@rlukas79
Forum Replies Created
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- January 15, 2016 at 2:51 am
Pathology report reads:
Junctional melanocytic nevus with elongated. fused rete ridges and concentric lamellar fibrosis within the underlying papillary dermis.A mild superficial dermal lymphocytic infiltrate is identified. Cytologic atypia is severe.The whole path report reads:The lesion appears to be completely excised, but is closeto a lateral (peripheral) inked edge. Conservativere-excision is recommended to ensure all atypical melanocytes are removed.Immunohistochemical staining was performed using Melan-A (A specific marker of Melanocytes)to ascertain the degree of melanocytic hyperplasia and presence of intraepidermal melanocytes. Aprropriate postive and negative controls wereperformed. Melan-A primarily stained lentiginous cells along the elongated rete with occasional pagtoid cells. These findings support the above histological diagnosis.[b]THIS CASE WAS REVIEWED AT THE DAILY INTRADEPARTMENTAL CONFERENCE…..[/b]So the Derm says the prior damage (nair chemical burn and ruptured the mole pretty good andTook a few months to heal) definitely could have played into the architectural and cytologic atypia but the problem is, it doesnt matter. Can't be proved but not ruled out. Understandably when a cell is atypical it's atypical, it doesn't matter how it got that way. It could have been a normal mole, could have been a mildly atypical mole etc. Regardless iIt's severe and needs to come out. -
- January 15, 2016 at 2:51 am
Pathology report reads:
Junctional melanocytic nevus with elongated. fused rete ridges and concentric lamellar fibrosis within the underlying papillary dermis.A mild superficial dermal lymphocytic infiltrate is identified. Cytologic atypia is severe.The whole path report reads:The lesion appears to be completely excised, but is closeto a lateral (peripheral) inked edge. Conservativere-excision is recommended to ensure all atypical melanocytes are removed.Immunohistochemical staining was performed using Melan-A (A specific marker of Melanocytes)to ascertain the degree of melanocytic hyperplasia and presence of intraepidermal melanocytes. Aprropriate postive and negative controls wereperformed. Melan-A primarily stained lentiginous cells along the elongated rete with occasional pagtoid cells. These findings support the above histological diagnosis.[b]THIS CASE WAS REVIEWED AT THE DAILY INTRADEPARTMENTAL CONFERENCE…..[/b]So the Derm says the prior damage (nair chemical burn and ruptured the mole pretty good andTook a few months to heal) definitely could have played into the architectural and cytologic atypia but the problem is, it doesnt matter. Can't be proved but not ruled out. Understandably when a cell is atypical it's atypical, it doesn't matter how it got that way. It could have been a normal mole, could have been a mildly atypical mole etc. Regardless iIt's severe and needs to come out. -
- January 15, 2016 at 2:51 am
Pathology report reads:
Junctional melanocytic nevus with elongated. fused rete ridges and concentric lamellar fibrosis within the underlying papillary dermis.A mild superficial dermal lymphocytic infiltrate is identified. Cytologic atypia is severe.The whole path report reads:The lesion appears to be completely excised, but is closeto a lateral (peripheral) inked edge. Conservativere-excision is recommended to ensure all atypical melanocytes are removed.Immunohistochemical staining was performed using Melan-A (A specific marker of Melanocytes)to ascertain the degree of melanocytic hyperplasia and presence of intraepidermal melanocytes. Aprropriate postive and negative controls wereperformed. Melan-A primarily stained lentiginous cells along the elongated rete with occasional pagtoid cells. These findings support the above histological diagnosis.[b]THIS CASE WAS REVIEWED AT THE DAILY INTRADEPARTMENTAL CONFERENCE…..[/b]So the Derm says the prior damage (nair chemical burn and ruptured the mole pretty good andTook a few months to heal) definitely could have played into the architectural and cytologic atypia but the problem is, it doesnt matter. Can't be proved but not ruled out. Understandably when a cell is atypical it's atypical, it doesn't matter how it got that way. It could have been a normal mole, could have been a mildly atypical mole etc. Regardless iIt's severe and needs to come out. -
- January 14, 2016 at 7:49 pm
I totally understand your anxiety. One thing I've learned and will probably never follow through on the advice I'm about to give you is, you will find the worst of everything on the Internet. You will find all the worst case scenarios, all the heartbreaks and occasionally you'll find information that actually helps you.
