Melanoma in situ results

Posted By
dbforever
9/13/2017 7:38pm
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Replies: 2

I just received results of my second melanoma in situ excision (first was August 2015). They read as follows "Melanoma in-situ is present as close as 1.0mm from the inked peripheral margin" and that "stained sections shos a small focus of proliferation or melanocytes along the dermal-epidermal junction. The melanocytesdemonstate severe cytologic atypia, with enlarged nuclei and dusty cytoplasm. There is lymphocytic inflammation in the dermis".

My derm surgeon has said I need to come back to have more margins taken, likey since the above reads it is as close as 1.0mm from the margin. Does anyone know what the rest means?

dbforever - (9/13/2017 - 7:40pm)

Great spelling.

shows*

melanocytes demonstrate*

Janner - (9/13/2017 - 8:48pm)

The rest is just saying that even the areas that aren't in situ are still severely atypical - also warranting further removal.  You really want to get a minimum of 5mm margins and one study I read recommended 8-9mm margins for in situ.