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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
1,101 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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I think I might have dysplastic mole syndrome. Worried?

I think I might have dysplastic mole syndrome. Worried?

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

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How to tell the difference between a mole and a dysplastic nevus?

How to tell the difference between a mole and a dysplastic nevus?

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

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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

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Does this mole look like a dysplastic nevi, or something concerning that should be looked at by a dermatologist? Thank you!

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

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What's the difference between a regular mole and a dysplastic nevus? Both had the potential to become malignant.

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

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I used a needle and picked at a black mole, I think it's dysplastic nevi. Will this lead to skin cancer?

I used a needle and picked at a black mole, I think it's dysplastic nevi. Will this lead to skin cancer?

No: It is either cancer or not. Picking at it can make it inflamed, but not change it into cancer. Chronic irritation is not good, but a one time event is fine. If you think it's dysplastic then see a dermatologist to have it removed. Dysplastic nevi can become malignant over time. ...Read more

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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

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

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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

Excise (Definition)

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


Dr. Coyle Connolly
479 Doctors shared insights

Nevi (Definition)

Nevi ...Read more