What does my biopsy report indicate?
Mitotic figures do not preclude Benignity
Hello. Thank you.
I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern.
Benign melanocytic nevi may show mitotic activity within dermal melanocytes.. In a single specimen, single mitotic figures are most common as compared to 2 or 3 mitotic figures.
The doctor said this is not melanoma, but I am worried. It was a symmetrical raised red bump that resembled a cherry angioma that I picked off and had scabbed over when biopsied.does this sound worrisome to you for melanoma?
Atypical nevus. Not melanoma
This is an atypical nevus. Not yet a melanoma. In a melanoma mitotic figures are more prominent, atypical and numerous and melanocytes are arranged as nests of variable sizes and shapes rather than as orderly nests.
Go with your doctor
The lateral edges are uninvolved. It's only the deeper margin that need to be completely excised. So a deeper shave followed by the margin check would be OK. Morever it's not a melanoma. A low grade dysplasia in an atypical nevus is not much of a risk even if some of the margin is left behind as most of these would never progress to a melanoma. On the other hand a high grade dysplasia requires complete meticulous excision.
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