Pathology Finding

Biopsy of right forearm showed Junctional Nevus Moderate Cytology Atypia with Architectural Disorder recommendation to remove entire lesion for histology.  Is this melanoma?  In a very dark skin female who uses SF 15 this should be secondary not primary?  Furthermore, there are more lesions (calves, shoulders, buttocks inner thighs)along with bone pain.  Colonscopy showed nothing.  Could this be stomach cancer, lung cancer (non-smoker-some exposure to wood dust particles).  Blood work all cleared, nuclear medicine scan cleared for symmetry but showed lytic lesions on the areas mentioned above).

CT scan showed upper lobe of lung cleared (not entire lung cleared).  CT scan abdominal and pelvic showed numerous soft tissue calcification in pelvic area (hysterecomy 2002 have ovaries).  CA 125 cleared me of ovarian cancer.  MRI showed presacral sac for 4-6 cm.  Barking dry cough since December 2003.  Lastly endoscopy surgery May 2004 for mucocele sinus mass covered front superior ethmoid cells found behind the left eye, biopsy negative.  Help!

[Alan Rockoff, MD]

No, it is not melanoma.  It is a mole that looks a little funny, so the pathologist recommends taking it off as a precaution, even though it may never turn into anything anyway.  There is no need for you to have any concern whatsoever that this mole has already spread through your body.

Your other lesions are what they bare--if the doctor looked and wasn't concerned, you shouldn't be either.  I don't know the nature of the bone pain, but it's not from metastasis from your mole.  I don't know exactly why you are worried about internal cancer, nor can I interpret all your CT and MRI findings.  You'll need to ask the doctors who performed them about that.  But your mole is not relevant.

Take care.

Dr. Rockoff