I'm now more nervous than before. I took your advice and I just picked up a copy of my pathology report here is what it says:
SURGICAL PATHOLOGY REPORT
Skin, left medial foot (excisional biopsy):
ULCERATED NODULAR AND INFILTRATING MELANOMA (BRESLOW DEPTH >5 MM), EXTENDING TO THE DEEP MARGIN. Immunostains (Melan A, cytokeratin 5/6, cytokeratin 7) are confirmatory. Positive and negative controls stain appropriately. Focal lymphatic invasion is noted. Dr. Sahmel has seen the slide and concurs.
Only a small amount of possible in situ melanoma is seen. While this can be explained by ulceration, clinical correlation is recommended to exclude metastatic melanoma.
Specimen Laterality: LEFT
Tumor Site: MEDIAL FOOT
Tumor Size: 1.5 CM IN WIDTH
Macroscopic Satellite Nodule(s): NOT SEEN
Histologic Type: UNCERTAIN BECAUSE OF MINIMAL NATURE OF IN SITU COMPONENT.
Maximum Tumor Thickness: > 5 MM
Clark Level: AT LEAST LEVEL 4
Margins: DEEP MARGIN POSITIVE FOR INFILTRATING MELANOMA. Because of the polypoid nature of the lesion, there is essentially no lateral margin to the specimen that is distinct from the deep margin.
Mitotic Rate: HIGHLY VARIABLE; UP TO 5 PER SQUARE MM IN SOME AREAS.
Microsatellitosis: NOT SEEN
Lymphovascular Invasion: PRESENT
Pathologic Staging (pTNM): T4b NX MX
Gross Description: blah blah blah
This is concerning to me. Can someone give input as to what this means?