Slow growing melanoma on the face

Posted by lk3xs @lk3xs, Feb 14, 2021

I have had one melanoma 30 yrs ago and some basal cells cancers.
I just saw my Dermatologist and she was concerned about spots on my face. I would have called them "sun spots" but she said they can be a slow growing melanoma. I have them on both cheeks. I did have two spots removed for biopsy and she said she will discuss photo mapping with me when I return. She said doing a biopsy on the face can be scarring. BUT then alternative could be bad if put off or should I see a plastic surgeon. She just has me worried now.
Anyone had experience with these types on the face~cheeks. Thank you.

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At Mayo Clinic I will have a Mohs surgery on the flap of my nose on 4-10-23. On 4-14-23, I will have a second incision on my left cheek. That lesion came back from the original biopsy as severely atypical intraepidermal melanocytic proliferation. The dermatologist thinks that it will come back as a slow growing melanoma. The incision will be closer to the eye. Has anyone had experience with this particular diagnosis?

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@marlow2

At Mayo Clinic I will have a Mohs surgery on the flap of my nose on 4-10-23. On 4-14-23, I will have a second incision on my left cheek. That lesion came back from the original biopsy as severely atypical intraepidermal melanocytic proliferation. The dermatologist thinks that it will come back as a slow growing melanoma. The incision will be closer to the eye. Has anyone had experience with this particular diagnosis?

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I've had 3 Moh's surgeries on my face from cancer, but not Melanoma. But I have had 2
Melanoma on other sites. In fact, I've had so many skin cancers I've lost count of how many I have had.
My nose has had 2 surgeries, and left scaring; one of them was done about 3 years ago and still has constant peeling. But the dermatologist is not worried about it! I think it looks bad, and if I were younger, I might see a plastic surgeon.
None of my skin cancers have come back, & I have never heard of your diagnoses of intraepidermal melanocytic proliferation. I do think you need to consult a plastic surgeon, this is your face and you need to know exactly what this surgery will entail for the present and the future. I also think your are in good hands at the Mayo Clinic.
Good luck & stay in touch.

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I had MOHS for a basel cell on my cheek, close to my nose...34 years ago. Most of the time, people do not notice the flat, 1" scar on my cheek--it is smooth and not noticeably a different color. Other friends have had more extensive areas in cheeks and down neck, again, it becomes pretty much unnoticeable. Over time, they heal and are not the first thing one notices.

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I recently had Mohs surgery on my nose and they only had to go 1 layer to get all the basil cell. Last week I had a second incision on my cheek near my eye. Both times the report came back as severely atypical intraepidermal melanocytic proliferation. Has anyone experienced this type of report and what were the results?

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@marlow2

I recently had Mohs surgery on my nose and they only had to go 1 layer to get all the basil cell. Last week I had a second incision on my cheek near my eye. Both times the report came back as severely atypical intraepidermal melanocytic proliferation. Has anyone experienced this type of report and what were the results?

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@marlow2,
"Atypical intraepidermal melanocytic proliferation (AIMP) is a descriptive histopathologic term commonly used in these cases to denote morphology sharing some features with melanoma but failing to meet criteria of a definitive benign or malignant diagnosis." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857840/

Does the report also say whether or not they were able to get clear margins, meaning all the affected area was removed along with a margin of healthy skin?

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@colleenyoung

@marlow2,
"Atypical intraepidermal melanocytic proliferation (AIMP) is a descriptive histopathologic term commonly used in these cases to denote morphology sharing some features with melanoma but failing to meet criteria of a definitive benign or malignant diagnosis." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857840/

Does the report also say whether or not they were able to get clear margins, meaning all the affected area was removed along with a margin of healthy skin?

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ck and asked for additional information on what to look for. They sent him some diagrams.

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@colleenyoung

@marlow2,
"Atypical intraepidermal melanocytic proliferation (AIMP) is a descriptive histopathologic term commonly used in these cases to denote morphology sharing some features with melanoma but failing to meet criteria of a definitive benign or malignant diagnosis." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6857840/

Does the report also say whether or not they were able to get clear margins, meaning all the affected area was removed along with a margin of healthy skin?

Jump to this post

Thank you for your response. No, they did not find the markers. After the results came in, which were the same as the first incision with stitches from my left eye to the ear, I never heard back from the dermatology department at Mayo. I wrote to the Chair and wanted to know a little more about the diagnosis. He said that I should be seen twice a year by their department and every month my husband should examine the cheek area for changes. Of course, we didn't know what to look for. Since I am totally blind, I do need a sighted person to examine my skin. My husband wrote to the chair and they sent some pictures in what to look for.

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