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Doctor insights on: Spot Diagnosis

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Does shave biopsy can diagnose melanoma? Is it accurate diagnose?

Does shave biopsy can diagnose melanoma?
Is it accurate diagnose?

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

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They,"an oral surgeon" has found a sclerotic lesion on my right anterior mandible on CT scan.It has a differential diagnosi.Should I agree to a biopsy?

They,"an oral surgeon" has found a sclerotic lesion on my right anterior mandible on CT scan.It has a differential diagnosi.Should I agree to a biopsy?

There are different: types of sclerotic lesions, some benign and some not. It is tough predict where on the spectrum yours is, without knowing the imaging features and clinical history. Sometimes it is tough even after careful evaluation of images. Additional imaging, such as MRI, may be useful to narrow the differential. Your doctor should discuss the risks, benefits,alternatives so you can make an informed choice ...Read more

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I have a red spot on a cheek for about 2.5 years. Looks like a pigment spot but the color is red. What is the correct way to diagnose what spot it is?

I have a red spot on a cheek for about 2.5 years. Looks like a pigment spot but the color is red.  What is the correct way to diagnose what spot it is?

Biopsy: there are criteria to evaluate spots on the skin. there are certain characteristics that make one spot more concerning than others. to answer your question, the best diagnostic approach is biospy. a dermatologist could help you with this. ...Read more

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I have a red itchy spot on folded arm what is my treatment ?

I have a red itchy spot on folded arm what is my treatment ?

Rash: Rashes are hard to diagnose sometimes when you are looking at them. Impossible to diagnose without even seeing them. You need to see your doctor. ...Read more

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What does seeing a bald spot on my head mean?

Only: They you still have good vision. Hair loss is common and almost inevitable in males. In females it can be due to anything from stress to hundreds of physical problems or trauma at the beauty shop or home hair treatments. If it worsens, get evaluated by your doctor or a dermatologist. ...Read more

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What is tissue diagnosis?

What is tissue diagnosis?

Pathology: A "mass" can be anything including non-cancer. A piece of tissue from a mass (or bone marrow biopsy, or blood) placed on a glass slide for a pathologist to review with special stains and sometimes molecular tests can give a "tissue diagnosis". With very few exceptions (eg, hcc, germ cell cancer) oncologists require a "tissue diagnosis" before treating cancer. ...Read more

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Dx z12.13 on. Mammo script mean is this Dx for a routine mammogram?

Dx z12.13 on. Mammo script mean is this Dx for a routine mammogram?

Yes and No: Yes, whoever wrote the prescription likely meant it for breast cancer screening. No, that diagnosis code is not for breast cancer screening. The code for breast cancer screening is Z12.31, not Z12.13. ...Read more

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Picked off mole (maroon, black tissue initially mistook as blood blister)what I realized later looked exactly= Nodular melanoma. Would bx still be accurate for diagnosis since I picked off visible lesion.

Picked off mole (maroon, black tissue initially mistook as blood blister)what I realized later looked exactly= Nodular melanoma. Would bx still be accurate for diagnosis since I picked off visible lesion.

Biopsy needed: Yes, if this is in fact a melanoma, a biopsy would still show it even though you pulled off the top layer. If it's not a melanoma, a diagnosis could still possibly be made. It would be uncommon for you to be able to simply pull off a melanoma however. See your dermatologist to be sure. ...Read more

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What does a lip biopsy diagnose? Only sjorgens?

What does a lip biopsy diagnose? Only sjorgens?

Usually: Sjorgens is commonly DX with a lip bx, but if you have a lesion on your lip or some other abnormality of unknown cause, a bx of that area may also be warranted. ...Read more

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Red oval spot on my soulder, 1" at its widest, 3/4" smallest. I've seen a dermatologist about it, and he said that it wasn't skin cancer. Opinion?

Red oval spot on my soulder, 1" at its widest, 3/4" smallest. I've seen a dermatologist about it, and he said that it wasn't skin cancer. Opinion?

ABCD's: Remember your abcd's when thinking of melanoma. Look for moles with asymmetry boarders that are irregular color differences within the same mole diameter greater than 6mm also any new mole or old that starts to itch, bleed or ulcerate should be of concern. Another rule is the ugly duckling rule. Which refers to a mole that looks distantly different from the others on your body. ...Read more

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What is a solar lentigines? New, flat, VERY light tan spot on cheek bone. At skin cancer screening, Dr said not keratosis. Said keep an eye on it.

Sun Damage: Lentigines are due to localised proliferation of melanocytes. The most common type, solar lentigines, arise in middle age and also result from sun damage (age spots). They are most often found on the face and hands, and are larger and more defined than freckles. Lentigines tend to persist for long periods and don't disappear in the winter (though they may fade). ...Read more

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Had punch biopsy done on rash in '09. Results: "early lesion of connective tissue disorder." what f/up is suggested?

Had punch biopsy done on rash in '09. Results: "early lesion of connective tissue disorder." what f/up is suggested?

Rheumatologist: Talk to a rheumatologist to confirm your diagnosis. Blood tests might be needed. A minimum of a yearly follow up is needed provided no other symptoms are present. ...Read more

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Had a mammogram for breast lump, have to see breast oncologist, No diagnosis and have red pinpoint dots on legs. What would cause this?

Had a mammogram for breast lump, have to see breast oncologist, No diagnosis and have red pinpoint dots on legs. What would cause this?

Need exam: Even w a normal mammogram, a palpable mass needs to be evaluated. You will need a physical exam and ultrasound. Mammograms are less reliable in younger women. ...Read more

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What is the treatment for Fordyce spot.

What is the treatment for Fordyce spot.

None: There is no treatment for fordyce granules or spots of the oral cavity. They are a normal occurrence, of no consequence and do not require treatment. ...Read more

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Dx w malignant melanoma today..Surgery scheduled. Symptoms it has spread? Body check was negative. Small spot on face.

Dx w malignant melanoma today..Surgery scheduled. Symptoms it has spread? Body check was negative. Small spot on face.

Depth: The risk of melanoma spreading to other parts of your body depends on the thickness of your primary melanoma. Usually I recommend that a lymph node biopsy be performed for melanomas that are thicker than 0.76mm or those with other worrisome features. ...Read more

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Is my scalp ringworm bald spot suppose be blackish purplish?

Is my scalp ringworm bald spot suppose be blackish purplish?

Hard to tell: but blackish purplish is not typical of ringworm (tinea) infection . I think you need to check with your doctor if this has been present for more than 10 days or is progressing. ...Read more

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A small hard bump suddenly appeared on my tonsil 2 mos ago. Slightly raised pencil eraser size in diameter. What could it b? Can ENT biopsy it? Scans?

A small hard bump suddenly appeared on my tonsil 2 mos ago. Slightly raised pencil eraser size in diameter. What could it b? Can ENT biopsy it? Scans?

Need exam: There are multiple possibilities: Lymphoid tissue, cryptic debris/tonsillolith, papilloma, abscess, and various benign or malignant neoplasia. An evaluation with an otolaryngologist (ENT) is recommended. Biopsy or CT will be dependent on examination and assessment. ...Read more