May. 2.2002 4:5) No 0866 %. 3/3 SURGICAL PATHOLOGY LABORATORIES: S Pp l Lab a Frozen Sections Bling & Correspondence a cA Ge Sa soen waitress see. Accession # A22.03924 0 PORT ee PRR aS Sormce ravccoe GSnTaReE Cotectes 4727/2022 se augcapuniads cm Recoved 4/20/2022 Jeffrey J. Bulson, 0,0. Medical Director Lob CLIA #1000064444 Reponed si2i2022 Patent ntoraton Paysican and Glens nfemation Name HERMAN, SCOTT MAHEERA A FARSI, DO, FAAD PARK AVENUE DERMATOLOGY Dos 1213/1959 Age: 62 15255 Max Leggett Parkway, Sute 1500 Gener. Male MRN: 1468329 Jacksonvile FL 22218 Phone: 904-378-6917 Cel Phone: 904-541-0315 | Fax: 904-456-0407 “MICROSCOPIC DIAGNOSIS; ‘Skin, Right Mid-Upper Back, Excision (P22-01252): GRANULATION TISSUE AND HEALING SKIN, CONSISTENT WITH A HEALING PRIOR BIOPSY SITE. RESIDUAL MALIGNANT MELANOMA IS NOT IDENTIFIED (SEE COMMENT). COMMENT. An incidental, small, benign compound nevus is present in sections cut from the 6 o'clock tp ofthe excision ‘Specimen. This benign nevus is unrelated to the previously diagnosed malignant melanoma near this location. Ql V. Pane Specimen information and Clinical History: ‘Fevfoming tecations: sets -tSnet Nan PeasP Fo ) CUA ROBE SDS seu Sahoo Lanes BS aoa Pe a er, ua eannaen 8 i epee Se aguas tenet Ba ing Information CPT CODES: #8208 Ico cones: 1908