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March 30, 2013 at 12:24 pm #21147sorkParticipant
New diagnose last Monday, going for a excision next Tuesday. I noticed a small black mole had recently changed to have some brown around it. Dermatologist also shaved a dyplastic nevus (I have 10+ on my back) it came back as moderate atypia, no further excision planned. I’m a twenty six year old male, no tanning only sun exposure came from living in sunny climates growing up (Florida/Hawaii). I guess I’m posting because obviously I feel like shit but another part of me knows it can be and has been worse for other people and I should just be thankful for being a live now. Part of me also realizes I can literally die at any second from any cause so why am I worrying? I have also found another dermatologist/dermatopathologist who specializes in melanoma and dyplastic nevus (though I will probably keep my original as I do like her). I think the next course of action is to do shave biopsies until things quite down and monitor all areas?
My pathology report is below (word for word). If anyone wants to interpret it, I would welcome different views.
Dyplastic nevi (back):
Lentiginous junctional melanocytic nevus with slight to focal moderate atypia and minimal architectural disorder, excised in the plane of section examined.
In situ melanoma, right forearm:
Atypical intraepidermal proliferation of markedly enlarged, cytoogically-atypical melanocytes disposed in a disorderly manner at and above the dermo-epidermal junction extending to the side edge.
Comment: The histopathologic differential diagnosis for this lesion (which is “early” and not yet unequivocally diagnostic) is essentially limited to an early-evolving spitz nevus and early melanoma in-situ. Initial and level section have been examined.
Recommendation: This lesion should be completely excised with clearly-demonstrable margins of non-lesional, non scarred skin.March 30, 2013 at 12:29 pm #59864Catherine PooleKeymaster
You caught everything early and you are in good shape. Finding a specialist is good too! The best way to keep track from now on is with whole body photography. We have a list of good places under another post here: . Instead of needless biopsies, your skin should be followed by comparing with the photographs. You are right that this is not going to kill you, but give yourself some slack and know it is normal to be stressed out at first. With time it gets better. http://forum.melanomainternational.org/mif/viewtopic.php?f=53&t=34074March 31, 2013 at 4:03 pm #59865Lisa PParticipant HI, Sork. I’m sorry you’re going through this, but am glad you caught everything early and now have the great benefit of being able to stay ahead of the game with regular checks and, as Catherine mentioned, full body/grid photography. I am so grateful I had my photographs two years ago after my initial diagnosis as they help guide my doctors now in terms of what is suspiscious and what isn’t. Take good care of yourself, and let us know if you’re able to find a good place to take those photographs. Lisa PApril 1, 2013 at 5:25 pm #59866LaurieParticipant Hi Sork, sorry you are joining our club. But as Catherine and Lisa have mentioned you are fortunate to have found it early. Please know that everything you are feeling is normal. Although you are correct in saying we can all die at any minute from any cause/accident, it still hits home hard whenever the word cancer is used.
I am 4 years from my initial melanoma insitu dx (and have had two more since). Just had my quarterly check and had two more shave biopsies which turned out to be severly dysplastic and with my history, we went with WLEs for both. I have my good days (mostly) and my bad days (usually as I get close to my checkups), but I have not and will not stop living.
Regular checks with your derm, taking the proper precautions in the sun and your own body checks will help you to have a long life. The photography is also another tool for you and your derm to keep track of changes.
Good luck with your WLE this week and wishing you a long and happy life!April 1, 2013 at 6:01 pm #59867Lisa PParticipant
Laurie -I’m sorry to hear about the severely dysplastic diagnosis. As noted in a few of my recent posts, we’ve determined that pretty much every mole on my body is dysplastic at some level. The good news is that there’s no evidence that any will actually morph into melanoma. Still, once you identify something as being moderate to severe, my docs say they have to go by way of a WLE. Glad that they’re gone and that you continue to gain more peace of mind in the coming days. My monthly appointment is tomorrow. Think good thoughts… LApril 1, 2013 at 6:43 pm #59868WorrywartParticipant I’m sorry you were dx. I will comment on your path report.
The ‘comment’ section says – “The histopathologic differential diagnosis for this lesion (which is “early” and not yet unequivocally diagnostic) is essentially limited to an early-evolving spitz nevus and early melanoma in-situ. Initial and level section have been examined. “
This means that they are not entirely sure that your lesion even was melanoma – it may have been an early evolving spitz nevi. Spitz Nevi and melanoma are hard to distinguish pathologically. Even if it was in situ melanoma…it was EARLY evolving. Which means you caught this VERY early. No worries!
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