is this melanoma in situ?

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    • August 13, 2014 at 7:41 pm
    imppip
    Participant

      the description by my dermatologist was: dermoepidermal junction contains a primary nested melanocytic proliferation.Within the superficial dermis, discrete nests of melanocytes with slightly smaller nuclei are present. Lateral to the dermal portion of the lesion,slightly atypical melanocytes proliferate which bridge and fuse adjacent rete and are associated with a superficial fibrosis of the papillary dermis.In foci there are melanocytes in suprabasal locations with larger nests.

       

      diagnosis:     Compound nevus, dysplastic type with moderate dysplasia, extending to the base of the specimen.

      conservative re-excision has been advised. I am just looking for more feedback on this as this is in a region with very close proximity to lymph nodes and other vital organs.

       

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    • Replies
        • August 13, 2014 at 8:03 pm
        casagrayson
        Participant

          No, not melanom in situ.  Simply a changing mole.  You definintely want to have it fully removed, though, so it won't become a problem later.

          • August 13, 2014 at 8:03 pm
          casagrayson
          Participant

            No, not melanom in situ.  Simply a changing mole.  You definintely want to have it fully removed, though, so it won't become a problem later.

            • August 13, 2014 at 8:03 pm
            casagrayson
            Participant

              No, not melanom in situ.  Simply a changing mole.  You definintely want to have it fully removed, though, so it won't become a problem later.

              • August 13, 2014 at 8:15 pm
              Janner
              Participant

                THe diagnosis would have said Melanoma in situ if that was the case.  Moderately dysplastic lesion probably would never become melanoma, but I agree with the conservative re-excision.  Since the biopsy didn't remove the entire lesion, best to get the rest of it gone.

                • August 13, 2014 at 8:15 pm
                Janner
                Participant

                  THe diagnosis would have said Melanoma in situ if that was the case.  Moderately dysplastic lesion probably would never become melanoma, but I agree with the conservative re-excision.  Since the biopsy didn't remove the entire lesion, best to get the rest of it gone.

                  • August 13, 2014 at 8:15 pm
                  Janner
                  Participant

                    THe diagnosis would have said Melanoma in situ if that was the case.  Moderately dysplastic lesion probably would never become melanoma, but I agree with the conservative re-excision.  Since the biopsy didn't remove the entire lesion, best to get the rest of it gone.

                      • August 14, 2014 at 5:17 pm
                      imppip
                      Participant

                        Thank you both for responding! I have a family history of melanoma so any irregular mole of my 20+ moles makes me extremely nervous. Thanks again.

                        • August 14, 2014 at 5:17 pm
                        imppip
                        Participant

                          Thank you both for responding! I have a family history of melanoma so any irregular mole of my 20+ moles makes me extremely nervous. Thanks again.

                          • August 14, 2014 at 5:17 pm
                          imppip
                          Participant

                            Thank you both for responding! I have a family history of melanoma so any irregular mole of my 20+ moles makes me extremely nervous. Thanks again.

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