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Dominic

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      Dominic
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        I got the pathology report, it’s really confusing and offers no answers.

         

        Skin, left mid back, punch biopsy: severely atypical dermal-epidermal melanocytic proliferation with severe dermal atypia expanding for a depth of .78mm. SUSPICIOUS OF, ALTHOUGH NOT DIAGNOSTIC FOR NEVOID MELANOMA, at a depth of .78mm, superficial Clark’s level iv equivalent. possibly arising in association in a dysplastic nevus extending to peripheral side margins.

         

        Microscopic descriptions:

        Initial histologic sections from specimen labeled “left mid back” reveal a punch biopsy of skin showing a compound melanocytic proliferation with attenuation of the epidermis, nested and lentiginous confluence of melanocytes along the dermal/epidermal junction. Nests of epithelioid melanocytes are noted in the underlying dermis showing expansion of the papillary dermis. Tumor infiltrating lymphocytes are absent. There is ABSENCE of MITOSES, however, increased N/C ratios are noted at deeper portions biopsy specimen.

         

         

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