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 more
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 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
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
New 'mole'. How fast can a new mole become dysplastic nevus? I had one severe. On back so I cannot view well.
Have examined: There is no way to know without looking at it. Have an experienced dermatologist examine you and decide if it needs to be biopsied. If you have already had a severe dysplastic nevus, your chances of having another one are increased. ...Read more
Does this mole look like a dysplastic nevi, or something concerning that should be looked at by a dermatologist? Thank you!
Yes: Any mole that looks different from other moles on your face or body is suspicious. Irregular borders, irregular pigmentation, recent change in appearance, rapid growth, are all warning signs of a potential problem. Consultation with a dermatologist is indicated for any of the above signs. ...Read more
What's the difference between a regular mole and a dysplastic nevus? Both had the potential to become malignant.
D. Nevi vs. Melanoma: Any skin color can have nevi, but they are harder to follow on dark skin. Nevi, pigmented lesions, can change color, itch, bleed, or have irregular borders. They are on the spectrum from dysplastic nevus to malignant melanoma. Some people have many nevi and are at higher risk of getting a melanoma, especially with family history. Sun Protective clothing is key: sunscreen doesn't block melanoma. ...Read more
Can disturbing a mole via shave biopsy or laser cause it to appear dysplastic on pathology if it came back a years or so after removal?
Not likely: A previous scar should not make a mole appear to be dysplastic ...Read more
I used a needle and picked at a black mole, I think it's dysplastic nevi. Will this lead to skin cancer?
I get yearly skin screenings and will continue to do so. My question is about a previous excised mole. It was a moderate-severe atypical dysplastic nevus. I know having atypical moles can be a sign of increased chance of melanoma. I've also read that ma
Low risk: As long as the atypical nevus was excised with negative margins (normal skin at all edges), then you should be fine. Lower your risk of developing a new problem somewhere else by avoiding excessive sun exposure, or by using frequent applications of sunscreen if you must be out in the sun. ...Read more
Can a person have pain on the bottom of the foot if you have a "funny looking" mole on the side. Dermatologist said it's a dysplastic nevi.
See a dermatologist: If you are truly concerned about it and you feel that it is actually the dysplastic nevi causing the pain and nothing else then I recommend seeing a dermatologist so they can discuss treatment options. In the mean time make sure that you wear plenty of sunscreen and keep the dysplastic nevi out of the sun. ...Read more
With "recurrent Nevus phenomenon" could a previously benign mole now appear dysplastic if pathologist not aware of previous biopsy or laser ablation?
Yes. Hx is important: When a benign nevus grows back after biopsy, and is re-biopsied or excised, it may now show features that closely mimic a dysplastic nevus or even melanoma under the microscope. This melanoma-like pattern is called "recurrent nevus phenomenon." A pathologist might accidentally misdiagnose a benign, recurrent nevus as a DN or melanoma, if they don't know (or suspect) it was previously treated. ...Read more
No, they do not: Dysplastic nevi are considered a marker for melanoma risk but not a precursor lesion. Most melanomas arise on normal skin, not in a mole. Sometimes moles do develop melanoma & they start changing, one of the things we look for when suspecting melanoma. We look for abcde asymmetry, border irregularity, color irregularity & change or evolution in melanoma. Any changing mole needs to be seen by derm. ...Read more
I have dysplastic nevi syndrome. So how do I know when to see derm. If all of my new moles are out of the ordinary anyway??
Dysplastic nevi: Good questions, but to be answered by the dermatologist who sees you. Generally, you should be examined every 6 months, and photos may be taken; however some pts require exams every 3 months. ...Read more
How early should children ages 10-15 see a dermatologist, is that too young? I have dysplastic nevi syndrome and two of my kids have many moles.
FAMMM: Your condition is also called familial atypical multiple mole- melanoma. Screening for melanoma in fammm kindreds should begin at age 10 with a baseline total body skin examination including scalp, eyes, oral mucosa, genital area, and nail, as family members may develop melanoma in their early teens. ...Read more
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.?
