Doctor insights on:
Congenital Hairy Nevus
What to do if I have a hairy congenital nevus on my upper right leg. are there ways to remove it with minimal scarring ?
Possibly: I would consult with a surgeon or plastic surgeon about the options you have available. Size and location may determine the type of procedure required and the potential scar. ...Read more
Often no Rx best: It depends on the case. Even good plastic surgery is likely to disfigure. When these are excised, they tend to grow back because they originate in the deep nerves and are resupplied with cells from there. Ask ten of your real friends whether to try to remove it or leave it alone. You'll be surprised. Invite folks to touch it for good luck. ...Read moreSee 1 more doctor answer
Lucky you: Leave it alone. Many of the women will like it. Keep an eye on it -- if an area starts to undergo obvious change, have it removed promptly; you have enough time before it's dangerous. If you decide you just have to have it removed by laser or surgery, you may be disappointed. Better to enjoy what Nature gave you. ...Read moreSee 1 more doctor answer
Change in Nevus: The majority of congenital nevi are benign and do not require removal. A change in the size, shape, symmetry, color, or ulceration should be evaluated by a dermatologist as soon as possible. Further evaluation with dermoscopy or confocal microscopy may provide additional information for the decision to remove the nevus to determine the presence of malignant melanoma. ...Read more
Changes in Moles: Whenever you have a mole that has changed, the safe thing to do is have a dermatologist check it out. Fortunately by seeing a doctor early, the majority of malignant melanomas, the skin cancer that can form from moles, are treated by simply excising them. Early examination is the key! ...Read more
Sometimes: There is a ton of variability within skin lesions. Some very bland lesions can have cancer, and others that look very ugly can be free of cancer. Fortunately, the "abcd" of skin lesions is useful to decide which need a biopsy. Asymmetry, irregular borders, dark or irregular color, or a diameter greater than 6 mm are higher risk features. Finally, if a nevus is changing that should prompt biopsy. ...Read moreSee 1 more doctor answer
Mole came back as compound nevus with congenital features. It was a scallop biopsy and the mole regrew in places within 2 months. Dr wasn't concerned and said it's normal to see this. Should i worry?
Compuond nevus, : You have a recurrent nevus. If the diagnosis was compound nevus with congenital features you should not worry. As long as there was not any dysplasia. However pathologic interpretation of a reexcised recurrent nevus can be problematic so if you were to get the regrowth excised be certain the pathologist knows that this is a recurrent lesion after a shave biopsy. ...Read moreSee 1 more doctor answer
I have a congenital nevus with lots of hair on it. I have what seems to be a pimple on it, but I've never had one on it before. Do I need to see a doc?
Yes: Nevus of ota, described by ota and tanino in 1939, is a hamartoma of dermal melanocytes which presents as a blue or gray patch on face, which is congenital or acquired in the distribution v1 and v2 nerve. Associated ocular complications need to be treated. Good success rates & minimal adverse effects have been reported with the q-switched ruby, q-sw alexandrite, q-sw nd:yag lasers multiple times. ...Read more
No: Clark's nevus is a type of atypical (dysplastic) nevus or mole. Many dermatologists feel these are benign, some experts think they're precursors to melanoma. Having many clark's nevi always increases the risk of melanoma. Becker's nevus is a benign (normal) nevus that occurs on the trunk, often in boys and men. They're often large and light brown. Sometimes hairs can grow from it (after puberty). ...Read moreSee 1 more doctor answer
DYSPLASTIC NEVUS: THIS IS A NEVUS (MOLE) WITH AN ABNORMAL DEVELOPMENT OR GROWTH OF CELLS. THIS SHOULD BE SEEN BY A DERMATOLOGIST WHO WILL DECIDE WHETHER TO EITHER WATCH IT PERIODICALLY OR TO CUT IT OUT -- BIOPSY IT -- UNDER LOCAL ANESTHESIA AND THEN SEND THE SAMPLE TO A SPECIALIZED PATHOLOGIST FOR AN EXAMINATION. ...Read more
ABCDE's of moles: Atypical moles that resemble melanoma often has one or all of the following characteristics: a for asymmetry; b for irregular borders; c for lots of different colors (or shades of brown); d for rapidly growing diameter; e for evolving or changing mole. If you have any moles with these characteristics, you should see a dermatologist. ...Read moreSee 1 more doctor answer