My dad deals with the VA and they tend to drag their feet on setting up appointments. He had to have a kidney removed due to cancer and it took almost 4 weeks just to set up the appointment for the biopsy so I don't want this to drag out either. I have been told by the dermatologist this is urgent to take care of but i'm not sure how urgent is urgent. This was the pathology report of the biopsy done 2 weeks ago that we were notified on Friday afternoon, Dermatologist put in referral for general surgery and oncologist but not sure when I should start hounding them for appointment. Also does this mean he has Stage 3 Melanoma Cancer? Thanks in advance for helping, My dad is 71 years old and has CLL and renal cell carcinoma,
skin, right chest, SED&C --- invasive squamous cell carcinoma
skin, right dorsal forearm, punch - basal cell carcinoma, infiltrative type
skin, left chest, shave ( this one is the one they are concerned about)
Malignat melanoma, unclassified type
Breslow depth at least 2.5mm
Clark level at least IV
growth phase vertical
host response present non brisk
Regression present
Mitosis per mm 2-7
Satelitosis cannot access
Lymphovascular invasion not identified
Neurotropism not identified
Ulceration absent
Peripheral surgical margins negative on examined sections
Deep surgical margins positive for invasive melanoma
Stage at least pT3a
Hi , I am glad you have asked the same question in ask a nurse, I have no experience of a shave biopsy, as I had an unknown primary, and I thought that for a suspected melanoma most people have an excision biopsy, followed by a wide local excision and depending on the size of a melanoma the offer of a sentimental node biopsy. I think there is an NHS target of 31 days to first treatment but the ask a nurse I hope will pick up on any timescales as I’m just a patient not a medical professional.
You mention that the staging is PT3a but also ask if this means your Dad has stage 3 melanoma. I thought I’d give you some links to information about staging it’s quite complicated though and your Dad should have access to a skin cancer nurse to clarify.
I believe your Dad at the moment has stage 2 melanoma, as stage 3 is when melanoma is found in the lymph nodes and this has not been tested yet. You can find out more about T3a in the second link I’ve put in.
https://www.cancerresearchuk.org/about-cancer/melanoma/stages-types/stage-2
https://www.cancerresearchuk.org/about-cancer/melanoma/stages-types/tnm-staging
I hope this helps a little
Take care KT
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