Scared! Help with Path Report!!

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  • Post
    • January 27, 2015 at 5:45 pm
    crazyalgirl1205
    Participant

      I am scheduled for a re-excision of dysplastic nevus.  However, I received my path report and would like your input.  Diagnosis:  Compound melanocytic nevus with architechtural and moderate cytologic atypia.  Conservative re-excision is advised.  There is a broad proliferation of enlarged melanocytes arranged as solitary units and as nests within the epidermis, predominantly at the dermo-epidermal junction and within the papillary dermis where there is fibroplasia, telangiectases and a a patchy inflammatory cell infiltrate with melanophages.  There is moderate cytological atypia of melanocytes within the intraepidermal component.

      Can you tell me what this means and if re-excision is necessary?

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    • Replies
        • January 27, 2015 at 7:05 pm
        Janner
        Participant

          This is a moderately atypical/dysplastic nevus.  This is NOT melanoma.  This is just a lesion that has some atypical features and conservative margins are typically recommended for removing this lesion.  Some docs won't do a re-excision, but my melanoma specialist does and I think better safe than sorry.   So, it's not a big deal having this type of lesion, but erring on the side of caution and removing the lesion with conservative margins is the way to go in my opinion.

          • January 27, 2015 at 7:05 pm
          Janner
          Participant

            This is a moderately atypical/dysplastic nevus.  This is NOT melanoma.  This is just a lesion that has some atypical features and conservative margins are typically recommended for removing this lesion.  Some docs won't do a re-excision, but my melanoma specialist does and I think better safe than sorry.   So, it's not a big deal having this type of lesion, but erring on the side of caution and removing the lesion with conservative margins is the way to go in my opinion.

            • January 27, 2015 at 7:05 pm
            Janner
            Participant

              This is a moderately atypical/dysplastic nevus.  This is NOT melanoma.  This is just a lesion that has some atypical features and conservative margins are typically recommended for removing this lesion.  Some docs won't do a re-excision, but my melanoma specialist does and I think better safe than sorry.   So, it's not a big deal having this type of lesion, but erring on the side of caution and removing the lesion with conservative margins is the way to go in my opinion.

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