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UPDATE (sorry for the lengthy question)
I was able to schedule a telehealth visit with my Dermatologist. She was able to view the “sore” through my camera. Her initial thought was that it might be some kind of infection but she wasn’t sure. I expressed my concerns that it might be a SCC. We decided in the end to schedule an office visit for the next day. The following day, I honestly thought that the site looked a little different, I would say more like a sore in the healing process. My Dr. disagreed. She agreed that it DID look different, but in her opinion, it now had the characteristics of a SCC. She performed a punch biopsy. So basically from my untrained eye, she cut out a small piece from the middle of the legion. The whole legion was approximately 10 to 12 mm at that point. She reported that it was solid with no exudate. I went back to her office today ( one week later) to have stitches removed and to get the results of the biopsy.
The good news is that the Dermopathologist did not find signs of carcinoma. The bad news is that basically they don’t know what the heck it is. It has grown since the biopsy (it now measures 14 mm per the dermo’s measurement today). The plan is to watch it for the couple of weeks and if it continues to grow, we will take another biopsy. I do feel like the middle part of this lesion (the part that was biopsied) looked different the the rest of the lesion. It was sort of soft looking, in fact, we were both expecting to see some excudate when she cut into the middle for the biopsy. The rest of the lesion is hard and scaly looking.
The following is the report from the Dermopathologist:
Final Pathologic Diagnosis:
Skin, right anterior thigh, punch biopsy;
-Distoted follicular inclusion, with plugged keratinaceous debris and focal dyskeratosis, transected.
Comment: This is a challenging lesion to evaluate with certainty, because there is so much secondary change present. I somewhat favor that this is a localized area of previous trauma, cyst rupture, folliculitis, foreign body intrusion or similar process. Much of the specimen is obscured by pseudoepitheliomatous hyperplasia, benign metaplasia and evolving scar and inflammation. Although definitive neoplasm or carcinoma is not noted, continued careful surveillance of this area is strongly recommended. End Report.
I don’t remember having any damage or seeing any type of sore on this part of my body prior to what I saw when this all started 3 to 4 weeks ago. I guess my question is, does this all sound pretty normal? Are there any red flags that I should be aware of? Has anyone had a similar lesion?
I appreciate this site so much!
Always the voice of reason. Thank you Dr. Poole. I will call for an appointment to see my dr. Sincerely, BrandiFebruary 11, 2019 at 1:00 am in reply to: Does the rate of growth of an Aytypical mole factor into the decision to excise? #70868
Thank you Jeff, I appreciate your kind words. I see my dermatologist on Tuesday and will have my list of questions ready-
BrandiFebruary 9, 2019 at 1:53 pm in reply to: Does the rate of growth of an Aytypical mole factor into the decision to excise? #70866
Thank you so much for your reply. I am scheduled to have the mole mapping photography done next week. Do you happen to know if they typically measure the moles along with the pics?
I am having a fair amount of anxiety that there are moles sitting on my skin that could be melanoma. I have so many atypical moles it would take for ever for someone to look at every single one closely. Basically, all of my dark moles look atypical. The tan macules are the ones that really have me freaked out because I have So many that sort of overlap and it seems impossible to figure out which ones are concerning. The reason I noticed the one on my bottom is because there Is less sun damage there so I was able to detect something new in that area. I understand that even the atypical severe moles don’t typically move to melanoma but I am concerned because I did have the one mole that WAS melanoma. Is it more likely that melanoma forms from the mole that I have tracked forever or do they more often form from these new light tan macules that my body is making?
I am so curious why the moles that we have been tracking for since 2012 all stayed the same until six months ago? If 6 of the ones that we were tracking grew who’s to say some of the atypically moles that we weren’t tracking didn’t grow. I know that the mole mapping will help with all of this moving forward but I am concerned that I don’t have that comparative info on my entire body right now.
Can you direct me to some good resources so that I can educate myself a bit more? I really want to read some stuff on the rate of growth of moles. Has anyone studied that?
Thank you so much for your help.