Webbie Mascot

Report 1 of 2

Logo

West Dermatology

Patient NameSarah Wilson (58F)
Date Collected04/10/2025
Date of Birth11/15/1966
Date Received04/11/2025
Medical Record Number987654322
Date Reported04/13/2025
Accession NumberWD-25-00790
Ordering PhysicianAlex Johnson, MD

DERMATOPATHOLOGY REPORT

Specimen

A. Skin, mid posterior neckpunch

B. Skin, right nasal alapunch

Final Diagnosis

A. MALIGNANT MELANOMA, SUPERFICIAL SPREADING TYPE, WITH FOCAL EARLY RADIAL GROWTH PHASE INVASION (LEVEL II, DEPTH 0.2 MM, NON-ULCERATED, NON-MITOTIC), EXTENDING TO PERIPHERAL MARGINS. THE DEEP MARGIN IS FREE.

SOX10 and MART-1 stains highlight the atypical melanocytic proliferation with confluent growth and pagetoid spread, supporting the diagnosis.

Stage: pT1a (C43.4)

B. ACTINIC KERATOSIS WITH SEBACEOUS HYPERPLASIA, EXTENDING TO THE TISSUE EDGES. MULTIPLE LEVELS EXAMINED. ICD: L57.0

Clinical History

A. DDX: Neoplasm of Uncertain Behavior vs. Melanoma vs. Atypical Pigmented Lesion

B. DDX: Neoplasm of Uncertain Behavior vs. Basal Cell Carcinoma

Gross Description

A. Received in 10% buffered formalin is a 5 x 6 mm punch that is inked black and bisected. Entirely submitted in one cassette. Grossed by: LB

B. Received in 10% buffered formalin is a 2 x 2 mm punch that is entirely submitted in one cassette. Grossed by: LB

Signature

Katherine A. Johnson, MD

Board Certified Dermatopathologist

Electronically signed out on date of report. This report has been electronically reviewed and validated.

Report 2 of 2

Logo

West Dermatology

Patient NameSarah Wilson (58F)
Date Collected05/01/2025
Date of Birth11/15/1966
Date Received05/02/2025
Medical Record Number987654322
Date Reported05/04/2025
Accession NumberWD-25-00791
Ordering PhysicianAlex Johnson, MD

DERMATOPATHOLOGY REPORT

Specimen

Skin, left superior posterior neckexcision

Final Diagnosis

1. RESIDUAL MELANOMA IN SITU, COMPLETELY EXCISED.

2. SCAR, CONSISTENT WITH SITE OF PRIOR SURGICAL PROCEDURE

A residual invasive component is not seen. (D03.4)

Clinical History

DDX: Melanoma

Please check margins.

Gross Description

Received in 10% buffered formalin is a 6.0 x 2.5 x 1.0 cm excision that is inked black and serially sectioned. Submitted as following: Tips 1; Body 2-7. Grossed by: LB

Signature

Katherine A. Johnson, MD

Board Certified Dermatopathologist

Electronically signed out on date of report. This report has been electronically reviewed and validated.

Abstract

Text--Path(Active)

No elements selected for Text--Path

Text--Surgery

No elements selected for Text--Surgery

Text--PE

No elements selected for Text--PE

Cases
Text--Path Active