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Help with biopsy report !..!
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Help with biopsy report !..!

› Forums › General Melanoma Community › Help with biopsy report !..!

  • Post
    • February 23, 2015 at 2:24 am
    ashlee12
    Participant

      So I've had my report for awhile I just now am looking at it again… I need some help with what this means….. It says 

       

       

      severely atypical lentiginous junctional melanocytic proliferation , favor Early evolving melanoma in situ (narrowly excised)

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    • Replies
        • February 23, 2015 at 2:33 am
        Janner
        Participant

          So basically, the two possible choices are severely atypical nevus or melanoma in situ.  There is not a distinct differentiation between the two, some docs might say "severely atypical", others like the path here say they favor melanoma in situ.  When they make a diagnosis, they evaluate MANY factors.  Some lesions may have features more/less atypical than others so it becomes a judgement call on which way to go.  This is why both severely atypical lesions and melanoma in situ are excised with the same 5mm margins – just in case.  So in your case, the diagnosis was melanoma in situ with narrow margins.  This means that you should have gone back and had the WLE to get wider margins.

          I'm not sure exactly what you were wanting for an answer….

          • February 23, 2015 at 2:33 am
          Janner
          Participant

            So basically, the two possible choices are severely atypical nevus or melanoma in situ.  There is not a distinct differentiation between the two, some docs might say "severely atypical", others like the path here say they favor melanoma in situ.  When they make a diagnosis, they evaluate MANY factors.  Some lesions may have features more/less atypical than others so it becomes a judgement call on which way to go.  This is why both severely atypical lesions and melanoma in situ are excised with the same 5mm margins – just in case.  So in your case, the diagnosis was melanoma in situ with narrow margins.  This means that you should have gone back and had the WLE to get wider margins.

            I'm not sure exactly what you were wanting for an answer….

            • February 23, 2015 at 2:33 am
            Janner
            Participant

              So basically, the two possible choices are severely atypical nevus or melanoma in situ.  There is not a distinct differentiation between the two, some docs might say "severely atypical", others like the path here say they favor melanoma in situ.  When they make a diagnosis, they evaluate MANY factors.  Some lesions may have features more/less atypical than others so it becomes a judgement call on which way to go.  This is why both severely atypical lesions and melanoma in situ are excised with the same 5mm margins – just in case.  So in your case, the diagnosis was melanoma in situ with narrow margins.  This means that you should have gone back and had the WLE to get wider margins.

              I'm not sure exactly what you were wanting for an answer….

              • February 23, 2015 at 2:38 am
              ashlee12
              Participant

                I guess I'm not sure what  type like was it superficial spreading or lentegnous melanoma or what kinda it doesn't say unless I'm missing it …. 

                • February 23, 2015 at 2:38 am
                ashlee12
                Participant

                  I guess I'm not sure what  type like was it superficial spreading or lentegnous melanoma or what kinda it doesn't say unless I'm missing it …. 

                    • February 23, 2015 at 3:04 am
                    Janner
                    Participant

                      If it doesn't say which type, you'll have to ask.  Superficial spreading accounts for about 70% of all melanomas so it is most likely that type.  Lentigo maligna tends to be on sun exposed areas (head/arms) in older individuals.  Not a hard and fast rule, but the general norm.

                      • February 23, 2015 at 3:04 am
                      Janner
                      Participant

                        If it doesn't say which type, you'll have to ask.  Superficial spreading accounts for about 70% of all melanomas so it is most likely that type.  Lentigo maligna tends to be on sun exposed areas (head/arms) in older individuals.  Not a hard and fast rule, but the general norm.

                        • February 23, 2015 at 3:04 am
                        Janner
                        Participant

                          If it doesn't say which type, you'll have to ask.  Superficial spreading accounts for about 70% of all melanomas so it is most likely that type.  Lentigo maligna tends to be on sun exposed areas (head/arms) in older individuals.  Not a hard and fast rule, but the general norm.

                        • February 23, 2015 at 2:38 am
                        ashlee12
                        Participant

                          I guess I'm not sure what  type like was it superficial spreading or lentegnous melanoma or what kinda it doesn't say unless I'm missing it …. 

                          • February 23, 2015 at 3:00 am
                          ashlee12
                          Participant

                            Oh and janner I do have a question for you .. In my other post you said I have a 10% chance of seeing melanoma again.. Is that a 10% chance I'll develop a new primary or a 10% chance I'll have a reoccurrence?

                            • February 23, 2015 at 3:00 am
                            ashlee12
                            Participant

                              Oh and janner I do have a question for you .. In my other post you said I have a 10% chance of seeing melanoma again.. Is that a 10% chance I'll develop a new primary or a 10% chance I'll have a reoccurrence?

                                • February 23, 2015 at 3:02 am
                                Janner
                                Participant

                                  About an 8% chance you'll see another primary.  A recurrence from this in situ is extremely unlikely – probably less than a 1% chance if you had appropriate margins taken.

                                  • February 23, 2015 at 3:02 am
                                  Janner
                                  Participant

                                    About an 8% chance you'll see another primary.  A recurrence from this in situ is extremely unlikely – probably less than a 1% chance if you had appropriate margins taken.

                                    • February 23, 2015 at 3:02 am
                                    Janner
                                    Participant

                                      About an 8% chance you'll see another primary.  A recurrence from this in situ is extremely unlikely – probably less than a 1% chance if you had appropriate margins taken.

                                    • February 23, 2015 at 3:00 am
                                    ashlee12
                                    Participant

                                      Oh and janner I do have a question for you .. In my other post you said I have a 10% chance of seeing melanoma again.. Is that a 10% chance I'll develop a new primary or a 10% chance I'll have a reoccurrence?

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