Have non ulcerated, non mitogenic malignant melanoma. How serious is it?
Patient: Husband dx malignant melanoma , Clark s level II; Breslows thickness 0.5mm, non-ulcerated, non-mitogenic, atypical melanocytic proliferation. Shave biopsy , as the derm did not think it was much concern. Radial growth phase is present. Vertical not present, small specimen. Appears to have partial dermal regression. How serious is this, recommended return for re-excision with appropriate surgical margins. Doctor: Hi,  Malignant melanoma is notorious for its tendency to recur and high chance of systemic failure. As your case is concerned most likely has not got that high grade of invasion. again total surgical clearance must be done . negative surgical margin you must have to secure. please consult your surgeon.