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Molecular Testing


Molecular Testing

When traditional microscopic examination reaches its diagnostic limits, molecular testing emerges as the definitive tool that transforms uncertainty into clinical clarity. Golden State Dermatopathology combines advanced molecular techniques with decades of specialized expertise to deliver the most accurate tissue diagnoses available.


Molecular Testing in Dermatopathology

Molecular testing analyzes the genetic material within tissue samples to identify the unique characteristics that define specific diseases. This technology becomes particularly valuable when dermatopathologists encounter challenging cases where certain melanomas, lymphomas, and other skin disorders look similar under the microscope but require different treatments.

Golden State Dermatopathology uses sophisticated molecular platforms that can detect specific genetic changes and patterns that serve as markers for various conditions. Unlike standard tissue staining that shows cellular structure, molecular testing looks directly at the genetic code to identify the underlying changes that cause disease. This precision approach has transformed how dermatopathologists handle difficult cases, providing the clarity needed for accurate diagnosis and appropriate treatment planning.

Clinical Benefits and Diagnostic Outcomes

Molecular testing provides significant benefits that directly improve patient care by delivering more accurate diagnoses and better treatment planning. The main advantage comes from its ability to clearly identify suspicious skin lesions that traditional methods cannot definitively diagnose, removing the uncertainty that can delay proper treatment decisions.

For melanoma cases, molecular testing can distinguish between harmless moles and early melanomas, which can appear very similar under the microscope, proving especially helpful for unusual growths that challenge even experienced dermatopathologists. Similarly, skin lymphomas often look like common inflammatory skin conditions or other types of cancer, making them difficult to diagnose accurately. The genetic information revealed through molecular testing provides the clarity needed to confirm these challenging diagnoses and determine the right treatment approach.

The benefits extend beyond getting the right diagnosis to improving overall treatment strategies. Molecular testing results tell oncologists about specific genetic changes that may respond well to newer targeted therapies, allowing doctors to personalize treatment based on each patient’s unique condition. This precision approach represents the future of skin cancer care, where treatment decisions match exactly with what’s happening at the cellular level.

The Molecular Testing Process

The molecular testing process begins when tissue samples undergo special preparation that preserves the genetic material needed for analysis. Unlike standard tissue processing, molecular testing requires careful handling to maintain the quality of DNA and RNA throughout the testing sequence.

Golden State Dermatopathology uses advanced techniques to extract high-quality genetic material from tissue samples. This process requires precise expertise to ensure that the genetic material remains intact and suitable for accurate testing.

The actual testing uses several different technologies, including PCR amplification, specialized microscopy techniques, and advanced sequencing methods. Each method serves specific purposes, with some detecting genetic rearrangements, others identifying chromosome changes, and sequencing revealing specific mutations or genetic patterns.

Quality control measures throughout the process ensure reliable results that meet the highest laboratory standards. Every molecular test includes proper controls and validation steps that confirm the accuracy of findings. The combination of molecular results with traditional microscopic examination creates a complete diagnostic picture that provides maximum confidence in final diagnoses.

Excellence in Molecular Diagnostics

Golden State Dermatopathology’s advanced molecular testing capabilities represent the pinnacle of diagnostic precision in modern dermatopathology. Through the seamless integration of advanced technology with specialized expertise, we can deliver the accurate diagnoses that drive optimal patient outcomes.

Testimonials

The Golden State Dermatology Pathology Lab is simply the best dermatopathology group that I've ever dealt with in my 45 years of practice. I enjoy working closely with Dr. Emily Green. She is always available and is extremely helpful with her comments and analysis. The path reports are ready in a timely manner with just the right amount of information and with recommendations that are tailored to the ethical and practical treatment of dermatologic problems. Dr. McCalmont also is accessible and a great resource. I truly enjoy working with the whole team!
Emil Tanghetti, MD
Center For Dermatology and Laser Surgery
Dr. McCalmont is the greatest asset one could possibly add to one's dermatopathology team. He always provides clear and concise consultative opinions with a collaborative and approachable style. He is adept at incorporating the clinic presentation with the histologic interpretation of a biopsy, which is a critical but rare skill. Having the expertise of a world-renowned dermatopathologist readily available to me gives me peace of mind and enhances patient care.
Amy Reisenauer, MD
Reisenauer Dermatology
I have been consulting Dr. McCalmont since 2015, shortly after beginning my first job as a dermatopathologist, and his guidance has been invaluable throughout my career. He is remarkably diligent, consistently providing timely and thoughtful consultations. What sets Dr. McCalmont apart is his dedication to education—he often includes full printed articles when discussing unusual or rare diagnoses, turning each case into a learning opportunity. His expertise and commitment have had a lasting impact on both my diagnostic confidence and professional growth.
Leila Langston, MD
Aurora Diagnostics – Arizona Dermatopathology
Dr. McCalmont is not only an amazing dermatopathologist but a kind human being. I can never pay him back for his mentorship and contribution to my career and personal growth as well as our practice through his fast paced consultation service, encyclopedic knowledge and wisdom. He’s a true giant in the field and I’m privileged to know him and fortunate to continue to learn from him.
Mohammad Khan, DO
Medical Director - Onspot Dermatology
Dr. McCalmont’s diagnostic precision, expansive knowledge of dermatopathology, and commitment to patient care are truly outstanding. He consistently demonstrates a meticulous attention to detail, a thoughtful approach to complex cases, and a collaborative spirit that not only delivers a helpful report for the patient but serves as a learning tool for future cases. Beyond Dr. McCalmont’s technical expertise, his professionalism, reliability, and dedication to excellence makes him my first choice in consultants.
Elizabeth Uhlenhake, MD
DermPro
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