“Neoplasms” may be benign or malignant. Meaning a clump of weird cells that just need to go away or a clump of cells that are cancer. Melanocytic just means that there were melanocytes (cells that make color) in your clump. Beyond that I cannot tell you much about your path report. It sounds as though the derm thinks you had a clump of weird cells that had color that were removed, though the edges of the removed clump were not clear of all those cells, thus the need for removal of more tissue in order to attain clear margins. Basal and squamous cell carcinoma are types of skin cancer but unrelated to melanoma except in the sense that they are due to sun exposure which can play a role in the development of melanoma as well. So you might want to think about your exposure in that arena. As far as the lump in your armpit. Did that occur AFTER the excision or was it there before? If it only occurred after the excision then it is probably only secondary inflammation to a lymph node due the procedure. However, the most important thing is that you are able to discuss your concerns with your doc and get full and complete explanations to your satisfaction. If you are not….do not continue your care there. Seek a second opinion in order to find someone who can and will answer the questions you have. We wouldn’t get our car repaired by someone who couldn’t explain the problem and what they are going to do about in a way that we can comprehend and we shouldn’t do that with our bodies either. I wish you my best. Celeste
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