Reference Report
West Dermatology
SURGICAL PATHOLOGY REPORT
Specimen
A. Skin, mid posterior neck, punch
B. Skin, right nasal ala, punch
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.
West Dermatology
SURGICAL PATHOLOGY REPORT
Specimen
Skin, left superior posterior neck, excision
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.