Doctor insights on:
I Had A Dysplastic Nevus Removed And It Recurred Should I Worry
Please tell me if a lentiginous junctional dysplastic nevus is really melanoma in situ. My doctor won't respond.
There is a subtle di: Melanoma in situ is different than a dysplastic nevus, but it is a continuum. They both need to be treated in the same manner, re-excision with a negative margin.But remember one is a cancer the other one is a precursor of cancer. So it has long term health implications for health insurance etc. ...Read moreSee 1 more doctor answer
Dysplastic nevi: "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. Get the dysplastic mole removed. ...Read more
Severely dysplastic nevus removed via MOHS 1 yr. ago. 3 in scar on hip. My scar aches a little today after heavy housework involving bending. Normal?
Most likely: Normal unless more pain or bleeding occurs at the scar site. Normally scar tissue can be reinjured considering the surgery probably removed or severed nerves. When in doubt get it checked out. Good luck ...Read more
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
Dysplastic nevi: "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 so it will not become a melanoma. ...Read more
Close monitoring: Dysplastic nevus syndrome is a condition in which the person has many (often 100's) atypical moles. With the syndrome, one has a higher risk of developing malignant melanoma, which is a high risk skin cancer. For this reason, frequent and close monitoring with self skin checks and routinely by a dermatologist is a must. ...Read moreSee 1 more doctor answer
In Certain families: A dysplastic nevus is the term for a biopsy appearance of the pigmented lesion under the microscope - cells with atypia. The lesion itself to the naked eye or under magnification has asymmetry, irregular border, & different pigment colors. Only with pathology can one be sure that the nevus has not become an active melanoma. Families with many dysplastic nevi are at increased risk of melanomas. ...Read more
You have asked...: ...One of the most controversial questions in dermatology. One faction believes that dysplastic nevi are precursors of melanomas, and should be excised before they become melanomas. Another faction believes dysplastic nevi are benign moles that never become melanomas. There is evidence to support both arguments. ...Read moreSee 1 more doctor answer
I had a shave removal that came back as "Lentiginous Junctional (Dysplastic) Nevus with mild atypia, to <0.2 mm OF. Is this of concern?
No: If it is not a melanoma, it is of less concern. Being dysplastic, is a pathologic concerning point, but with it's small size, I would closely watch it. "Mild atypia" is the key to the answer. That is why shave removal's never really remove these, just the top layer. If any increase in size, remove immediately. ...Read more
No serious complicat: As such, no complication except it needs to be removed completely by obtaining a negative margin which would mean second surgery if it is transacted by the shave biopsy. Secondly if it was actually a melanoma, it is difficult to get the exact depth of penetration, which is necessary for future management decisions. ...Read more
25%: We remove them if we suspect they are malignant. There is rarely any benefit from removal of benign "dysplastic" nevi. All recent studies indicate that your omega 3 is a waste of money. Aspirin may reduce the risk of skin cancers, including melanoma. The dose is 81mg (baby aspirin). If your aspirin is coated, throw it away. It must be uncoated to be effective. Get CHEWABLE baby aspirin. Can swallo ...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
What is the likelihood of a dysplastic nevus turning into melanoma? I can't find any relative data online
Depends: It depends on several factors, like the total # of dysplastic nevi, nevi size, patient age, family history, etc. The reported annual transformation rate of any single mole into melanoma is ?1 in 200,000 in people 60. Check out this paper by Tsao H, et al, in Archives of Dermatology in 2003: The Transformation Rate of Moles (Melanocytic Nevi) Into Cutaneous Melanoma. ...Read more
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