Melanoma Breslow Thickness Helper

Enter Breslow thickness and ulceration status to get AJCC 8th edition T-stage, SLNB recommendation, and survival estimates.

Tumor Parameters

From pathology report, measured in millimeters

Relevant for thin T1 tumors (0.8–1.0 mm)

AJCC 8th Ed. T-Stage Reference

StageBreslow / Feature
T1a<0.8 mm, no ulc.
T1b0.8–1.0 mm, or ulc.
T2a>1.0–2.0 mm, no ulc.
T2b>1.0–2.0 mm, ulc.
T3a>2.0–4.0 mm, no ulc.
T3b>2.0–4.0 mm, ulc.
T4a>4.0 mm, no ulc.
T4b>4.0 mm, ulc.

Enter tumor parameters and click Calculate Stage

Results will appear here

Summary

Enter Breslow thickness and ulceration status to get AJCC 8th edition T-stage, SLNB recommendation, and survival estimates.

How it works

  1. Enter the Breslow thickness in millimeters from the pathology report.
  2. Select whether ulceration is present or absent.
  3. Optionally enter the mitotic rate (mitoses per mm²) if reported.
  4. The tool computes the AJCC 8th edition T-stage (T1a through T4b).
  5. SLNB eligibility threshold and 5-year survival estimates are displayed.

Use cases

  • Quickly cross-check pathology T-stage from Breslow depth during case review.
  • Determine whether a patient crosses the SLNB eligibility threshold.
  • Understand how ulceration upgrades T-stage (e.g., T1a → T1b).
  • Look up population-level 5-year survival data for patient counseling.
  • Educate medical students on AJCC melanoma staging criteria.
  • Compare staging across multiple hypothetical thickness values.

Frequently Asked Questions

Last updated: 2026-07-01 · Reviewed by Nham Vu