Mole Removal: Q&A
Ask a Question
Shave Biopsy for Mole 3mm Did Not Sent out to Lab . Stated It Was Read "In House". What Now?
Shave biopsy for mole 3mm on right thigh on 2/2 -(Many of my "freckles" appear similar as cousins) PA did not sent out to lab . Stated it was read "in house" on 2/26 and hand written "compound moderate atypia" - no path report/no details on arch. or cellular changes nor margins. Felt unsure about practice then and certainly now - What to do next?
Tags:
4 Doctor Answers |
Asked by
XSmartGirl
in NJ
+1
In House Pathology For Biopsies
Some dermatologists look at or "read" their own biopsies under the microscope. This is commonly referred to as reading the pathology "in house." While many dermatologists are extremely skilled in this area, your question really comes down to what you are comfortable with. In order to look at a biopsy under the microscope, the biopsy has to be processed by placing it in a paraffin block and cutting the tissue to prepare slides. You are allowed to request these slides and...
more
+1
Diagnosing and treating atypical moles
When a skin biopsy is read "in house", the physician looking at the microscope slide is held to the same standards as a dermatopathologist. Obviously, they are choosing to perform the service of a dermatopathologist. Therefore they are expected to generate a comprehensive report describing cell architecture, cellular changes, and tissue margins at the very least. I agree with your concern and recommend your request your glass biopsy slide be sent to a board-certified...
more
+1
In House Reading of Pathology
Most likely they still have the glass slide and the block of tissue (in a paraffin block). Just ask to have the slide sent to an outside dermatopathologist to review the slide and give a second opinion. It's important that you feel confident in the care that you are receiving from your dermatologist. If that isn't the case, see another doctor. That doctor can request (with your permission) your medical records and the glass slide, can review what was done, can send off the glass...
more
You might also like...
Real Stories
The Mole Grew Back After a Month and Half - Saint Paul, MN
I have a mole removal in middle of march. The method was shaving. After a month and half,...
+1
Reading moles in-house
This is a tough question to answer, but I will say this: if you don't feel like you got good care, go somewhere else. You should always feel confident that you are being heard and well taken care of. There is no way to get the tissue read again or looked at, and if they claimed it was read "in-house" that's on them. (I will say though that removing something on 2/2 and reading it on 2/26 is nuts, usually tissue is read within a few days max!) They need to be confident that...
more
Comments (0)