Not sure if I’m being unreasonable or not…
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Not sure if I’m being unreasonable or not…

› Forums › General Melanoma Community › Not sure if I’m being unreasonable or not…

  • Post
    • April 9, 2016 at 4:36 am
    DragonLadyRed
    Participant

      I'm considering getting a second opinion on my pathology report. The report came back as a junctional nevus with severe atypia, wide excision recommended. I want a second opinion to make sure that there's no way it's a melanoma. I've had a stage 0 years ago. Am I being overly paranoid? Should I just accept that the lab knows what they're doing and do the excision?

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    • Replies
        • April 9, 2016 at 5:33 am
        Janner
        Participant

          So I look at it this way, do you want to have another melanoma diagnosis?  Insurance gets a little dicey with that history.  Severely atypical moles are removed with the same margins as melanoma in situ.  So I'm not sure how much you gain by a second opinion, and you may have more to lose.  As long as they plan on doing 5mm margins, does it really matter?  Do what makes you feel comfortable.  Was the path done by a dermatopathologist?  Just pointing out the flip side.

          • April 9, 2016 at 5:33 am
          Janner
          Participant

            So I look at it this way, do you want to have another melanoma diagnosis?  Insurance gets a little dicey with that history.  Severely atypical moles are removed with the same margins as melanoma in situ.  So I'm not sure how much you gain by a second opinion, and you may have more to lose.  As long as they plan on doing 5mm margins, does it really matter?  Do what makes you feel comfortable.  Was the path done by a dermatopathologist?  Just pointing out the flip side.

              • April 9, 2016 at 5:54 am
              Janner
              Participant

                By insurance, I mean supplemental insurance or life insurance.  ACA got rid of pre-existing conditions for medical insurance.

                • April 9, 2016 at 5:54 am
                Janner
                Participant

                  By insurance, I mean supplemental insurance or life insurance.  ACA got rid of pre-existing conditions for medical insurance.

                  • April 9, 2016 at 3:55 pm
                  DragonLadyRed
                  Participant

                    Insurance will be unaffected for me. Yes, it was done by an in-house dermatopathologist. 

                    • April 9, 2016 at 3:55 pm
                    DragonLadyRed
                    Participant

                      Insurance will be unaffected for me. Yes, it was done by an in-house dermatopathologist. 

                      • April 9, 2016 at 3:55 pm
                      DragonLadyRed
                      Participant

                        Insurance will be unaffected for me. Yes, it was done by an in-house dermatopathologist. 

                        • April 9, 2016 at 5:54 am
                        Janner
                        Participant

                          By insurance, I mean supplemental insurance or life insurance.  ACA got rid of pre-existing conditions for medical insurance.

                        • April 9, 2016 at 5:33 am
                        Janner
                        Participant

                          So I look at it this way, do you want to have another melanoma diagnosis?  Insurance gets a little dicey with that history.  Severely atypical moles are removed with the same margins as melanoma in situ.  So I'm not sure how much you gain by a second opinion, and you may have more to lose.  As long as they plan on doing 5mm margins, does it really matter?  Do what makes you feel comfortable.  Was the path done by a dermatopathologist?  Just pointing out the flip side.

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