I recently had a biopsy of a mole on my stomach. I am scheduled for WLE on August 9. The nurse told me that basically it was as close to a melanoma as it could be without being a melanoma. After reading the path report, I am freaking out a bit because it pretty much says they can't exclude the possibility of it being a melanoma. Any help deciphering the report would be greatly appreciated!!
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Diagnosis:
-Compound Dysplastic Nevus, Severe Atypia
-The lesion involves the deep and peripheral edges of the biopsy.
Please note: The specimen shows concerning cytologic and architectural atypia. The atypical melanocytes are large and epithelioid and there are patterns of incomplete pagetoid spread. In addition a mitosis was identified within the junctional component. We cannot entirely exclude that the changes represent a partial biopsy of melanoma and wide full thickness re-excision with adequate margins to ensure complete removal and to allow further pathologic evaluation is recommended.
Microscopic Examination:
Sections show a thin biopsy of skin. There is proliferation of atypical melanocytes both singly and within nests at the dermo-epidermal junction and singly and within nests in the underlying dermis. The melanocytes are large epithelioid cells showing prominent villi. An occasional mitosis was identified at the dermal junction. There are focal patterns of incomplete pagetoid spread. Lesional cells are highlighted on Melan A stained sections.
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Thanks in advance for any insight you can offer on this report!
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