pathology report that I do not understand...

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New Member

Date Joined Feb 2008
Total Posts : 4
   Posted 2/25/2008 10:29 PM (GMT -6)   
Can someone help me???
A bit of background... I went to the dr because of the spot on my left cheek under my eye. She sent me to a surgeon for consult. They cut it out and sent it in..
Here is what the comment of the patholgy report said...
The specimen was examined on initial and subsequently obtained microscopic slides and seen in interdepartmental consultation by multiple surgical pathologists. In a background of solar elastosis, there is mile squamous atypia and mild hyperpigmentation of the basal cell layer, consistent with developing pigmented actinic keratosis. In addition, there is background chronic inflammation which raises the possibility of co-existent acne rosaccea or even possible discoid lupus erythematosus. Recommend clinical correlation with consideration to be given to serologic testing of co-existan lupus erythematosus.
I have had almost all symptoms of lupus for about 12 years. All of my test results have always come back normal.
What does this report mean???

Regular Member

Date Joined Oct 2007
Total Posts : 323
   Posted 2/25/2008 10:59 PM (GMT -6)   
I started with a red mark under my left eye also back in 1984. 1988 diagnose with discoid full lupus mask. Not to scare you, 2004 diagnose with sle. On some people lupus doesn't show up in blood work mine did.
Asthma,Lupus,H.B.P.,Dermatomyostis,Gastrparsis,Acid Reflux   
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  Advair,Diovan,Actonel,Prednisone on and off Eye Drops,VitaminD.     

Forum Moderator

Date Joined Nov 2003
Total Posts : 7164
   Posted 2/25/2008 11:15 PM (GMT -6)   
I can help with some of the terms. Your specimen contained a couple different problems. The one they could clearly distinguish was the pigmented actinic keratosis. An actinic keratosis is referred to as an AK in dermatology circles. It is a pre-cancerous growth. If all of it was not removed when they cut it out, it could grow back. AKs can develop into skin cancer. I had one cut out of my leg several years ago.

The other issue is the chronic inflammation they saw in the sample. They are saying that it could be Rosacea or discoid lupus erythematosus. They are suggesting that blood tests be run to rule out discoid lupus erythematosus. You can read about Rosacea here:
Hope this helps.

Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?

New Member

Date Joined Feb 2008
Total Posts : 4
   Posted 2/25/2008 11:33 PM (GMT -6)   
I wanted to thank you both of you for your replies. I went back to the dr and he is running more bloodwork. It was just really frusterating because he would not explain the path report to me so I asked them for a copy. I go back March 3rd for the results of the bloodwork.

Thanks again for the information.


Veteran Member

Date Joined Dec 2004
Total Posts : 8198
   Posted 2/27/2008 12:22 AM (GMT -6)   

Hi Chris,

   Good luck with your next appt. I hope you get more definate answers from your doctor this time and they take care of this. Please keep us updated and take care. You will be in my thoughts and prayers.


Dx: Lupus,RLS,RA,Asthma,Fibro,Sjogren's,Raynaud's,Divertic, Stroke,Atherosclerosis,Seizures,Neuropathy,CAD
JOB 5:18 For he wounds, but he also binds up; he injures, but his hands also heal.

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