Question 1

had a mole removed - pathology report came back severely dysplastic. 1) is it always normal to go back to get margins cut out? 2) just to be clear severely dysplastic does not mean cancer?

Accepted Answer

: "Severely dysplastic" is not Melanoma but close .
 Yes, I would fully agree for a local small re-excision to be done .
 Will be curative

Question 2

hello i had a mole removed biopsy came back severely dysplastic. is it common for the pathologist to misread and it actually be melanoma? or is there a distinct difference?

Accepted Answer

: Without seeing slide cannot comment. Your Dermatologist will also look at it I hope and see if they agree.   Melanomas almost always have black stuff in them (melanin) and hard to miss.

Question 3

i have 100's dysplastic nevi moles. many are severely atypical. do we have to keep taking them off or is there another way to see if they are cancer.

Accepted Answer

Only way: They have high incidence of malignency       ( melanoma )  you  may have dysplastic nevi syndrom, most likely some one in the familty have it al;so . Melanoma is curable if excised early, abcd s of detection are asymerty,  borders, color, diameter, and evalution by your dermatologist  ( or surgeon ).

Question 4

if you have a dysplastic mole removed will it return?

Accepted Answer

Dysplastic moles: "the moles look unusual, clinically, and they have some features in common with melanoma, so they may get biopsied. When they get biopsied, they may have some cytologic atypia, which is reported as mildly dysplastic, moderately dysplastic or severely dysplastic. This report may cause the dermatologist to re-excise the lesion to make sure that it is all gone.

Question 5

i think i might have dysplastic mole syndrome. worried?

Accepted Answer

Take charge: Either you do or you don't. In either case, if you keep a close eye on your skin (and somebody special and/or your physician keeps on eye where you can't see by yourself), your changes of dying of malignant melanoma are near zero. You can't just sit and fret any more than if you thought your house was on fire. Now's the time to get with a physician who's competent on managing this.

Question 6

if a mole was removed & was normal but reoccurs years later.  is it logical that it would show as dysplastic if it wasn't completely removed 1st time?

Accepted Answer

Very logical: It may have transformed with time  also even though it was initially normal in structure.

Question 7

had mole removed - came back dysplastic but no mention if margins clear.  visually clear so dr. did not take any further biopsy/margins.  should they?

Accepted Answer

Not necessarily: but it should be easy for the pathologist to examine the margins and determine whether the lesion was completely removed.

Question 8

had a dysplastic mole removed yrs ago and pathology did not indicate if margins were clear... would the mole have grown back if margins weren't clear?

Accepted Answer

Maybe: But probably not. They're a marker for the ability to get melanoma, not so much dangerous by themselves.

Question 9

how to tell the difference between a mole and a dysplastic nevus?

Accepted Answer

Biopsy is only: way to tell for sure.  A qualified dermatologist can usually tell the difference between a benign or suspicious lesion in the majority of cases, so you should see one if your mole has changed appearance or increased in size.

Question 10

if a mole is removed that is dysplastic on pathology should wider margins be taken out as a precaution even if original biopsy visually got it all?

Accepted Answer

Atypia.: Dysplastic lesions should initially be removed with a 2-3 mm margin. If this was done and the pathologic margins were clean then no further excision is recommended.  If the pathologic margins are positive (sounds like they were not) then re-excision depends upon the degree of atypic and experience of the provider.

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Doctor answers about:

Severely dysplastic mole

A member asked:

Had a mole removed - pathology report came back severely dysplastic. 1) is it always normal to go back to get margins cut out? 2) just to be clear severely dysplastic does not mean cancer?

A member asked:

Hello i had a mole removed biopsy came back severely dysplastic. is it common for the pathologist to misread and it actually be melanoma? or is there a distinct difference?

A member asked:

I have 100's dysplastic nevi moles. many are severely atypical. do we have to keep taking them off or is there another way to see if they are cancer.

A member asked:

If you have a dysplastic mole removed will it return?

A member asked:

I think i might have dysplastic mole syndrome. worried?

A member asked:

If a mole was removed & was normal but reoccurs years later. is it logical that it would show as dysplastic if it wasn't completely removed 1st time?

A member asked:

Had mole removed - came back dysplastic but no mention if margins clear. visually clear so dr. did not take any further biopsy/margins. should they?

A member asked:

Had a dysplastic mole removed yrs ago and pathology did not indicate if margins were clear... would the mole have grown back if margins weren't clear?

A member asked:

How to tell the difference between a mole and a dysplastic nevus?

A member asked:

If a mole is removed that is dysplastic on pathology should wider margins be taken out as a precaution even if original biopsy visually got it all?

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