is this melanoma in situ?
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is this melanoma in situ?

› Forums › General Melanoma Community › is this melanoma in situ?

  • Post
    • August 13, 2014 at 7:41 pm
    imppip
    Participant

    the description by my dermatologist was: dermoepidermal junction contains a primary nested melanocytic proliferation.Within the superficial dermis, discrete nests of melanocytes with slightly smaller nuclei are present. Lateral to the dermal portion of the lesion,slightly atypical melanocytes proliferate which bridge and fuse adjacent rete and are associated with a superficial fibrosis of the papillary dermis.In foci there are melanocytes in suprabasal locations with larger nests.

     

    diagnosis:     Compound nevus, dysplastic type with moderate dysplasia, extending to the base of the specimen.

    conservative re-excision has been advised. I am just looking for more feedback on this as this is in a region with very close proximity to lymph nodes and other vital organs.

     

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  • Replies
      • August 13, 2014 at 8:03 pm
      casagrayson
      Participant

      No, not melanom in situ.  Simply a changing mole.  You definintely want to have it fully removed, though, so it won't become a problem later.

      • August 13, 2014 at 8:03 pm
      casagrayson
      Participant

      No, not melanom in situ.  Simply a changing mole.  You definintely want to have it fully removed, though, so it won't become a problem later.

      • August 13, 2014 at 8:03 pm
      casagrayson
      Participant

      No, not melanom in situ.  Simply a changing mole.  You definintely want to have it fully removed, though, so it won't become a problem later.

      • August 13, 2014 at 8:15 pm
      Janner
      Participant

      THe diagnosis would have said Melanoma in situ if that was the case.  Moderately dysplastic lesion probably would never become melanoma, but I agree with the conservative re-excision.  Since the biopsy didn't remove the entire lesion, best to get the rest of it gone.

      • August 13, 2014 at 8:15 pm
      Janner
      Participant

      THe diagnosis would have said Melanoma in situ if that was the case.  Moderately dysplastic lesion probably would never become melanoma, but I agree with the conservative re-excision.  Since the biopsy didn't remove the entire lesion, best to get the rest of it gone.

      • August 13, 2014 at 8:15 pm
      Janner
      Participant

      THe diagnosis would have said Melanoma in situ if that was the case.  Moderately dysplastic lesion probably would never become melanoma, but I agree with the conservative re-excision.  Since the biopsy didn't remove the entire lesion, best to get the rest of it gone.

        • August 14, 2014 at 5:17 pm
        imppip
        Participant

        Thank you both for responding! I have a family history of melanoma so any irregular mole of my 20+ moles makes me extremely nervous. Thanks again.

        • August 14, 2014 at 5:17 pm
        imppip
        Participant

        Thank you both for responding! I have a family history of melanoma so any irregular mole of my 20+ moles makes me extremely nervous. Thanks again.

        • August 14, 2014 at 5:17 pm
        imppip
        Participant

        Thank you both for responding! I have a family history of melanoma so any irregular mole of my 20+ moles makes me extremely nervous. Thanks again.

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