Hello, everyone. I just received a call from my dermatologist informing me of my Melanoma diagnosis. I'm 34 years old and male.
I was able to find this website while waiting for my results and I was hoping to post my biopsy results here hoping to draw upon the collective experience of the group.
Here is the complete biopsy:
START OF REPORT
Breslow Depth: 0.9 mm
Ulceration: Not Present
Vascular Invasion: Not Present
Perineurial Invasion: Not Present
Mitoses: Greater than 1 per mm squared (6 per mm squared)
Type: Superficial spreading
Microsatellitosis: Not Present
Lymphocytes: Present, abundant
Preexisting lesion: Not Identified
Tumor regression: Not Present
Growth Phase: Vertical and Radial
Peripheral Margins: Lesions extends to the peripheral margins of the biopsy
Deep Margins: Free of tumor by 0.1 mm
Tumor stage: pT1bNxDx
Comments: Atypical melanocytes are present both as solitary units, and as nests, at and above the junction in a pagetoid patter as well as tracking down adnexal structures. Additionally, atypical melanocytes are present in nests that vary in size, shape, and spacing, which extend into the dermis to a Breslow depth of 0.9 mm. Pigment is distributed unevenly.
END OF REPORT
I was hoping that someone here can help me make sense of some of the information here.I do know that depth is a key indicator. However my dermatologist also told me that he was concerned about the Mitosis rate being 6 per mm, which is high. My plan is to get a sentinel lymph node biopsy (SLNB) as soon as I can to see if the cancer has spread.
I realize that only the SYNB can confirm if the cancer has spread, but I wondering what the chances are that happened based upon my pathology report. Any counsel or wisdom that the group could provide would be greatly appreciated. Thanks in advance.