Need help with pathology for atypical mole

There's not a lot to go on.  Atypical.  Typically a moderately atypical mole would need clean margins, and since you have involved deep margin – more surgery seems warranted.

As for the method of removal – Mohs removes the least tissue necessary to complete the excision.  I think it's a good choice.  I also believe that a podiatrist is a good choice for surgeon.  They know feet better than anyone.   A conservative excision would be optimal, but probably not practical given the location.   I think you could go either route — just choose what makes YOU feel the most comfortable.  I really don't think one choice is significantly better/worse than the other. 

Best wishes,

Janner

There's not a lot to go on.  Atypical.  Typically a moderately atypical mole would need clean margins, and since you have involved deep margin – more surgery seems warranted.

As for the method of removal – Mohs removes the least tissue necessary to complete the excision.  I think it's a good choice.  I also believe that a podiatrist is a good choice for surgeon.  They know feet better than anyone.   A conservative excision would be optimal, but probably not practical given the location.   I think you could go either route — just choose what makes YOU feel the most comfortable.  I really don't think one choice is significantly better/worse than the other. 

Best wishes,

Janner

There's not a lot to go on.  Atypical.  Typically a moderately atypical mole would need clean margins, and since you have involved deep margin – more surgery seems warranted.

As for the method of removal – Mohs removes the least tissue necessary to complete the excision.  I think it's a good choice.  I also believe that a podiatrist is a good choice for surgeon.  They know feet better than anyone.   A conservative excision would be optimal, but probably not practical given the location.   I think you could go either route — just choose what makes YOU feel the most comfortable.  I really don't think one choice is significantly better/worse than the other. 

Best wishes,

Janner

Hey there, I'm new here but was just diagnosed with melanoma on Monday.  I'm scheduled for surgery to remove the malignant mole in August.  From what I have read on my skin surgery center's website (http://www.skinsurgerycenter.net), Mohs surgery (named after the surgeon who developed it) is different from "standard" surgery only because the tissues removed go through a process of examination.  The surgeon initially removes the most obvious tissue that is atypical (your mole) along with a very small amount of "normal" surrounding tissue.  The tissue is examined and mapped under microscope while you wait.  If the surrounding tissue is benign, your Mohs surgery is complete.  If the surrounding tissue contains atypical cells, the surgeon takes more tissue, examines it, and the process continues until no more atypical tissue is found.  This is what the linked site above describes, but please read it for yourself.  I may not have every detail correct.  I agree with Janner:  Mohs surgery takes the least amount of tissue necessary.  IMO, this is good for you since it's your toe that is involved and next to your nail.  I'm also familiar with podiatrists (arthritis in my feet) and they do know everything about feet (or are supposed to)!  I would try to talk with both a dermatology surgeon and a podiatry surgeon and see who you feel most comfortable with to.  Again – I am new to all of this also – just wanted to offer some help.  Many others here have much more experience and knowledge than me.  Good luck!

Hey there, I'm new here but was just diagnosed with melanoma on Monday.  I'm scheduled for surgery to remove the malignant mole in August.  From what I have read on my skin surgery center's website (http://www.skinsurgerycenter.net), Mohs surgery (named after the surgeon who developed it) is different from "standard" surgery only because the tissues removed go through a process of examination.  The surgeon initially removes the most obvious tissue that is atypical (your mole) along with a very small amount of "normal" surrounding tissue.  The tissue is examined and mapped under microscope while you wait.  If the surrounding tissue is benign, your Mohs surgery is complete.  If the surrounding tissue contains atypical cells, the surgeon takes more tissue, examines it, and the process continues until no more atypical tissue is found.  This is what the linked site above describes, but please read it for yourself.  I may not have every detail correct.  I agree with Janner:  Mohs surgery takes the least amount of tissue necessary.  IMO, this is good for you since it's your toe that is involved and next to your nail.  I'm also familiar with podiatrists (arthritis in my feet) and they do know everything about feet (or are supposed to)!  I would try to talk with both a dermatology surgeon and a podiatry surgeon and see who you feel most comfortable with to.  Again – I am new to all of this also – just wanted to offer some help.  Many others here have much more experience and knowledge than me.  Good luck!

Hey there, I'm new here but was just diagnosed with melanoma on Monday.  I'm scheduled for surgery to remove the malignant mole in August.  From what I have read on my skin surgery center's website (http://www.skinsurgerycenter.net), Mohs surgery (named after the surgeon who developed it) is different from "standard" surgery only because the tissues removed go through a process of examination.  The surgeon initially removes the most obvious tissue that is atypical (your mole) along with a very small amount of "normal" surrounding tissue.  The tissue is examined and mapped under microscope while you wait.  If the surrounding tissue is benign, your Mohs surgery is complete.  If the surrounding tissue contains atypical cells, the surgeon takes more tissue, examines it, and the process continues until no more atypical tissue is found.  This is what the linked site above describes, but please read it for yourself.  I may not have every detail correct.  I agree with Janner:  Mohs surgery takes the least amount of tissue necessary.  IMO, this is good for you since it's your toe that is involved and next to your nail.  I'm also familiar with podiatrists (arthritis in my feet) and they do know everything about feet (or are supposed to)!  I would try to talk with both a dermatology surgeon and a podiatry surgeon and see who you feel most comfortable with to.  Again – I am new to all of this also – just wanted to offer some help.  Many others here have much more experience and knowledge than me.  Good luck!

I have had a few WLE's done on my leg and back.  When I got the recent diagnosis of Melanoma on the sole of my foot I got really worried.  How the heck am I going to move around with crazy stitches on the bottom of my foot?  They did a punch biopsy on the top of my hand and my hand was not right for a few months.  I talked to the doctor yesterday and she is recommending MOHS for me as well since the skin on the feet is super tight they won't be able to do an WLE.  I am currently scheduled for that on August 5th so I can't tell you yet if it is the right way to go.  But judging from my experience with other excisions, I'm really happy she is having me do MOHS instead.  Hope that helps, for what it is worth…

I have had a few WLE's done on my leg and back.  When I got the recent diagnosis of Melanoma on the sole of my foot I got really worried.  How the heck am I going to move around with crazy stitches on the bottom of my foot?  They did a punch biopsy on the top of my hand and my hand was not right for a few months.  I talked to the doctor yesterday and she is recommending MOHS for me as well since the skin on the feet is super tight they won't be able to do an WLE.  I am currently scheduled for that on August 5th so I can't tell you yet if it is the right way to go.  But judging from my experience with other excisions, I'm really happy she is having me do MOHS instead.  Hope that helps, for what it is worth…

I have had a few WLE's done on my leg and back.  When I got the recent diagnosis of Melanoma on the sole of my foot I got really worried.  How the heck am I going to move around with crazy stitches on the bottom of my foot?  They did a punch biopsy on the top of my hand and my hand was not right for a few months.  I talked to the doctor yesterday and she is recommending MOHS for me as well since the skin on the feet is super tight they won't be able to do an WLE.  I am currently scheduled for that on August 5th so I can't tell you yet if it is the right way to go.  But judging from my experience with other excisions, I'm really happy she is having me do MOHS instead.  Hope that helps, for what it is worth…