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Biopsy Question

Forums General Melanoma Community Biopsy Question

  • Post
    amberstewart
    Participant
      Hi!

      I was diagnosed with a stage 1A primary melanoma in June. I’ve been going for my quarterly check ups. Yesterday I had a biopsy of an abnormal spot on my posterior hip/butt cheek. I was cleaning the wound this morning and it looks like there’s still some pigmentation in the biopsy area. Is this a certain sig. of melanoma? Or could the area just have deep pigmentation and be considered abnormal? It wasn’t a scrape biopsy, but I’m not sure if it was a punch or excisional.

      I’m sure nobody can say for sure, but I just hate having to wait for results over the weekend.

      -Amber

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    • Replies
        Dwright
        Participant
          Wow, we must be on the same management path. I was also diagnosed in June with my WLE (1a), and yesterday went for my first quarterly check up with melanoma specialist, and had a small problematic mole removed from my left thigh via punch biopsy. I was told to keep it covered for 48 hours, then start daily wound care. Anyway, I don’t have an answer to your question, but look forward to hearing from others who have experience with this.
            BillMFl
            Participant
              Too late for this one but in the future you might request an exscisional biopsy next time. Some docs will refuse others will say yes. For me, after my first dx based on a modified (slightly deeper shave biopsy) I subsequently insisted on an exscisional biopsy on my second mm years later. The goal is to remove the entire lesion on the initial biopsy rather than leaving a part of it behind. The docs often prefer to remove a minimal amount unless the lesion is blatantly obvious. My personal opinion is if in doubt take it all out. Especially when you have a prior positive. Some will, some won’t but a strong request often gets results.
            Alce123
            Participant
              To my knowledge left over pigmentation is not a sign of melanoma. I have one on my back that was removed and has completely repigmented but the biopsy was regular old compound nevus. My doc said sometimes they see that with really old moles. I’d had that one as long as I could remember.
              MelanomaMike
              Participant
                You should be fine Amber, a lil ooze aint gunna hurt ya, like Bill said, we as patients can Speak Up before procedures are done and request another type, and to add to what Bill was saying, my surgical Oncologist told me concerning the tumor on my side (baseball size) shed rather just take it out completely (WLE) then biopsy it, she went on to say, needle, punch bios can cause tumor disturbance and its Cells can possibly break off into your blood stream….youll be fine, check in with us ok?
                LRS88
                Participant
                  Hi Amber! Our stories seem very similar! i had my first melanoma (T1a) removed from my stomach in March of this year. At my 2nd follow-up in July I mentioned a mole I had always had on my butt, it didn’t necessarily concern me but it was my most abnormal looking mole and it was difficult to monitor for changes. My dermatologist removed it (excisional biopsy) and it was only moderately abnormal. The pathology report indicated that margins were present in the biopsy. With that said, my derm told me to look out for any new growth/pigment changes where the mole used to be. She said that is what they monitor with mild to moderately abnormal moles, but that even with any re-growth it does not automatically mean melanoma, just that a re-excision is needed. Anyways, based on my experience it sounds like the mole very well could just be abnormal (or even normal!) and have deep pigmentation. Good luck, I know waiting for results is NO FUN!
                  Ellie_82
                  Participant
                    Amber, this is not pigmentation. What you see is a blood clot and or a scab. All 15 or so of my biopsies had that and never was melanoma. You are okay. Try to not worry about it too much, it is cut out and over with. Cheers!
                    amberstewart
                    Participant
                      Update: good news! I talked with my derm after she received the pathology report. Not melanoma this time (yay!!), but it was moderately abnormal. She said typically, they just keep an eye on those, but because of my history her recommendation (as well as the pathologist’s) is to excise the area. I agree with that and now have so much peace of mind now. Not looking forward to another scar, but so blessed it’s nothing more serious at this time. Thanks for all the kind and encouraging words!

                      -Amber

                        Ellie_82
                        Participant
                          Good news Amber! All the best!
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