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  • #23530
    Grateful77
    Participant

    I had a suspicious lesion removed at the end of July.

    The initial pathology report came back as an invasive melanoma Breslow Depth at least 0.8 without ulceration (Stage 1(b)). I was preparing for a WLE and SLNB at the end of this week with a team of melanoma specialists. These melanoma specialists have their own dermapathologists review all slides before surgery to confirm the diagnosis.

    To my surprise, the second opinion from these dermapathologists came back Melanoma in Situ– NOT invasive melanoma.

    I’m at THRILLED that this could actually be melanoma in situ but also pretty flummoxed as to how one pathologist can see invasive melanoma at 0.8 and another melanoma in situ.

    Does anyone have experience with the “downgrading” of a diagnosis to this degree? Do I need a third opinion on the biopsy slides?

    Thank you in advance for your thoughts.

    #71005
    Catherine Poole
    Keymaster

    We often suggest a second opinion because pathologists are human and there can be error. In this case, you might want a third opinion. What are the credentials of the pathologists who reviewed it? Was the mitotic value discussed in the .08? There is a service by an expert, Dr. Mihm and his associates, will provide a valuable opinion. Their information is here: https://www.brighamandwomens.org/dermatology/consultation-second-opinion-service/mihm-cutaneous-pathology-consultative-service-overview

    Keep in touch and let us know what the outcome it! Best wishes.

    #71006
    Catherine Poole
    Keymaster

    We often suggest a second opinion because pathologists are human and there can be error. In this case, you might want a third opinion. What are the credentials of the pathologists who reviewed it? Was the mitotic value discussed in the .08? There is a service by an expert, Dr. Mihm and his associates, will provide a valuable opinion. Their information is here: https://www.brighamandwomens.org/dermatology/consultation-second-opinion-service/mihm-cutaneous-pathology-consultative-service-overview

    Keep in touch and let us know what the outcome it! Best wishes.

Viewing 3 posts - 1 through 3 (of 3 total)
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