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Next Results In, And ? For Janner or Anyone Else Who Knows.
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Next Results In, And ? For Janner or Anyone Else Who Knows.

› Forums › General Melanoma Community › Next Results In, And ? For Janner or Anyone Else Who Knows.

  • Post
    • January 15, 2014 at 8:35 pm
    WendyD.
    Participant

      Ok, First I will say that my last two biopsy came back as just moles. Praise The Lord!!!!! 🙂 But my question is concerning my WLE for the melanoma I had. The Derm had said something about the margins may be inadequate and I might have Mohs Surgery. Well Dr. Chung looked at the report for the WLE and didn't see any reason for further surgery. But as I look at my path report it doesn't seem to have been the appropriate margins cut out. I will tell what the report says and my question is should I get a second opinion? I want everything done right, including correct margins.

      Diagnosis:

      Skin,Chest,Excision

      Negative for residual melanocytic lesion

      Comments: After discussion with the patient, the site of this biopsy is the previous site where a malignant melanoma lesion was removed. Immunostains S100 and melan A red fail to demonstrate a melanocytic lesion in this case. This case was received and reviewed by dermatopathologists Jaweed Ansari MD.

       

      Gross Description:

      The specimen is recieved in formalin in a container labeled (my name), chest and consists of an ellipse of skin measuring 1.9 x 0.4cm with 0.4 cm underlying tissue. Prior to sectioning, the margins are inked blue and one tip is additionally inked orange. The specimen is serially sectioned and entirely submitted.

      Thanks for the input! 🙂

    Viewing 2 reply threads
    • Replies
        • January 15, 2014 at 10:36 pm
        Janner
        Participant

          You can always get a second opinion – it rarely hurts.  Certainly you have full margins on the length with the 19.cm.  The width of 0.4 cm does seem smaller – however you would also want to account for whatever margins there were on the initial biopsy.  Since there was no melanoma found, the WLE is all "margins".  One thing you do need to understand is that tissue shrinks some in formalin so your real margins were actually larger that stated.

          So if you were to ask me if I would do Mohs or another WLE, I don't know what I'd say.  I'd want to read the biopsy report first and talk to the doctor again.  I'm on the fence on this one without more info.

          • January 15, 2014 at 10:36 pm
          Janner
          Participant

            You can always get a second opinion – it rarely hurts.  Certainly you have full margins on the length with the 19.cm.  The width of 0.4 cm does seem smaller – however you would also want to account for whatever margins there were on the initial biopsy.  Since there was no melanoma found, the WLE is all "margins".  One thing you do need to understand is that tissue shrinks some in formalin so your real margins were actually larger that stated.

            So if you were to ask me if I would do Mohs or another WLE, I don't know what I'd say.  I'd want to read the biopsy report first and talk to the doctor again.  I'm on the fence on this one without more info.

            • January 15, 2014 at 10:36 pm
            Janner
            Participant

              You can always get a second opinion – it rarely hurts.  Certainly you have full margins on the length with the 19.cm.  The width of 0.4 cm does seem smaller – however you would also want to account for whatever margins there were on the initial biopsy.  Since there was no melanoma found, the WLE is all "margins".  One thing you do need to understand is that tissue shrinks some in formalin so your real margins were actually larger that stated.

              So if you were to ask me if I would do Mohs or another WLE, I don't know what I'd say.  I'd want to read the biopsy report first and talk to the doctor again.  I'm on the fence on this one without more info.

          Viewing 2 reply threads

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