|Rating(1-10)||Knowledgeability = 10||Clarity of Response = 10||Politeness = 10|
|Comment||Thank you for your kind and understanding response. Unfortunately I don't have any surgeon friends, but maybe I can get one of my engineer buddies to do it. On a serious note, there were a number of features present (multiple colors, black area, inflammation present, newly arisen) that the literature associates with acral lentiginous melanoma (ALM) rather than a junctional nevus. The literature also mentions that the histological differences are extremely subtle in smaller acral lesions and tend to fool pathologists. I am going to follow your suggestion and will request a review of the tissue sample. Knowing it has been reviewed by an expert will be very reassuring. I realize the absolute chance to get something like ALM may be small, but I am painfully aware of how it becomes someones reality, each and every day. Thanks again.|
Answers by Expert:
I can answer almost all questions related to the treatment and natural course of most kinds of cancer, especially cancers of prostate, colon, lung and breast.
I have been a practicing medical oncologist for 36 years, and have been chief of service at a major medical center for 25 years. I've also done research in cancer treatments.
American Society of Clinical Oncology
New England Journal of Medicine American Journal of Medicine Journal of the American Society of Clinical Oncology Hematology Transfusion Medicine
MD, Stanford University Internal Medicine residency, St. Louis University School of Medicine, St. Louis, MO Medical Oncology Fellowship, Roswell Park Cancer Institute, Buffalo, NY
Awards and Honors
America's Best Physicians, last 14 years