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Doctor insights on: If You Have A Dysplastic Mole Removed Will It Return

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If you have a dysplastic mole removed will it return?

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

Dr. Coyle Connolly
1,025 doctors shared insights

Moles (Definition)

A mole (also called a nevus) is a localized overgrowth of pigment-producing cells (melanocytes) in the skin. Most moles are benign. However, these cells can become cancerous. This is known as melanoma, ...Read more


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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?

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

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Mole removed. Over time it slowly grew back. Removed again and now shows dysplastic? Can original removal cause a false positive an subsequent biopsy?

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

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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?

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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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

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Why aren't all dysplastic moles removed from people as a precaution?

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

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Dermatologist told me dysplastic moles do not turn cancerous and only high dysplasia ones should be removed in case pathologist undiagnosed? Is true?

Dermatologist told me dysplastic moles do not turn cancerous and only high dysplasia ones should be removed in case pathologist undiagnosed? Is true?

Basically: If your dermatologist is confident that a particular nevus is dysplastic and not melanoma, leave it on. Keep an eye on your skin. Folks with dysplastic nevi are at greater risk for melanomas. Stay vigilant and you'll be okay. ...Read more

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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

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Dr. Coyle Connolly
479 doctors shared insights

Nevi (Definition)

Nevi is also known as Birthmark. Nevi is a clinical finding for a pigmented area of skin, such as ...Read more


Excise (Definition)

To surgically remove an organ or body part or tissue. This is done with ...Read more