CONTACTS 

SUBJECTS
Dermatology Examination Nose Biopsy Finding Cancer Nodular Basal Cel

1303 -
1303 -    ..
1304 - Summary/Objective
1305 -
130501 - Follow up ref SDS 57 0000. ref SDS 56 0000.
130502 -
130503 -
130505 -  ..
1306 -
1307 -
1308 - Progress
1309 -
130901 - Met with dermatologist following up the biopsy taken on 071128.
130902 - ref SDS 57 IK9N
130904 -  ..
130905 - Biopsy on nose reports finding carcinoma...
130906 -
130907 -
130908 -            Report from:  Martinez OPC/CREC   Station #612GF
130909 -            Lab Cumulative (Nov 03, 2007 - Dec 04, 2007 @ 2359
130911 -             ..
130912 -            Surgical Pathology
130913 -
130914 -            Date:  spec taken..................... 071128
130915 -            Date:  sepc received.................. 071130 1228
130916 -            Date:  completed...................... 071203
130917 -            Submitted by:  MTZ/DERM
130918 -            Pathologist:
130919 -
130920 -                 Patricia L Dalton, MD
130922 -             ..
130923 -            Resident:
130924 -
130925 -                 Michelle McNamara, MD
130927 -             ..
130928 -            Accession #:  SP 07 6594
130929 -            Practitioner:  Faria Mesgar, MD
130931 -             ..
130932 -            Specimen:
130933 -
130934 -                Tip of nose
130936 -             ..
130937 -            Clinical History:
130938 -
130939 -                Patient with severe rosacea 1 cm purple papule on tip
130940 -                of nose with crusting.
130942 -             ..
130943 -            Preoperative diagnosis:
130944 -
130945 -                Rule out BCC
130947 -             ..
130948 -            Operative Findings:
130949 -
130950 -                Curettage biopsy
130952 -             ..
130953 -            Gross description:
130954 -
130955 -                The specimen is received in formalin disignated "tip of
130956 -                nose" and consists of a 0.4 x 0.2 x 0.1 cm fragment of
130957 -                dark, tan-brown tissue.  The specimen is entirely
130958 -                submitted in one cassette.  (HB/11/30/07/men)
130960 -             ..
130961 -            Microscopic exam/diagnosis:
130962 -
130963 -                Date spec taken:  071128)
130964 -
130965 -                Skin, tip of nose (curettage biopsy):  nodular basal
130966 -                cell carcinoma, involving the biopsy margins.
130967 -
130968 -                    [On 071210 evident improvement in nose blemish with
130969 -                    treatment for rosacia; seems conflicting with
130970 -                    biopsy findings of cancer. ref SDS 59 TV6R
130972 -             ..
130973 -            This case was processed and examined at the Department of
130974 -            Veterans Affairs, Sacramento Medical Center, 10535
130975 -            Hospital Way, Mather, CA  95655-1200
130977 -  ..
130978 - The doctor said this for of skin cancer is very common with age, and
130979 - normally people have this type of skin cancer for many years before
130980 - treatment is needed.
130982 -  ..
130983 - In this case, the doctor is scheduling surgery to remove the cancer.
130985 -  ..
130986 - The procedure will be done in Sacramento, because the size of the
130987 - cancerous area is too large for doing the work at the VA in Martinez.
130988 -
130989 -     [On 071207 VA Sacramento called; need photograph for scope
130990 -     assessment prior to scheduling the work; actually should have
130991 -     taken photograph prior to biopsy procedure. ref SDS 58 HS6G
130993 -      ..
130994 -     [On 071210 photograph taken at VA Martinez, CA. ref SDS 59
130995 -     HS6G
130997 -      ..
130998 -     [On 071210 evident improvement in nose blemish with treatment for
130999 -     rosacia; seems conflicting with biopsy findings of cancer.
131000 -     ref SDS 59 TV6R
131002 -      ..
131003 -     [On 071211 notified Lisa in Sacramento of evident improvement in
131004 -     nose blemish with treatment for rosacia; seems conflicting with
131005 -     biopsy findings of cancer. ref SDS 60 MV8X
131007 -      ..
131008 -     [On 071223 received letter from VA dated 071214 scheduling
131009 -     surgery on 080227 0830. ref SDS 61 HS6G
131011 -      ..
131012 -     [On 080227 0830 surgry to remove minor cancer on nose
131013 -     performed at VA in Sacramento. ref SDS 62 PQ8P
131015 -      ..
131016 -     [On 080311 0830 follow up examination indicates surgery to remove
131017 -     minor cancer on the nose was successful. ref SDS 63 HS6G
131018 -
131019 -
131020 -
131021 -
131022 -
1311 -