Home Forums Melanoma: Newly Diagnosed – Stages I & II New Diagnosis Questions

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    My 24 year old son, David, had two shave biopsies done from areas in his back approximately 2 weeks ago.

    Today, he had his first total body check by the dermatologist and good news- no additional suspicious areas. There is one on his chest to watch. The doctor explained pathology report (gave him a copy) , told him that a separate skin disorder which is why he saw dermatologist originally (harmless pityriasis versicolor ) helped to catch this early and may have saved his life.

    From now here is the plan:

    1) David to self check monthly.

    2) Return for dermatologist total body check every 6 months.

    3) See plastic surgeon for initial consultation on 4/15 to set up surgery

    4) Surgery (to completely remove the 2 lesions that were biopsied).

    My understanding of pathology report is that the biopsies were pre-cancerous. Dr said very close to turning to cancer.

    Diagnoses are:

    Compound “Dysplastic” melanocytic Nevus and Evolving Melanoma in Situ

    That’s (I think) stage 0 and excellent prognosis.

    This forum is helpful to read and to be able to be sure we are doing what our son needs. My main question at this point is do we also need to have him see an oncologist? Should lymph nodes or other tests be done?

    Thank you in advance for your responses.

    Sincerely, Nancy

    (Here is the word for word pathology report:


    A. Right Upper Paraspinal Area

    Compound ‘Dysplastic’ Melanocytic Nevus

    Note: There are a greater number of single cells than usually seen and slight pagetoid spread. For that reason, it would be advisable that this lesion be completely excised.

    B. Midline Back-

    Intraepidermal Proliferation of Atypical Melanocytes, Probably Evolving Melanoma In Situ

    Note: These changes are quite suggestive of evolving melanoma in situ, there are features of a dysplastic nevus as well. It would be advisable to completely remove this lesion. The lesion extends to one lateral margin.

    A. R/O Atypical Nevus

    B. R/O Aypical Nevus

    Catherine Poole

    Yes, it sounds like you have your bases covered. You might want to get a second opinion on the pathology reports from experts in the field as we’ve mentioned previously here. Your son does NOT need to see an oncologist. He may need whole body photography to follow his moles to make sure there is not change and this can avoid unnecessary biopsies. Check our discussion on whole body photography too. Your son is fortunate to have you looking out for him!


    Thank you for your reply Catherine –much appreciated. Will look at the whole body photography. We live in DFW Texas and I didn’t see any places that do that here. I will check into it further …


    Hi Nancy,

    Welcome to the forum. I am so glad that your son’s melanoma was caught in situ.

    I too live in DFW. If you find a melanoma specialist who uses total body photography as a tool, would you kindly please send me a message? I’m kind of surprised that I’m having such a tough time finding someone locally that does this.

    Ninth-largest city and fourth-largest metroplex, in both the country and the Sun Belt, yet (so far) I can’t find a dermatologist/melanoma specialist that truly uses total body photography as one of the tools in his or her arsenal. My current dermatologist, who I love, knows I am looking for that person as a second set of eyes on my bod.

    Many thanks! Whether you can help me out or not, your son is indeed lucky to have you! :)

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