MRF-Logo2019-Horizontal-RGB
Unsure about what my report means
REGISTER
The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Content within the patient forum is user-generated and has not been reviewed by medical professionals. Other sections of the Melanoma Research Foundation website include information that has been reviewed by medical professionals as appropriate. All medical decisions should be made in consultation with your doctor or other qualified medical professional.

Unsure about what my report means

› Forums › General Melanoma Community › Unsure about what my report means

  • Post
    • January 7, 2017 at 3:12 am
    atsea
    Participant

      Hello everyone, I had a punch biopsy done for a spot on my face. My dermatologist said the results came back "precancerous" and schedlued an excisional biopsy for next week. So, my dermatopathology lab report says Final Diangosis:  "Severely atypical intraepidermal melanocytic proliferation", and "Although the findings are not sufficient to render a definitive diagnosis of melanoma in situ, the lesion is significantly atypical"; and "sections show a proliferation of atypical melanocytes at the dermoepidermal junction with areas of confluence". 

       

      So what my doctor said was that I don't have melanoma, but it's like the "step before melanoma".  What is worrying me is that I have had swollen lymph nodes in my neck for several weeks now.  I did not think to mention this to him but I do have an appointment with my regular physician to ask about that.  Is it possible that it really is melanoma that has spread but the punch biopsy didn't show it???  Thank you!

    Viewing 2 reply threads
    • Replies
        • January 7, 2017 at 4:28 am
        Janner
        Participant

          The biopsy itself could have made these lymph nodes swell.  I seriously doubt there is anything related to the lesion itself.  Your lesion is severely atypical and not even melanoma.  And even it if were melanoma in situ, that lesion does not have access to lymph vessels either because it is confined to the epidermis alone.  You can certainly talk to your doc but this is most likely related to something else.  Neck nodes swell more easily than others for a host of reasons — teeth/ear or…. a biopsy.

            • January 7, 2017 at 1:49 pm
            atsea
            Participant

              Thank you so much for your reply. What you said makes sense and eases my mind! 

              • January 7, 2017 at 1:49 pm
              atsea
              Participant

                Thank you so much for your reply. What you said makes sense and eases my mind! 

                • January 7, 2017 at 1:49 pm
                atsea
                Participant

                  Thank you so much for your reply. What you said makes sense and eases my mind! 

                • January 7, 2017 at 4:28 am
                Janner
                Participant

                  The biopsy itself could have made these lymph nodes swell.  I seriously doubt there is anything related to the lesion itself.  Your lesion is severely atypical and not even melanoma.  And even it if were melanoma in situ, that lesion does not have access to lymph vessels either because it is confined to the epidermis alone.  You can certainly talk to your doc but this is most likely related to something else.  Neck nodes swell more easily than others for a host of reasons — teeth/ear or…. a biopsy.

                  • January 7, 2017 at 4:28 am
                  Janner
                  Participant

                    The biopsy itself could have made these lymph nodes swell.  I seriously doubt there is anything related to the lesion itself.  Your lesion is severely atypical and not even melanoma.  And even it if were melanoma in situ, that lesion does not have access to lymph vessels either because it is confined to the epidermis alone.  You can certainly talk to your doc but this is most likely related to something else.  Neck nodes swell more easily than others for a host of reasons — teeth/ear or…. a biopsy.

                Viewing 2 reply threads
                • You must be logged in to reply to this topic.
                About the MRF Patient Forum

                The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.

                The information on the forum is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.

                Popular Topics