› Forums › General Melanoma Community › Junctional nevus with atypical features on acral skin
- This topic has 6 replies, 2 voices, and was last updated 11 years, 1 month ago by
rdd.
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- February 21, 2013 at 3:40 am
A 20 year old loved one very recently got a dark mole and a tiny one the size of a pin right next to it removed from his finger. The Pathologist Comments are as follows:
A 20 year old loved one very recently got a dark mole and a tiny one the size of a pin right next to it removed from his finger. The Pathologist Comments are as follows:
There are nested melanocytes at the junction with focal bridging between rete. Scattered single cells are at the junction and in the mid-epidermis. Rare melanocytes are in the granular layer. Junctional melanocytes have enlarged epithelioid nuclei and coarsely pigmented cytoplasm. One mitosis seen. Melanophages surround the dermal vessels. These features are in keeping with a junctional nevus with atypical features on acral skin. It extends to a peripheral biopsy edge. Complete excision is recommended.
The specimen was an irregular portion of tan skin measuring 0.7 x 0.4 x 0.1 cm, margins painted blue.
Can someone please tell me what all this means. We are very worried. The nurse (not the doctor) called us and told us it was just an atypical mole they want to remove fully. When we had gone to see the dermatologist he didn't want to remove it but we asked for it to be removed as it just didn't look right to us and now we have this pathology report.
Does this type of diagnosis mean this person is more susceptible to melanoma? Should we get his other moles checked. We are a moley family. How are we going to ensure they get all of it when they excise it. Please help us understand. I have been trying to research as much as I can for the last 2 days since we got the report. Thank you and god bless everyone.
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- February 21, 2013 at 4:32 am
This is an atypical mole that most likely would never have been a problem. However, it is common sense to remove it completely. They will do another pathology report on the removed tissue and will report if the margins are clear. You should also watch the excision site in the future and report if you notice any pigment regrowth to your doctor.
If you are a moley family, you are probably at higher risk for melanoma in the first place regardless of this diagnosis. Watch for CHANGE! Things that are changing are typically more suspicious than moles that have been stable. It doesn't mean they are melanoma, but they do pose a higher risk.
I wouldn't spend time over reacting to this diagnosis, it isn't cancer. But it might be a good wakeup call for all the family to become more aware of their moles and watch for anything that displays the ABCD's of melanoma or the "E" which is Evolving or change.
Best wishes,
Janner
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- February 21, 2013 at 5:57 pm
Janner thank you for your reply. You have put my mind to ease especially since it is coming from someone who is living with these experiences. We will watch for change and keep track of our moles… something we have never really done. My heartfelt best wishes to you. Thank you.
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- February 21, 2013 at 5:57 pm
Janner thank you for your reply. You have put my mind to ease especially since it is coming from someone who is living with these experiences. We will watch for change and keep track of our moles… something we have never really done. My heartfelt best wishes to you. Thank you.
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- February 21, 2013 at 5:57 pm
Janner thank you for your reply. You have put my mind to ease especially since it is coming from someone who is living with these experiences. We will watch for change and keep track of our moles… something we have never really done. My heartfelt best wishes to you. Thank you.
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- February 21, 2013 at 4:32 am
This is an atypical mole that most likely would never have been a problem. However, it is common sense to remove it completely. They will do another pathology report on the removed tissue and will report if the margins are clear. You should also watch the excision site in the future and report if you notice any pigment regrowth to your doctor.
If you are a moley family, you are probably at higher risk for melanoma in the first place regardless of this diagnosis. Watch for CHANGE! Things that are changing are typically more suspicious than moles that have been stable. It doesn't mean they are melanoma, but they do pose a higher risk.
I wouldn't spend time over reacting to this diagnosis, it isn't cancer. But it might be a good wakeup call for all the family to become more aware of their moles and watch for anything that displays the ABCD's of melanoma or the "E" which is Evolving or change.
Best wishes,
Janner
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- February 21, 2013 at 4:32 am
This is an atypical mole that most likely would never have been a problem. However, it is common sense to remove it completely. They will do another pathology report on the removed tissue and will report if the margins are clear. You should also watch the excision site in the future and report if you notice any pigment regrowth to your doctor.
If you are a moley family, you are probably at higher risk for melanoma in the first place regardless of this diagnosis. Watch for CHANGE! Things that are changing are typically more suspicious than moles that have been stable. It doesn't mean they are melanoma, but they do pose a higher risk.
I wouldn't spend time over reacting to this diagnosis, it isn't cancer. But it might be a good wakeup call for all the family to become more aware of their moles and watch for anything that displays the ABCD's of melanoma or the "E" which is Evolving or change.
Best wishes,
Janner
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Tagged: acral, cutaneous melanoma
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