› Forums › General Melanoma Community › Pathology report help
- This topic has 3 replies, 1 voice, and was last updated 9 years, 6 months ago by
debwray.
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- September 16, 2016 at 3:54 pm
Hello I had a spot removed off of my right shoulder. It was non symmetrical and a 2cmx1cm area.
Diagnosis:
ATYPICAL MELANOCYTIC PROLIFERATION, SEE NOTE.
NOTE: This lesion is likely compatible with junctional melanocytic proliferation with severe atypia. While not fully diagnostic, some features of melanoma are present. An early evolving melanoma,therefore, cannot be ruled out.
MICROSCOPIC DESCRIPTION:
A proliferation of severely atypical melanocytes is noted at the dermal-epidermal junction. There are nests of different sizes and shapes and single cells noted. confluence of juctional melanocytes is seen. The lesion lacks overall symmetry. Dermal fibrosis is present. Solar elastosis is marked. Mart 1 stain with adequate controls in highlights the atypical melanocytes.
I was asked to return to the dermatologist and she did a WLE and removed all tissue down to the muscle and sent that to the pathologist. waiting for the second report now. My dermatologist said "we cant say it isnt melanoma so we are treating it like it is."
I feel like I am a little bit pregnant. Thanks for any help.
Clinton
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- September 16, 2016 at 7:41 pm
Hi,
Looks like your dermatologist is doing all the right things. Much better to treat as melanoma than wait let it develop and be sure. Sometimes things evolve over time and it is hard for the pathologists to say if a line has been crossed.
It is highly probable that the second report will add no further diagnostic info. You really want it to say that it is all normal tissue, as the previous biopsy had clear margins.
It is a shock if the possibility of melanoma becomes more likely…but even if it was melanoma .. It has now gone and been treated in an appropriate manner.
Try to take a deep breath or two . This board is full of folk who are dealing with disease that has progressed.. For the vast majority of folk including my Mum diagnosis becomes a minor part of her medical history with the melanoma having been removed 20years ago and no problems thereafter apart from dealing with the scar and the skin gtraft donation site…we are not representative of the majority of folk who have a mole removed and go on with their lives with no further difficulties.
Think positive…if you can and deal with the bad stuff if and when it happens.
Kind regards,
Deb
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- September 16, 2016 at 7:41 pm
Hi,
Looks like your dermatologist is doing all the right things. Much better to treat as melanoma than wait let it develop and be sure. Sometimes things evolve over time and it is hard for the pathologists to say if a line has been crossed.
It is highly probable that the second report will add no further diagnostic info. You really want it to say that it is all normal tissue, as the previous biopsy had clear margins.
It is a shock if the possibility of melanoma becomes more likely…but even if it was melanoma .. It has now gone and been treated in an appropriate manner.
Try to take a deep breath or two . This board is full of folk who are dealing with disease that has progressed.. For the vast majority of folk including my Mum diagnosis becomes a minor part of her medical history with the melanoma having been removed 20years ago and no problems thereafter apart from dealing with the scar and the skin gtraft donation site…we are not representative of the majority of folk who have a mole removed and go on with their lives with no further difficulties.
Think positive…if you can and deal with the bad stuff if and when it happens.
Kind regards,
Deb
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- September 16, 2016 at 7:41 pm
Hi,
Looks like your dermatologist is doing all the right things. Much better to treat as melanoma than wait let it develop and be sure. Sometimes things evolve over time and it is hard for the pathologists to say if a line has been crossed.
It is highly probable that the second report will add no further diagnostic info. You really want it to say that it is all normal tissue, as the previous biopsy had clear margins.
It is a shock if the possibility of melanoma becomes more likely…but even if it was melanoma .. It has now gone and been treated in an appropriate manner.
Try to take a deep breath or two . This board is full of folk who are dealing with disease that has progressed.. For the vast majority of folk including my Mum diagnosis becomes a minor part of her medical history with the melanoma having been removed 20years ago and no problems thereafter apart from dealing with the scar and the skin gtraft donation site…we are not representative of the majority of folk who have a mole removed and go on with their lives with no further difficulties.
Think positive…if you can and deal with the bad stuff if and when it happens.
Kind regards,
Deb
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