Table 1 A synoptic or structured pathology report for primary cutaneous melanoma

From: Melanoma pathology reporting and staging

Pathologic feature

Example

Site

Right upper leg

Diagnosis

Melanoma, dermal invasive

Breslow thickness

2.3 mm

Ulceration (diameter in mm)

Present (1.1 mm)

Dermal mitotic rate (per mm2)

8

Melanoma subtype

Superficial spreading/low CSD [43]

Vascular or lymphatic invasion

Absent

Neurotropism

Absent

Desmoplastic melanoma component (% of dermal invasive tumor, if present)

Absent

TILs

 

 Distribution

Focal

 Density

Dense

Microsatellites

Absent

Regression:

 

 Intermediate (angiofibroplasia ± TILs), if present

Absent

 Late (fibrosis and loss of rete ridges)

Absent

 Predominant cell type

Epithelioid

Associated nevus

Nil

Solar elastosis

Moderate (2+)

Margins of excision

 Invasive component—nearest peripheral margin

3.5 mm

 In situ component—nearest peripheral margin

7.6 mm

 Deep margin

4.1 mm

  1. TILs tumor-infiltrating lymphocytes, CSD cumulative sun damage