Doctor insights on:
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. ...Read more
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. ...Read more
YES: Why do you ask? Both of these are benign. ...Read more
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?
New 'mole'. How fast can a new mole become dysplastic nevus? I had one severe. On back so i cannot view well.
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?
Most likely no: Depending on how deep the mold removal was and how deep the pigmented cells were, the mole can come back, but if the original biopsy showed benign, then most likely you do not have to worry abou it, but see a dermatologist to be on the safe side. ...Read moreSee 2 more doctor answers
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?
Not necessarily: but it should be easy for the pathologist to examine the margins and determine whether the lesion was completely removed. ...Read more
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. ...Read more
Mole removed. Over time it slowly grew back. Removed again and now shows dysplastic? Can original removal cause a false positive an subsequent biopsy?
False positive: Although previous surgery and/or trauma to an area can create difficult-to-interpret pathologic changes, that does not mean that dysplasia is not present. If a mole is dysplastic on pathology, then additional excision is required (assuming the biopsy had a close margin). Return to your dermatologist for a full discussion about this. ...Read more
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?
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. ...Read more
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