DanielM

this was the diagnosis:

a) skin back area, initial excision malignant melanoma, nodular, invasive to a depth of 6.5 mm

1. breslow tumor thickness is 6.5 mm

2. there is a focal microsatellite melanoma cells just beneath the deep table of the tumor

3. the level of invasion extends to the reticular dermis( clark's level IV)

4. mitotic activity = greater than 4/mm2

5. no epidermal ulceration

6. no lymphovascular invasion

7. no perineural space involvement

8. no tumor cells infiltrated by lymphocytes(absent lymphocytic infiltrate of tumor cells)

9. the melanoma is 18 mm away from the deep inked resection margin

10. the melanoma is less than 2 mm away from the superior margin and 2 mm away from the inferior margin.

b) skin, back area, wider excision:

no melanoma cells in this wide excision.

the wide excision shows a cuff of normal skin at the previous surgical biopsy cavity site( at least 1 cm cuff of normal skin around the previous excisional cavity site)

c) designated as satellite lessions to back:

no melanoma cells seen,

thanks,

DanielM

this was the diagnosis:

a) skin back area, initial excision malignant melanoma, nodular, invasive to a depth of 6.5 mm

1. breslow tumor thickness is 6.5 mm

2. there is a focal microsatellite melanoma cells just beneath the deep table of the tumor

3. the level of invasion extends to the reticular dermis( clark's level IV)

4. mitotic activity = greater than 4/mm2

5. no epidermal ulceration

6. no lymphovascular invasion

7. no perineural space involvement

8. no tumor cells infiltrated by lymphocytes(absent lymphocytic infiltrate of tumor cells)

9. the melanoma is 18 mm away from the deep inked resection margin

10. the melanoma is less than 2 mm away from the superior margin and 2 mm away from the inferior margin.

b) skin, back area, wider excision:

no melanoma cells in this wide excision.

the wide excision shows a cuff of normal skin at the previous surgical biopsy cavity site( at least 1 cm cuff of normal skin around the previous excisional cavity site)

c) designated as satellite lessions to back:

no melanoma cells seen,

thanks,

DanielM

this was the diagnosis:

a) skin back area, initial excision malignant melanoma, nodular, invasive to a depth of 6.5 mm

1. breslow tumor thickness is 6.5 mm

2. there is a focal microsatellite melanoma cells just beneath the deep table of the tumor

3. the level of invasion extends to the reticular dermis( clark's level IV)

4. mitotic activity = greater than 4/mm2

5. no epidermal ulceration

6. no lymphovascular invasion

7. no perineural space involvement

8. no tumor cells infiltrated by lymphocytes(absent lymphocytic infiltrate of tumor cells)

9. the melanoma is 18 mm away from the deep inked resection margin

10. the melanoma is less than 2 mm away from the superior margin and 2 mm away from the inferior margin.

b) skin, back area, wider excision:

no melanoma cells in this wide excision.

the wide excision shows a cuff of normal skin at the previous surgical biopsy cavity site( at least 1 cm cuff of normal skin around the previous excisional cavity site)

c) designated as satellite lessions to back:

no melanoma cells seen,

thanks,

DanielM