There could be dozens of things on your scalp that had you itching like crazy. ill definitely definitely kee you in my thoughts and hope that it turns out to be something totally benign.
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- January 14, 2016 at 7:49 pm
I totally understand your anxiety. One thing I've learned and will probably never follow through on the advice I'm about to give you is, you will find the worst of everything on the Internet. You will find all the worst case scenarios, all the heartbreaks and occasionally you'll find information that actually helps you.
There could be dozens of things on your scalp that had you itching like crazy. ill definitely definitely kee you in my thoughts and hope that it turns out to be something totally benign.
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- January 14, 2016 at 7:49 pm
I totally understand your anxiety. One thing I've learned and will probably never follow through on the advice I'm about to give you is, you will find the worst of everything on the Internet. You will find all the worst case scenarios, all the heartbreaks and occasionally you'll find information that actually helps you.
There could be dozens of things on your scalp that had you itching like crazy. ill definitely definitely kee you in my thoughts and hope that it turns out to be something totally benign.
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- January 24, 2016 at 7:16 pm
Under a dermoscope a trained derm can tell the difference between a SK and melanoma. Dermoscopes are now getting into the 90% accuracy range. The dermoscope technology has gotten so much better over the last 5 years. My derm won’t do a skin check without one. -
- January 24, 2016 at 7:16 pm
Under a dermoscope a trained derm can tell the difference between a SK and melanoma. Dermoscopes are now getting into the 90% accuracy range. The dermoscope technology has gotten so much better over the last 5 years. My derm won’t do a skin check without one. -
- January 24, 2016 at 7:16 pm
Under a dermoscope a trained derm can tell the difference between a SK and melanoma. Dermoscopes are now getting into the 90% accuracy range. The dermoscope technology has gotten so much better over the last 5 years. My derm won’t do a skin check without one. -
- January 15, 2016 at 3:49 am
Thank you for the reply. The Internet is such a hard place to find the right information. Apparently doctors as well. You are right about listening to the derms advice for once a year visits. They did encourage me to look into mole mapping and I did reach out to the university of penns pigmented lesion group and they said they would take me on just due to history. That happens April 1st. I'll be vigilant too. I have baseline photos to compare monthly. I just wish my wife would take me seriously when I ask her to help. She's the it's not a problem until it's a problem type and I'm the opposite. I'd rather be proactive. I'm that way with anything
thank you Janner. We may not know each other but you have no idea how much you made me relax.
now I gotta figure out how to get a three year old girl to sleep.
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- January 15, 2016 at 3:49 am
Thank you for the reply. The Internet is such a hard place to find the right information. Apparently doctors as well. You are right about listening to the derms advice for once a year visits. They did encourage me to look into mole mapping and I did reach out to the university of penns pigmented lesion group and they said they would take me on just due to history. That happens April 1st. I'll be vigilant too. I have baseline photos to compare monthly. I just wish my wife would take me seriously when I ask her to help. She's the it's not a problem until it's a problem type and I'm the opposite. I'd rather be proactive. I'm that way with anything
thank you Janner. We may not know each other but you have no idea how much you made me relax.
now I gotta figure out how to get a three year old girl to sleep.
-
- January 15, 2016 at 3:49 am
Thank you for the reply. The Internet is such a hard place to find the right information. Apparently doctors as well. You are right about listening to the derms advice for once a year visits. They did encourage me to look into mole mapping and I did reach out to the university of penns pigmented lesion group and they said they would take me on just due to history. That happens April 1st. I'll be vigilant too. I have baseline photos to compare monthly. I just wish my wife would take me seriously when I ask her to help. She's the it's not a problem until it's a problem type and I'm the opposite. I'd rather be proactive. I'm that way with anything
thank you Janner. We may not know each other but you have no idea how much you made me relax.
now I gotta figure out how to get a three year old girl to sleep.
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