smatlock41

My dermatologist office.  That was my first appointment there and I wasn't impressed with the doctor at all.  On the first pathology report the first diagnosis was r/o atypia, and the final diagnosis after stainings etc. was melanoma insitu. On the report it had a doctors name Robert Chen but was signed by my dermatologist which I thought was strange.   I decided to go to a doctor at Vanderbilt and that is when I decided to pick up my slides from my dermatologists office and take them there for a second review. 

My dermatologist office.  That was my first appointment there and I wasn't impressed with the doctor at all.  On the first pathology report the first diagnosis was r/o atypia, and the final diagnosis after stainings etc. was melanoma insitu. On the report it had a doctors name Robert Chen but was signed by my dermatologist which I thought was strange.   I decided to go to a doctor at Vanderbilt and that is when I decided to pick up my slides from my dermatologists office and take them there for a second review. 

The second report says "junctional nevus with marked architectural and cytologic atypia, shave margins appear to be free of the junctional melanocytic proliferation.  Looks like 3 pathologists checked this out before they signed off on this report.  Still waiting on the doctor to call to see what needs to be done.  I'm assuming they will want to go in and do an excision but I'm wondering how much they will take.  The spot is only about 1/4 inch now.  I guess we will see. 

The second report says "junctional nevus with marked architectural and cytologic atypia, shave margins appear to be free of the junctional melanocytic proliferation.  Looks like 3 pathologists checked this out before they signed off on this report.  Still waiting on the doctor to call to see what needs to be done.  I'm assuming they will want to go in and do an excision but I'm wondering how much they will take.  The spot is only about 1/4 inch now.  I guess we will see. 

I can't help but wonder if that is the case as well.  I will post tomorrow after I find out what the 2nd report says.  Thank you so much for you replies I really appreciate it.

I can't help but wonder if that is the case as well.  I will post tomorrow after I find out what the 2nd report says.  Thank you so much for you replies I really appreciate it.

I will have to wait until tomorrow before I can see exactly what the second report says. 

I will have to wait until tomorrow before I can see exactly what the second report says. 

Thank you so much for your reply.  The sample that was taken was .5cm X .5cm and on the first pathology report it said "poorly circumscribed asymmetrical poliferation of melanocytes with severe cytologic atypia arranged in irregular nests and as single cells at the basal layer of the epidermis.  Atypical melanocytes are identified at higher levels of the epidermis.  The poliferation does not appear to extend into the underlying dermis.  Anti-S100, -HMB45, -MART1, and -MiTF atibodies all label the atypical melanocytes."