Anyone familiar with pleomorphic hyalinizing angiectatic tumor (PHAT)?

Posted by kneenee @kneenee, Feb 7 10:34am

No search found. I may have this on left shin after 10 years ago biopsy done revealing negative for melanoma, DX="Lentigo" which is not serious and my dermatologistsaid another word for like a freckle. Lately the spot grew so another biopsy showed may be a hemangioma but cannot rule out PHAT. Pathologist recommends correlation with clinical findings and imaging studies. I want to find doctor with experience in this realm.

Interested in more discussions like this? Go to the Melanoma & Skin Cancer Support Group.

kneenee | @kneenee | Apr 20 10:04am

In reply to @grammato3 "@kneenee Yes, this forum, chat, site is called Mayo Clinic Connect." + (show)

@grammato3 Hi again...update. So grateful I asked surgeon to have 2nd biopsy reviewed by 2nd Pathologist as was done with 1st biopsy of my shin. I had telephone visit and Dr. Royal, the surgeon, and he said after 2nd Pathology review, full DX made that it is NOT a PHAT! It is just pooling of blood, not moving. No need for surgery or Ultrasound. I commented, Thank God doc, and think about all the time, money and emotions saved! I am glad I asked for this 2nd Pathology review, as was done with 1st biopsy. YOU MUST ALWAYS ADVOCATE for YOURSELF! Imagine if I agreed with his initial recommendation for the surgery?! Whew.

Susan, Volunteer Mentor | @grammato3 | Apr 20 10:54am

In reply to @kneenee "@grammato3 Hi again...update. So grateful I asked surgeon to have 2nd biopsy reviewed by 2nd Pathologist..." + (show)

@kneenee: totally agree with you and totally relieved for you! As I recall, hadn't this possibility been considered in the initial differential, a kind of hemangioma? A collection of deep blood vessels like that is generally more common in the early stages of life - if that indeed was the issue - so I can understand why there may have been some confusion with determining the exact pathology but thankfully the second opinion revealed the underlying condition.

Now, how's that rotator cuff?