Hi, I am just curious if anyone can help interpret this report. I went in today for a second shave biopsy and the doctor said this type of nevus is rare and they just don't know whether it is anything or not because it is difficult to distinguish from melanoma. He said he didn't know why it didn't mention the spitzoid cells in the diagnosis. They will call me again in a week or so when they get the results. When they called me on Monday to come back in, the lady who called had no idea what it was, but said it was good and no melanoma, but she said really didn't know how to read the report. The person who took me back couldn't explain it to me, either, and said ask the doctor, that he had rarely seen the terminology. When the doctor came in and said it is still questionable, I was quite surprised and don't know if I should be worried or not. Thank you very much for any help you are able to offer.
It was read at a Dermatopathology Lab.
Microscopic Description
The sections demonstrate a shave biopsy in which there is compound melanocytic proliferation, consisting of junctional component exhibiting features of dysplastic nevus while the dermal component shows epithelioid and pigmented morphology with prominent nucleoli and moderate cytologic atypia. No definitive mitotic figure identified. The spitzoid dermal component inolves the deep margin.
Diagnosis
Desmoplastic Compound Nevus (See Comment) Comment: The differential diagnosis includes superficial aspect of deep penetrating nevus. Nevertheless, since the lesion involves the deep margin, re-excision is recommneded to ensure complete removal.
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