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Newly Diagnosed

Newly Diagnosed

Posted By
6/9/2019 10:41am
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Replies: 2

I was diagnosed a few weeks ago with melanoma. It was in the middle of my back. I'm just nervous about the pathology report and what it all means. The report says:
Procedure: Shave Biopsy
Histologic Type: Superficial Spreading
Breslow's Depth 1.5mm
Clark Level 3
Peripheral Margins: Not Involved
Deep Margins: Not Involved
Ulceration: Absent
Mitotic Index: Absent
Lympho Vascular Invasion: Absent
Neurotropism: Absent
Tumor-Infiltrating Lymphocytes: Non-Brisk
Tumor Regression: None
Lymph Nodes (if applicable) N/A
Pathologic Stage: PT2A

I also had the decisiondx test. I had not heard back so I called and my dr. wasn't in and the nurse wasn't really familiar with the report but did tell me
that it was class 2. My derm will call me tomorrow to discuss the findings. So now I'm very worried about the class 2. Before that test, the
plan was for me to go to a surgical oncologist if it came back class 2 for the excision and snb. I'm just worried and of course I'm already worried that
it's in my lymph nodes. I wonder if tumor characteristics give any indication at all as to whether or not it has spread to lymph nodes? Anyone else here with
a similar experience?

WithinMySkin - (6/9/2019 - 7:00pm)

I'm sorry to hear that your biopsy came back melanoma! This board is an amazing place for info and you can go back through years of stories and advice. Things are ever changing in the melanoma treatment world, and there are TONS of new and better treatments out now. So deep breath.

Usually anything deeper than 1 mm is cause for the lymph node biopsy. Some groups even use 0.8 mm as their cut-off depth. There is never any way to tell from the original biopsy results whether it has spread or not - some things (like greater depth or ulcerated or a high mitotic rate) tend to bode for a greater likelihood of spread.

My biggest suggestion (and everyone here will echo it as well) make sure you are seeing a team specialized in melanoma. Many dermatologists and oncologists will list it on their resume, but there have been so many advances that you really need to be seeing a specialist. Keep us updated on the news from the derm!

Health and happiness,



Momto3 - (6/9/2019 - 8:58pm)

Thank you Lauren. Im just ready to get the snb over with and move on! I cant stand waiting for results!