Hi, My husband had a WLE, parotidectomy and CLND 2 weeks ago. He's recovering well (we think). Sorry for not posting sooner, but had trouble getting pathology reports. Finally got them today via a freedom of information act, but doctor's appointment to discuss future treatment is tomorrow; therefore in a bit of a panic cuz don't understand reports well enough to know what to focus on or what to ask for. We live in Europe and it's past 2 in the morning so don't have too much time to research before seeing the doctor in a few hours.
According to report, my husband's melanoma was nodular type, Clarke level of V, Breslow thickness of 17mm, ulceration present, no regression identified, lymphovascular invasion not identified, perineural invasion not identified, mitotic rate of 19 per 10 HPF, micro satellite lesions not identified, closest margin of 14mm (invasive), deep margin of 2.5mm (invasive), 2 involved lymph nodes out of 43 retrieved (one of which is involved due to direct extension), Level II-IV lymph nodes from separate right neck dissection are negative for metastatic melanoma, pathological stage: pT4b N1
One of the nurses mentioned radiotherapy, but should we be asking for immunotherapy or targeted therapy instead? We haven't been able to locate in any of the reports whether my husband's melanoma has the BRAF, NRAS, or KIT gene mutations. Should this not be furnished to us? If anyone has had a similar melanoma experience to that of my husband's or has any tips as to what to do as a next step, we would greatly appreciate any such advice.
Thank you so very much.