Doctor insights on:
If You Have A Dysplastic Mole Removed Will It Return
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
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?
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
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
3 mm wide mole removed. Pathology dysplastic but no mention if margins were clear. Why wouldn't pathologist indicate clear or not? Re-biopsy required?
Margins on mole: Margins are typically reported on most moles. However, if the initial excision was a shave or a close biopsy, where primary goal was to see if it was dysplastic and limit the size of the defect, then margins may not matter on the report. Best to consult with your dermatologist since an additional excision may be required. ...Read more
Dysplastic moles: the only way to know if a mole is truly dysplastic is to biopsy it and look at the cells under the microscope. At that point, the dermatopathologist can determine the level of dysplasticity. Once that information is acquired, the treating physician will know whether or not complete excision is warranted. ...Read more
Dermatologist told me dysplastic moles do not turn cancerous and only high dysplasia ones should be removed in case pathologist undiagnosed? Is true?
Dermatologist office called. Tiny mole they removed was mildly dysplatic. He wants to do a larger incision 'just to be safe because of an area of damage skin'. What does this remark mean?
Mole : Atypical , formerly termed dysplastic moles are "graded" mild, moderate, or severely atypical . The biopsy is read by a pathologist and it may be determined if the mole was completely removed or not. At times , the dermatologist may use clinical judgement to remove more tissue if the results are ambiguous . Talk to your dermatologist regarding all options ...Read moreSee 2 more doctor answers
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