Sample Type / Medical Specialty: Surgery
Sample Name: Scalp Mole Skin Biopsy
Skin biopsy, scalp mole. Darkened mole status post punch biopsy, scalp lesion. Rule out malignant melanoma with pulmonary metastasis.
(Medical Transcription Sample Report)
Skin biopsy, scalp mole.INDICATION:
A 66-year-old female with pulmonary pneumonia, effusion, rule out metastatic melanoma to lung.PROCEDURE NOTE:
The patient's scalp hair was removed with:
1. K-Y jelly.
2. Betadine prep locally.
3. A 1% lidocaine with epinephrine local instilled.
4. A 3 mm punch biopsy used to obtain biopsy specimen, which was sent to the lab. To control bleeding, two 4-0 P3 nylon sutures were applied, antibiotic ointment on the wound. Hemostasis was controlled. The patient tolerated the procedure.IMPRESSION:
Darkened mole status post punch biopsy, scalp lesion, rule out malignant melanoma with pulmonary metastasis.PLAN:
The patient will have sutures removed in 10 days.
surgery, k-y jelly, darkened mole, scalp mole, skin biopsy, punch biopsy, melanoma,
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