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East Dermatology, LLC
DERMATOPATHOLOGY REPORT
Specimen
A. Left upper back shave
B. Right upper back shave
Final Diagnosis
A. Atypical intraepidermal melanocytic proliferation, consistent with lentigo maligna, present in peripheral margin.
B. Nodular basal cell carcinoma, completely excised.
Microscopic Description
A. Sections reveal a melanocytic proliferation involving the epidermis. Atypical melanocytes with pagetoid spread are present. No invasion is identified. The lesion extends to the peripheral margin in the plane of section examined.
B. Examination of the specimen reveals a nodular basal cell carcinoma composed of basaloid cells arranged in nests with peripheral palisading and stromal clefting. No perineural invasion is identified.
Gross Description
A. Received in formalin is a tan-brown skin specimen labeled 'A. Left upper back shave' measuring 0.8 x 0.5 cm. There is a variegated pink patch 0.6 cm in greatest dimension. The specimen is submitted in its entirety. GA.
B. Received in formalin is a pink-tan skin specimen labeled 'B. Right upper back shave' measuring 0.6 x 0.4 cm. The specimen is inked at the margins and submitted in its entirety. GA.
Clinical History
A. 7 x 5 mm pigmented lesion left upper back, ? atypia ? SK.
B. 3 x 3 mm amelanotic lesion right upper back, ? BCC.
Katherine A. Johnson, MD
Board Certified Dermatopathologist
Electronically signed out on date of report. This report has been electronically reviewed and validated.
Patient Information Section
This section contains key patient demographics, such as name and date of birth, as well as the date of the procedure, the name of the physician who performed the procedure, and the accession number, which is a unique identifier for the specimen. This section is always the first section in the report.