Inverted type A nevus of the eyelid

Pigmented epithelioid melanocytoma

Chronic idiopathic urticaria

Acrodermatitis enteropathica (Zinc deficiency)

Erythema multiforme-like drug eruption

Adnexal clear cell carcinoma with comedonecrosis

Systemic hypersensitivity reaction to viral infection


Millions of tissue biopsies are performed every year. Subsequently, hundreds of thousands of Americans are rendered a diagnosis of cancer. Receiving a diagnosis of cancer may be one of the most dramatic moments in a person’s life. The diagnosis may lead to surgery, chemotherapy, rehabilitation, job loss, change of lifestyle and overwhelming expenses. It always exerts significant psychological toll on individuals and their families.

Patients are usually not aware that microscopic examination is not just a laboratory test. It is a unique physician-patient encounter, which involves examination of the patient’s tissue, additional tests and subjective interpretation by the pathologist of the findings in the context of other available clinical information.

Most interpretations are straightforward and reproducible, but many require judgment and are critically dependent on the pathologist’s level of training, personal experience, skill and availability of a second opinion consultation. Diagnosing melanoma, atypical (dysplastic moles), skin cancer and head and neck and eye lesions are among the most difficult in pathology.

Some pathological diagnoses are controversial and are considered the best but not the absolute interpretation. Hints about uncertainty of interpretation are usually buried in the notes to pathology reports and may not be apparent to the patients. Sometimes, the patients find themselves in a precarious situation of receiving two different contradictory opinions.

Importantly, the practice of pathology and referral patterns is heavily influenced by economical factors such as insurance reimbursements, HMO contracts and ever increasing government regulation. It is in the patient’s best interest to be aware of these factors to make sure that their specimens are interpreted by the best available physicians with appropriate training and experience and not by the laboratory who offers the lowest price.

As with other physicians, patients should be able to choose their pathologist. In most cases, the best choice is be their community pathologist. Yet, regardless whether you live in an affluent metropolitan suburb, small town or are a migrant farm worker, accuracy of your diagnosis may be compromised by the fact that your local hospital may not have appropriately trained pathologist. Many countries do not provide subpeciality training for pathologists at all.

Our innovative service model is good news for the patients worldwide. Now, your local hospital or laboratory in partnership with can provide access to the best doctors for you. Your tissue will be examined by your local pathologist. He or she will decide if you need subspecialty consultation. If so, your tissue or its image will be sent to us, where it will be examined and interpreted. We help thousands of patients a year.

Most importantly, you can directly request a consultation for you or your family member in all areas of skin, oral, head and neck and eye pathology. The most common consultations directed to us involve:

  • suspected melanoma
  • atypical moles
  • skin cancer
  • skin rashes
  • hair loss
  • conjunctival lesions

To initiate the process, please contact your physician and request that the specimens and accompanying reports are sent to us.

We can guarantee that that your material will be examined by the best expert in the field.