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Shave biopsy after dermoscopy

Forums Cutaneous Melanoma Community Shave biopsy after dermoscopy

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    vpettis331
    Participant

      Hello! Yesterday I went to the dermatologist for my first ever overall check. I just turned 30 and have spent a fair amount of time in the sun, so it was time.  After completing the examination, my Dr looked at two areas (one on my back and one on my left leg) with his dermoscope and advised me that he was going to need to do a shave biopsy on both. While marking the mole on my leg, he made the remark to his medical assistant that this mole was a "level 2" and she made note. The only thing he said was that they looked abnormal and that's why he was removing them, but they were probably nothing. After getting home and researching what "level 2" could have meant (just out of curiousity), I am beginning to become concerned that he suspects Superficial Spreading Melanoma due to the moles age and characteristics.  I have had this particular mole for as long as I can remember and it used to be perfectly round, but has grown jagged/asymetrical borders and changed colors over the last couple of years. I learned about ABCDE and the mole on my leg has/had several attributes of a SSM. Anyone else have a similar experience or know what "level 2" could have meant?  I am not one to make a "mountain out of a mole hill" and I am genuinely curious as to what "level 2" refers to.  I am a little embarrassed to say that I clammed up and didn't ask because I was intimidated because the Dr was outrageously good looking HAHA. Usually, I would have asked right then.

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        Janner
        Participant

          I suspect it is his "grading" for how atypical a lesion looks.  It's not a diagnosis but more a description of the "features" on the surface.  I don't think it's a standard system that you are going to find a lot of info on.  It may not be that he is suspecting melanoma itself, but most likely at least a lesion showing some atypical features.  Surface features may – or may not – reflect what's underneath and that is the important part.  Since you've had the biopsy, the key is just waiting for the pathology report.  Then you'll know for sure!

            vpettis331
            Participant

              Thank you Janner!  That makes a lot of sense!  When I get the report back, I will be sure to come here if I have any questions 🙂 

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