I have had a suspisious mole on my forearm for about the last year. I called several dermatologists' offices in the last six months, but all of them have told me that they are either not accepting new patients, or their earliest appointment would be in 6-12 months. In desperation, I went to a plastic surgeon and had the mole removed. My pathology just came back, but unfortunately my doctor is on vacation for the next week. The nurse told me not to worry because I have "malignant melanoma" is in-situ, but I was concerned after reading the following pathology:
"Diagnosis: Malignant melanoma. The vast majority of this lesion is in situ. Only focal focal superficial invasion is noted (depth of 0.3mm, level II). Ulceration, regression, or vascular invasion is not seen. An associated melanocitic nevus is focally seen. An asymmetric proliferation of atypical melanocytes is present in the epidermis and focally in the superficial dermis. The melanocytes are arranged in irregular, varibly-sized nests and single cells. Upward migration of single melanocytes is observed. Adnexal extension is focally noted. The melanocytes exhibit conspicuous nucleolus, irregular nuclear membrane, and moderately abundant cytoplasm. Dermal mitotic activity is not seen. A small area in the dermis shows nevocellular melanocytes with bland cytogenic features consistent with a melanocytic nevus. Variable basal keratinocyte pigmentation and focal pigment incontinence are observed."
I have a follow up appointment, and the nurse told me that I would have a wide local excision, but other than that, my only follow up would be to see a dermatologist (if I can get in). I was very concerned when I read the pathology, but all my friends say I'm making a big deal out of it, and that it's nothing I should worry about.
Is there anything I should be concerned about in the pathology? What does "the vast majority of this lesion is in situ" mean? Is it "in situ" or not? Should I also schedule an appointment with an oncologist, or should I just have the plastic surgeon do the wide local excision and then follow up with a dermatologist? Do I have a high risk for recurrance?