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New Help Reading A Path Report Please

› Forums › General Melanoma Community › New Help Reading A Path Report Please

  • Post
    • April 30, 2012 at 10:38 pm
    Jager001
    Participant

      Here's what I got back today….

       

      Here's what I got back today….

       

      Compound nevus w/ architectural disorder and focally severe cytological atypia.  The lesion extents to the lateral and deep margins.  This lesion has severe atypia and it does not appear that it has been completely removed, conservative excision to ensure complete histologic evaluation to exclude an adjacent melanoma is recommenced.  Histologic sections are of skin w/ a nevomelanocytic lesion.  The lesion has junctional and intradermal elements.  Junction cells are present singly as well as in nests.   There is a lentiginous proliferation of melancytes along the dermoepidermal junction.  These cells have focally severe cytolgoic atypia.  In the dermis are nevomelanocytes w/ maturation.  Also, in the dermis there is a mild inflammatory cell infiltrate composed predominantly of lymphocytes and there is fibroplasia. 

       

      What does this mean?

       

      Thanks!

    Viewing 5 reply threads
    • Replies
        • April 30, 2012 at 11:39 pm
        lhaley
        Participant

          I hope that Janner comes online to give you a better description. Meanwhile so you aren't worrying right now  it means that this is a severly atypical mole.  They will take a wider excision to make sure that the edges are clear also.  I've had many that were clear with no melanoma.  

          Good job of getting it removed before this became serious.

          Linda

          • April 30, 2012 at 11:39 pm
          lhaley
          Participant

            I hope that Janner comes online to give you a better description. Meanwhile so you aren't worrying right now  it means that this is a severly atypical mole.  They will take a wider excision to make sure that the edges are clear also.  I've had many that were clear with no melanoma.  

            Good job of getting it removed before this became serious.

            Linda

            • April 30, 2012 at 11:39 pm
            lhaley
            Participant

              I hope that Janner comes online to give you a better description. Meanwhile so you aren't worrying right now  it means that this is a severly atypical mole.  They will take a wider excision to make sure that the edges are clear also.  I've had many that were clear with no melanoma.  

              Good job of getting it removed before this became serious.

              Linda

              • May 1, 2012 at 12:10 am
              Janner
              Participant

                As Linda said, this is a severely atypical lesion and should be removed with 5mm margins.  The lesion wasn't totally removed in the biopsy and the pathologist wants to make sure the new tissue removed is analyzed to make sure there isn't any melanoma in that lesion.  (Standard procedure to remove more tissue and analyze it, but since your lesion wasn't totally removed the first time, there is the unlikely possibility that something more sinister remains).  Most of the "jargon" is justifying the diagnosis and analyzing each line isn't too productive.  Bottom line is removing more tissue.  Watch your other moles for CHANGE.  This isn't melanoma, but it had the possibility to become melanoma in the future.  Regular checks with your dermatologist would be a good thing.

                Best wishes,

                Janner

                  • May 1, 2012 at 3:08 am
                  Jager001
                  Participant
                    Thanks Janner! Is 5mm the same as a WLE? I was stage I in 2004 and had that done. Kinda freaked out when I read the path report. Seemed worse to me than it really is. Knew I could count on you guys to calm me down. I meet with the doc tomorrow for a consult and schedule the procedure.

                    • May 1, 2012 at 3:08 am
                    Jager001
                    Participant
                      Thanks Janner! Is 5mm the same as a WLE? I was stage I in 2004 and had that done. Kinda freaked out when I read the path report. Seemed worse to me than it really is. Knew I could count on you guys to calm me down. I meet with the doc tomorrow for a consult and schedule the procedure.

                      • May 1, 2012 at 3:08 am
                      Jager001
                      Participant
                        Thanks Janner! Is 5mm the same as a WLE? I was stage I in 2004 and had that done. Kinda freaked out when I read the path report. Seemed worse to me than it really is. Knew I could count on you guys to calm me down. I meet with the doc tomorrow for a consult and schedule the procedure.

                        • May 1, 2012 at 3:20 am
                        Janner
                        Participant

                          Yes, the WLE margins for a severely atypical lesion AND an in situ are 5mm's.  A stage I would be 1cm margins.

                          Good luck!

                          Janner

                          • May 1, 2012 at 3:20 am
                          Janner
                          Participant

                            Yes, the WLE margins for a severely atypical lesion AND an in situ are 5mm's.  A stage I would be 1cm margins.

                            Good luck!

                            Janner

                            • May 1, 2012 at 3:20 am
                            Janner
                            Participant

                              Yes, the WLE margins for a severely atypical lesion AND an in situ are 5mm's.  A stage I would be 1cm margins.

