Hi, my husband was diagnosed with stage 1a six months ago. Found so much support here, thank you. Hope for some insight:
Our 12 year old had a small mole excised on the palm in the crease as precaution. Was excised by plastic surgeon due to location a shave would not get clear margins. This small flat pigment mole appeared many years ago having an triangular shape. There were no changes in growth, color, edges and has been checked many times. Decided to get it removed mostly out of paranoia due to my husbands recent diagnosis and it’s odd shape.
The Dermatopathology report came back: Compound Nevus with Atypia and Spitzoid Features. The lesion extends close to one radial margin. Lesion completely excised with minimal margins.
Head Pediatric Dermatopathologist reviewed/notes: Part of atypia may be attributed to the anatomical location. Clinical correlation is suggested. If the lesion was clinically atypical, and has not been clinically completely excised, this is suggested.
Plastic surgeon said no worries just watch for pigment regrowth as clear margins were minimal due to location. Called dermatologist and she has a call into head pediatric Dermatopathologist to ask if he suggests re excision for wider margins. I’m worried this could be malignant in nature but dermatologist said they would have mentioned this in the report if it was suspicious for melanoma. I’m not so sure and feeling anxiety, don’t feel comfortable saying it’s all good with atypical/spitzoid features.
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