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AJCC 8th

Posted: Wed Nov 07, 2018 10:24 am
by chrisuk
Hello

It’s been a good while since I was last on here I’m from the UK but always found this site to be very informative.

I was just looking at my old path lab report and always thought my staging to be 1a but looking at the 8th AJCC if it was today will I be 1b? Report below.

Histology.
Sections show superficial spreading invasive malignant melanoma.
There is minimal pigmentation. No ulceration is seen. There are large confluent nest of atypical junctional melanocytes with early invasion into the superficial dermis (Clark level 4). There is a brisk tumour associated lymphocytic inflammation. Breslow thickness 1mm. There is no perineural or vascular invasion. No microsatellite lesions are seen. There is at least 3mm deep clearance and 2mm radial clearance from the lesion.
Pathological stage pT1a

Re: AJCC 8th

Posted: Thu Nov 08, 2018 1:20 am
by chrisuk
My melanoma report was back in 2009.

Re: AJCC 8th

Posted: Thu Nov 08, 2018 7:36 am
by Catherine Poole
The new AJCC standards aren't necessarily in stone. I brought this up at the recent experts meeting. They have left mitotic factor out which is wrong according to many experts. Yet they keep Clarks Level in which has been disregarded by most for quite a while. I would not worry being 9 years out, you are in the clear. I hope you continue to be quite healthy!

Re: AJCC 8th

Posted: Thu Nov 08, 2018 4:10 pm
by chrisuk
Hi Catherine

Thank you for your reply wish there were sites like this in the uk. there was once a good forum but now has gone and also there was a good group I used to go to but with lack of funding it to closed also.

Kind Regards
Chris

Re: AJCC 8th

Posted: Fri Nov 09, 2018 7:39 am
by Catherine Poole
Thanks for the kind words. We are here for anyone, anywhere. We do collaborate with other groups in global locations. Please visit us anytime you have concerns.