Skin Cancer

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Operative Report

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  1179.1
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date:
  Oct-8 10:58 am
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Hey, I have access (through PatientSite.org) to see my own medical records and this is what was put there after my surgery.Obviously we aren't all surgeons so I could be confusing things, but nothing is alarming to me in this...I'm so anxious for that other report to be finalyzed though. I just want to see "normal nevus" lol on all five of them on the pathology report.

WARNING- MIGHT TURN YOUR STOMACH A BIT...lol

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The patient was prepped with Hibiclens, Betadine and alcohol solution
and draped sterilely. The lesion of the neck was excised with 2-3 mm
border of normal tissue down to the subcutaneous tissue. Tailoring in
this area was quite difficult as the neck skin was so floppy so it would
be extended longer than anticipated. The closure was accomplished with
inverted interrupted 5-0 Monocryl sutures. Dog ears excised. Wounds
tailored around the curvature of the neck and then the closure
accomplished with a 5-0 Monocryl in a subcuticular fashion. The right
nipple-areolar mass was resected full-thickness down through the nipple-
areola as this was recurrently inflamed and a large bleeding and
therefore was resected down to the base. Then the nipple-areola was
reapproximated at the midline with inverted interrupted 5-0 Monocryl
sutures to reestablish the contour of the nipple-areolar complex. Tissue
was trimmed to allow for the closure and remove any redundant tissue to
maintain the shape of the nipple and then subcuticular 5-0 Monocryl was
used to close the skin. The larger right axillary mass was curetted and
came off easily and therefore the full mass was resected with curettage.
The upper axillary mass was resected full-thickness with approximation
of the mid portion. Excision of the dog ears, tailoring of the wounds,
and then closure with a subcuticular after multiple inverted interrupted
5-0 Monocryl for the deep dermis and soft tissue subcuticular 5-0
Monocryl for the skin. The left posterior shoulder was excised full-
thickness, dog ears excised in either direction and inverted interrupted
3-0 Monocryl was used in the deep soft tissue and the deep dermis
followed by subcuticular 4-0 Monocryl for the skin. The wounds were
covered with ointment, saline compress and a Tegaderm. The patient was
sent to the recovery room in stable condition.



Edited 10/8/2009 11:14 am ET by shes_complicated
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Operative Report

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  1179.2 in response to 1179.1
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date:
  Oct-9 6:15 pm
replies:
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It sounds as if they were thorough and took care to keep scaring hidden. I hope it all comes back OK.
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Operative Report

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  1179.3 in response to 1179.1
date:
  Oct-12 11:42 am
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Hi!

This is the clinical description of the surgery.  This isn't a diagnosis.  This report has no bearing on the pathological results.  Post those as soon as you get them!  Best wishes!

 

Melissa

 

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Operative Report

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  1179.4 in response to 1179.1
date:
  Oct-16 9:20 am
replies:
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Update?  I hope you got your good results by now! 

 

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Operative Report

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  1179.5 in response to 1179.4
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  Oct-17 12:52 pm
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Hi there. Yes good news. I was kind of disappointed in the way I got the news but they're all benign and that what matters although I'm apparently supposed to continue to watch 3 of them.

My d/c papers had said nothing about calling for results and so I called the doctor's office on Thursday and the receptionist told me either herself or the doctor would call me back. Well four hours later the receptionist told me "The doctor looked at the results. No further action is needed, they're all benign have a nice day!"

I guess since I was already 99% sure they were going to be benign anyways, she'd sit down with me and explain why my moles were so concerning. From the sound of the receptionist, we're cancelling the post-op so I doubt I'll see her again...

I guess I'd hoped for more than just a message from the receptionist after the plastic surgeon had made such a HUGE deal out of how concerning the moles looked to her...Maybe I'm just over tired but it seemed like a waste of time...

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