AboutNeha Dahiya MD Expertise I can help patients understand their lab report results, help them with queries regarding what pretest preparation is required. How often a follow up test needs to be done. What does a particular tissue biopsy report mean in everyday English. I can explain the biopsy or cytology procedure. I can deal with Histopathology / cytology / clinical pathology and clinical chemistry queries. Helping in this manner will be my contribution to the community.
Experience I am a pathologist and director of clinical laboratory services. I have been a practicing pathologist for last 9 years in a 350 bed multi specialty hospital laboratory.
Organizations Indian association of pathologists and microbiologists.
MIAC - Member International Academy of Cytology
International association of Pathologists - indian division
Indian association of Cytology
Question Hello. I had an excision of lesion right cheek done last week-lump was under skin- not on outside. This is what path report came back as from reference lab from my general surgeon. I am considering going to Cosmetic Dermatologist for further eval since it ison my face. I am 38 years old. Can you please clarify this path report for me?
#1 Nodular Fasciitis
#2 Immunohistochemical stains most consistent with nodular fasciitis. The bx pieces show a spindle cell neoplasm forming irregular whorls and fascicles within the soft tissue. Mitotic activity is absent. Atypical Cellularity is absent. The margins are positive on this lesion. No evidence of malignancy.
Answer Hello Traci:
Your lesion has been diagnosed as nodular fasciitis. first of all this is a benign lesion and not cancer.
It grows rapidly and is thus worrisome to the patient. Most commonly it arises on the forearm, but can involve other body areas also. In the mouth / cheek it rarely exceeds 2 cm in size.
Certain special stains / markers were done (immunohistochemistry) and these confirm the diagnosis.
A complete excision is the treatment of choice.
