Doctor insights on:
Melanoma Diagnosis Code
Need more info: The code for colon cancers is 153._. 153.9 is for colon cancer of unspecified site. There is a separate group of codes for metastasis and the site. The number after 153 is for the site of the primary tumor. I can't answer the cpt code question, because there is not enough information. ...Read moreSee 1 more doctor answer
May i know the simple explanation for this diagnosis: (post auricular area), excision biopsy: cellular spindle cell lesion favor nodular fascitis?
Get 2nd opinion: A pathologist who trained at one of my institutions self-diagnosed a sarcoma and had his arm amputated, only to discover later it was nodular fasciitis, which is very benign. I was trained by some of the great pathologists and even they said they'd never call nodular fasciitis without a second pathologist agreeing. I'd suggest showing 3-4 of us pathologists. Good luck. ...Read more
Cheap compared to...: If the diagnosis is missed, the price is your life. Period. If you have a dominant mass in your breast, get seen. We're all trapped in the same dysfunctional health care system, but we're here for those who can pay, and those who cannot. ...Read more
Could an experienced dermatologist diagnose a seborrheic keratosis via dermoscopy alone? No biopsy required for diagnosis?
Yes: Shave biopsy can provide enough tissue to make a diagnosis of melanoma although it is not recommended because it can make it difficult to determine the depth of melanoma invasion, accurately. A re-biopsy(wide excision) is recommended to make sure that the residue cells left behind can be adequately excised. ...Read more
Myxofibrosarcoma presenting in the skin: clinicopathological features and differential diagnosis with cutaneous myxoid neoplasms.?
Fairly common: The differential diagnosis will be made by the pathology team. My teacher hector battifora was among the world's most distinguished sarcoma pathologists but said he would never sign one out without another pathologist. The low nuclear grade ones rarely metastasize / kill, but all are prone to annoying local recurrences. Good luck, glad it's this relatively tame (still dangerous) cancer. ...Read more
Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?
Hard to tell: Mast cells are the cells that release histamine in the body. This is what happens in urticaria, so one will see mast cells in biopsies of urticarial (hive-like) lesions. Mast cells can also be found in increased numbers in people with mastocytosis. Thus the biopsies may be similar. As stated by my colleague, the clinical history can be key to the diagnosis. Talk with your doc. ...Read moreSee 1 more doctor answer
Nodular melanoma: Three of the four types of melanoma remain superficial in the epidermis and grow RADIALLY (laterally), often for several years, before entering the VERTICAL GROWTH PHASE where they grow downward and invade the dermis with the potential to metastasize. The fourth type of melanoma is nodular melanoma which STARTS in the vertical growth phase and can metastasize from the outset. ...Read moreSee 1 more doctor answer
Sometimes: There are a portion of melanomas that have a genetic inheritance, e.G, the dysplastic nevus syndrome. We are not yet certain about exactly how the inheritance works for this. Other rare inherited conditions also increase the risk of melanoma and other cancers too. Finally, there are a large number of melanomas that have no inherited predispostion as well. ...Read moreSee 3 more doctor answers
Please explain: 5 CM irregular splenic lesion. Differential diagnosis lymphoma and splenic metastasis. Could this be cancer?
Yes: Both are forms of cancer. It could also be a benign hemangioma, an epidermoid cyst, an infart (how's your overall vascular health?) or any of a number of other entities. What to do next will depend on your history and physical exam. You're in no immediate danger but this very much needs to be followed up. Many of the lymphomas especially are very curable with today's biotech. ...Read more
Learn your ABCD's: Definitive diagnosis is made by biopsy. Melanomas are screened by the abcd's: a-asymmetry; b-irregular borders; c-different colors; d-diameber >6mm (size of pencil eraser). If you notice a mole with these characteristics, get it checked out asap. If you have a skin lesion which is growing, ulcerating, bleeding, or otherwise changing, get it seen as well for evaluation and possible biopsy. ...Read moreSee 5 more doctor answers
Sometimes: Sarcomas cover a large group of tumors that arise from soft tissues (skeletal muscle, smooth muscle, bone, cartilage, blood vessels, nerves, fat, connective tissue). Just below the skin, all of these structures can become malignant and give rise to a sarcoma. A biopsy with microscopic examination (by a pathologist) is required, with special studies usually required to confirm the diagnosis. ...Read moreSee 2 more doctor answers
You tell us: Only you and your doctor know if you are pregnant. How can we possibly comment on this unimportant code? ...Read more
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