Help with Microscopic Diagnosis for Melanoma

Wnenkow

Hi all,

New to this group. I just had surgery to remove a malignant melanoma. I have a microscopic diagnosis but some of it is just Greek to me. I will list the results below and perhaps someone can help me decipher: (Afraid when I went in, only had a nurse, that could only read what was on the diagnosis sheet, and not explain anything!)

All margins of resection free of tumor

Comment: The modified tumor stage is as follows: pT4a: Melanoma greater in thickness than 4.0mm in thickness with no ulceration. 

Melona Summary

Specimen Type

Location: Left chest

Excision, wide

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Macroscopic Tumor:

Largest single dimension: 2.3 cm

Present

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Satellite Nodules:

Absent/Not observed

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Pigmentation:

Present, patchy/focal

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Histologic Type:

Superficial spreading melanoma

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Ulceration:

Absent/not observed

__________________

Extent of Invasion:

Breslow thickness: 6mm

Clark's level: V

pT4a: Melanoma greater than 4.0mm in thickness, no ulceration

__________________________

Blood/Lymphatic Vessel Invasion:

Inderterminate

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Perineural Invasion:

Absent/ not observed

___________________________

Tumor infiltration Lymphocytes:

Non-brisk

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Tumor Regression:

Absent/not observed

_______________________

Mitotic Index:

1 or more mitotic figure per mm2

 

Thanks all really appreciate it!