Missed Pathology Follow-Up Leading to Delayed Melanoma Diagnosis

Missed pathology follow-up is a preventable cause of delayed melanoma diagnosis and can be compounded by cognitive biases.We report two cases in which failure to review pathology results led to delayed recognition of nodular melanoma.Both cases highlight the interplay between system failures and anchoring bias.Strengthening result verification processes, incorporating electronic alerts for unreviewed reports indicating malignancy, and promoting patient access to results are essential to preventing similar diagnostic delays.