                              Good luck!

                              Janner

                              • May 1, 2012 at 10:03 pm
                              mlbjab
                              Participant

                                Am I not correct in that they also think there's another, seperate lesion, close by that could be melanoma?

                                • May 1, 2012 at 10:57 pm
                                Janner
                                Participant

                                  No.  No second separate lesion.  They just didn't remove the entire lesion the first time and the possibility exists (unlikely) that the remaining portion of the lesion not removed could be melanoma.  The remaining pigmented area needs to be evaluated to rule out melanoma.

                                  Janner

                                  • May 1, 2012 at 10:57 pm
                                  Janner
                                  Participant

                                    No.  No second separate lesion.  They just didn't remove the entire lesion the first time and the possibility exists (unlikely) that the remaining portion of the lesion not removed could be melanoma.  The remaining pigmented area needs to be evaluated to rule out melanoma.

                                    Janner

                                    • April 2, 2015 at 5:08 pm
                                    mandican
                                    Participant
                                      I know this thread is dated, but thank you! My report says the exact same from beginning to end! I feel a bit better now. I hope everything turned out well and healthy.
                                      • April 2, 2015 at 5:08 pm
                                      mandican
                                      Participant
                                        I know this thread is dated, but thank you! My report says the exact same from beginning to end! I feel a bit better now. I hope everything turned out well and healthy.
                                        • April 2, 2015 at 5:08 pm
                                        mandican
                                        Participant
                                          I know this thread is dated, but thank you! My report says the exact same from beginning to end! I feel a bit better now. I hope everything turned out well and healthy.
                                          • April 2, 2015 at 5:12 pm
                                          mandican
                                          Participant
                                            I know this thread is dated, but thank you! My report says the exact same from beginning to end! I feel a bit better now. I hope everything turned out well and healthy.
                                            • April 2, 2015 at 5:12 pm
                                            mandican
                                            Participant
                                              I know this thread is dated, but thank you! My report says the exact same from beginning to end! I feel a bit better now. I hope everything turned out well and healthy.
                                              • April 2, 2015 at 5:12 pm
                                              mandican
                                              Participant
                                                I know this thread is dated, but thank you! My report says the exact same from beginning to end! I feel a bit better now. I hope everything turned out well and healthy.
                                                • May 1, 2012 at 10:57 pm
                                                Janner
                                                Participant

                                                  No.  No second separate lesion.  They just didn't remove the entire lesion the first time and the possibility exists (unlikely) that the remaining portion of the lesion not removed could be melanoma.  The remaining pigmented area needs to be evaluated to rule out melanoma.

                                                  Janner

                                                  • May 1, 2012 at 10:03 pm
                                                  mlbjab
                                                  Participant

                                                    Am I not correct in that they also think there's another, seperate lesion, close by that could be melanoma?

                                                    • May 1, 2012 at 10:03 pm
                                                    mlbjab
                                                    Participant

                                                      Am I not correct in that they also think there's another, seperate lesion, close by that could be melanoma?

                                                    • May 1, 2012 at 12:10 am
                                                    Janner
                                                    Participant

                                                      As Linda said, this is a severely atypical lesion and should be removed with 5mm margins.  The lesion wasn't totally removed in the biopsy and the pathologist wants to make sure the new tissue removed is analyzed to make sure there isn't any melanoma in that lesion.  (Standard procedure to remove more tissue and analyze it, but since your lesion wasn't totally removed the first time, there is the unlikely possibility that something more sinister remains).  Most of the "jargon" is justifying the diagnosis and analyzing each line isn't too productive.  Bottom line is removing more tissue.  Watch your other moles for CHANGE.  This isn't melanoma, but it had the possibility to become melanoma in the future.  Regular checks with your dermatologist would be a good thing.

                                                      Best wishes,

                                                      Janner

                                                      • May 1, 2012 at 12:10 am
                                                      Janner
                                                      Participant

                                                        As Linda said, this is a severely atypical lesion and should be removed with 5mm margins.  The lesion wasn't totally removed in the biopsy and the pathologist wants to make sure the new tissue removed is analyzed to make sure there isn't any melanoma in that lesion.  (Standard procedure to remove more tissue and analyze it, but since your lesion wasn't totally removed the first time, there is the unlikely possibility that something more sinister remains).  Most of the "jargon" is justifying the diagnosis and analyzing each line isn't too productive.  Bottom line is removing more tissue.  Watch your other moles for CHANGE.  This isn't melanoma, but it had the possibility to become melanoma in the future.  Regular checks with your dermatologist would be a good thing.

                                                        Best wishes,

                                                        Janner

                                                    Viewing 5 reply threads
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