Report 1 of 2
West Dermatology
DERMATOPATHOLOGY REPORT
Specimen
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
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
West Dermatology
DERMATOPATHOLOGY REPORT
Specimen
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
Katherine A. Johnson, MD
Board Certified Dermatopathologist
Electronically signed out on date of report. This report has been electronically reviewed and validated.
Report 1 of 2
West Dermatology
DERMATOPATHOLOGY REPORT
Specimen
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
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
West Dermatology
DERMATOPATHOLOGY REPORT
Specimen
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
Katherine A. Johnson, MD
Board Certified Dermatopathologist
Electronically signed out on date of report. This report has been electronically reviewed and validated.
Abstract
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