I'm newly dx and just needed help understanind path report. My Derm said that I should be ok with just a WLE since the thickness is 0.86MM. It's the should that worries me, I ask if we could have an oncologist give a 2nd opioion on SNB. She indicated that most insurance companies will not pay for SNB unless MM is 1MM or more.
The following is what my path report indicates. I would really appreciate feedback, am I just being over the top or should I push for something more then a WLE.
Lower Back: Shave method, Neoplasm of uncertain behavior vs. Melanoma
1/4 10x8x2 mm 1 Slide. Micro Description typed by MAK
Skin (Lower Back Shave Method)
Malignant Melanoma, Invaise, 0.86 MM in thickness, non ulcerated, see comment:
Comment: This is a diffcule case to evaluate. There is compound melanocytic proliferation with areas showing definite change of benign nevus. There are large areas composed of cellular nests or atypical melanocytes with mitotic figures within the papillary dermis. Other lare areas are composed of atypical melanocytes with mitotic figures. There is apparent maturation.
I favor the diagnosis of nevoid melanoma arising in a compound nevus. The area of melanoma appears completely excised in the planes of section. The changes of nevus are present at one lateral margin of the specimen.
Appropriate reexcisionis necessary.