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). ...Read more
Dysplastic nevus, or atypical moles, and they are benign lesions that resemble early melanoma, and about 1 in 10 million americans willmelanoma, what to do?
Watch carefully: Dysplastic nevi are potentially serious in that they can convert to infiltrating melanoma. In children with spitz nevus, they look malignant but never convert. In patients with neurofibromatosis there is a high incidence of dysplastic nevi and since many are present they are watched for changes in shape, darkening in color or redness around the lesion suggesting that they are converting. ...Read more
Derm noted 3 moles on back. All 3mm or under. One shade and pretty much round or oval. He said slightly dysplastic so best to remove now. What does that mean. .. Are they likely to be melanoma?
I was an excessive tanner in my teens&20s I have dysplastic nevi synd. New very dark spots pop up, are these moles &will they keep coming, ?
I have dysplastic nevi syndrome, I had 2 very similar moles shave biopsied. How is it that one came back as a sun spot, one needed reexcision was mod?
Microscopic exam: Is different. A sun spot or solar lentigo shows the basal layer of skin cells having increased amount of pigment within them. A nevus is a proliferation of melanocytes (the cells that make pigment). Most dermatologists re-excise for moderate dysplasia or above to be sure not to miss any cells that could transform into melanoma (if they believe in the dysplastic nevus/melanoma sequence). ...Read more
Is it removing moles with tea tree oil possible? Regardles to some clinical trials I cannnot see how it can remove some in sito dysplastic nevus?
Wouldn't count on it: No matter what you read either on the internet or in a journal about tea tree oil, I definitely would not rely on it to treat any type of dysplastic nevus. Even a lesion in situ! It is always best to excise (have them surgically removed) and send to the pathologist, so you can have proof that the entire lesion is out. ...Read more
How long does it take for a potentially cancerous dysplastic nevi turn to cancer if not completely removed when 1st biopsied.
No one knows: A dysplastic may never become malignant. No one really knows. ...Read more
I had a mole removed from my abs and margins were cleared. It then formed a keloid. Am I good, or do I have to return? What should I look out for?
Is it bothersome?: Keloids are enlarged scars that are larger than the original wound. They form for unknown reasons and are generally harmless but can become itchy or uncomfortable. If your keloid is bothersome for you, then there a variety of treatment options that are available to you. If it does not bother you, then you can leave it and not worry about it. ...Read more
Could having a mole removed cosmetically by laser cause that mole to show dysplasia if it came back later on as often moles removed via laser return?
Excision/nevus: I have NEVER heard of a laser ablation/excision of a mole causing the pathologic diagnosis of dysplasia. You need to see the surgeon for a better explanation... ...Read more
Had a bunch of moles removed (laser) in the past, the largest one returned to it's original state. Should I be going for the scalpel instead for this?
Derm: Best bet is evaluation by dermatologist to assess/recommend. ...Read more
Dysplastic nevi: Generally I don't do shave biopsies of suspected dysplastic nevi. However if a deep saucerization was done it might be all out. It depends if the doctor thinks that the lesion was removed or not. If just the top of the lesion was removed, it should be re excised. ...Read more
Possible: The apple doesn't always fall close to the tree. You have to check all four grandparents and all aunts and uncles. Sometimes you just get lucky (or unlucky) and get a mixed new gene from the combo of both your parents. In any event, if you have the syndrome, please be diligent with yearly full body exams by your dermatologist. ...Read more
Dysplastic nevi: You can be born with abnormal (dysplastic nevi) and you can also develop one during a lifetime. Occasionally a normal nevi develops into a dysplastic nevi or even a frank melanoma. So watch for changes and if a question arises go to your dermatologist and get it evaluated ...Read more
In a reexcision of a moderately dysplastic nevi is it possible the margins could come back unclear still?
Possible: In the majority of cases, when the appropriate margins are taken, the margins come back a clear. However positive margins do occur. ...Read more
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