  I just looked at the pathology report again and reads:

          Clarks Level 4.  Breslow depth of invasion .8mm.  Ulceration not present.  The margins are uninvolved by tumor.  The mitotic rate is less than 1/mm2.  

          Unfortunately, it showed up again in my lymph nodes nearest the excision in June of 2015.  Pathology from my axillary dissection reads:

          ADDENDUM DIAGNOSIS:

          FINAL DIAGNOSIS:
          A. LYMPH NODES, LEFT AXILLA, DISSECTION:
          1. METASTATIC MELANOMA DETECTED IN ONE OF SIXTEEN LYMPH NODES (1/16).
           
          Microscopic Description: Pan-melanoma cocktail was performed on all
          blocks, highlighting metastatic melanoma in block A15, which represents a small
          sampling from a 4 cm grossly-positive lymph node with tumor necrosis and
          extracapsular extension. Some immunoreactive cells are also present in block
          A3, but given their small size, often flattened shape, and mostly intracapsular
          setting, they are interpreted as a nodal nevus. The current pathologic nodal
          staging is pN1b.
           
          The neoplastic cells are immunohistochemically negative for BRAF.
           
           
           
           
           
           
           
          • July 13, 2016 at 7:31 pm
          B_Hutz
          Participant

            Thank you for the clarification!  No one discussed my stage in 2009.  I just looked at the pathology report again and reads:

            Clarks Level 4.  Breslow depth of invasion .8mm.  Ulceration not present.  The margins are uninvolved by tumor.  The mitotic rate is less than 1/mm2.  

            Unfortunately, it showed up again in my lymph nodes nearest the excision in June of 2015.  Pathology from my axillary dissection reads:

            ADDENDUM DIAGNOSIS:

            FINAL DIAGNOSIS:
            A. LYMPH NODES, LEFT AXILLA, DISSECTION:
            1. METASTATIC MELANOMA DETECTED IN ONE OF SIXTEEN LYMPH NODES (1/16).
             
            Microscopic Description: Pan-melanoma cocktail was performed on all
            blocks, highlighting metastatic melanoma in block A15, which represents a small
            sampling from a 4 cm grossly-positive lymph node with tumor necrosis and
            extracapsular extension. Some immunoreactive cells are also present in block
            A3, but given their small size, often flattened shape, and mostly intracapsular
            setting, they are interpreted as a nodal nevus. The current pathologic nodal
            staging is pN1b.
             
            The neoplastic cells are immunohistochemically negative for BRAF.
             
             
             
             
             
             
             
            • July 5, 2016 at 9:24 pm
            B_Hutz
            Participant

              Thank you so much for the message!!  

              My oncologist has me taking the 30mg of hydrocortisone for an indefinite amount of time.  My endocrinologist has me on Levothyroxine 25mcg.  I guess my endocrine system is suppressed due to the extended period of taking 120mg of prednisone.  It wrecked my body.  At some point they are going to see if my adrenals are functional.  I know all of my counts are low including testosterone.

              My stomach is also a mess.  I am always nauseated.  My oncologist has given me Zophran which helps a little.  

              Wishing you the best!!

              Brandt

              • July 5, 2016 at 9:24 pm
              B_Hutz
              Participant

                Thank you so much for the message!!  

                My oncologist has me taking the 30mg of hydrocortisone for an indefinite amount of time.  My endocrinologist has me on Levothyroxine 25mcg.  I guess my endocrine system is suppressed due to the extended period of taking 120mg of prednisone.  It wrecked my body.  At some point they are going to see if my adrenals are functional.  I know all of my counts are low including testosterone.

                My stomach is also a mess.  I am always nauseated.  My oncologist has given me Zophran which helps a little.  

                Wishing you the best!!

                Brandt

                • July 5, 2016 at 9:24 pm
                B_Hutz
                Participant

                  Thank you so much for the message!!  

                  My oncologist has me taking the 30mg of hydrocortisone for an indefinite amount of time.  My endocrinologist has me on Levothyroxine 25mcg.  I guess my endocrine system is suppressed due to the extended period of taking 120mg of prednisone.  It wrecked my body.  At some point they are going to see if my adrenals are functional.  I know all of my counts are low including testosterone.

                  My stomach is also a mess.  I am always nauseated.  My oncologist has given me Zophran which helps a little.  

                  Wishing you the best!!

                  Brandt

                  • July 5, 2016 at 9:08 pm
                  B_Hutz
                  Participant

                    Thank you for the message Ed!  I will check out the post by SleepyT23.

                    Take care!

                    Brandt

                    • July 5, 2016 at 9:08 pm
                    B_Hutz
                    Participant

                      Thank you for the message Ed!  I will check out the post by SleepyT23.

                      Take care!

                      Brandt

                      • July 5, 2016 at 9:08 pm
                      B_Hutz
                      Participant

                        Thank you for the message Ed!  I will check out the post by SleepyT23.

                        Take care!

                        Brandt

                        • July 5, 2016 at 4:27 am
                        B_Hutz
                        Participant

                          Thank you!

                          My original melanoma was staged at 0, in situ  

                          The tumor is confined to the epidermis and has not entered the dermis, a deeper layer of the skin. This stage of melanoma is also called melanoma in situ.

                           

                          • July 5, 2016 at 4:27 am
                          B_Hutz
                          Participant

                            Thank you!

                            My original melanoma was staged at 0, in situ  

                            The tumor is confined to the epidermis and has not entered the dermis, a deeper layer of the skin. This stage of melanoma is also called melanoma in situ.

                             

                            • July 5, 2016 at 4:27 am
                            B_Hutz
                            Participant

                              Thank you!

                              My original melanoma was staged at 0, in situ  

                              The tumor is confined to the epidermis and has not entered the dermis, a deeper layer of the skin. This stage of melanoma is also called melanoma in situ.

                               

                              • July 5, 2016 at 4:08 am
                              B_Hutz
                              Participant

                                In 2009, a sentinel node biopsy was not indicated due to the shallow thickness. My dermatologist and and oncologist said they didn't believe it would have been in my lymph nodes yet anyway. It just took six years to make its way to my lymph nodes. 

                                • July 5, 2016 at 4:08 am
                                B_Hutz
                                Participant

                                  In 2009, a sentinel node biopsy was not indicated due to the shallow thickness. My dermatologist and and oncologist said they didn't believe it would have been in my lymph nodes yet anyway. It just took six years to make its way to my lymph nodes. 

                                  • July 5, 2016 at 4:08 am
                                  B_Hutz
                                  Participant

                                    In 2009, a sentinel node biopsy was not indicated due to the shallow thickness. My dermatologist and and oncologist said they didn't believe it would have been in my lymph nodes yet anyway. It just took six years to make its way to my lymph nodes. 

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