Top
20
Doctor insights on: Junctional Nevus With Mild Atypia

Share
1

1
Please tell me if a lentiginous junctional dysplastic nevus is really melanoma in situ. My doctor won't respond.

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.

See 1 more doctor answer
Dr. Coyle Connolly
1,092 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


2

2
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?

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.

3

3
Junctional nevus with cytologic atypia concern?

Junctional nevus with cytologic atypia concern?

Yes: Depending on the degree of atypia, most surgeons recommend excision with clear margins to reduce the risk of developing skin cancer (melanoma being the most concerning). Certainly excise if moderate to severe atypia.

4

4
Melanocytic Nevus with arch disorder and mild cytologic atypia of melancytes found from mole shave biopsy. What is the treatment for this?

Melanocytic Nevus with arch disorder and mild cytologic atypia of melancytes found from mole shave biopsy. What is the treatment for this?

Removal of nevus: Excision of mole is preferred method, it gives complete picture, not missing any area of potential malignant cells. Good news you don't have, but have atypical cells, so speak to your doctor for possible excision of whole mole and analyzing (biopsy) it.

5

5
Do moles with mild atypia raise concerns about melanoma?

Do moles with mild atypia raise concerns about melanoma?

Yes: Specifically, they warn that the next mole may well be malignant -- you may well have a genetic predisposition. Do keep an eye on your moles. Best wishes.

6

6
How often should I have a professional skin check if, in the past, I've had a "compound melanocytic nevus with architectural disorder and moderate to focally severe cytologic atypia"? I'm 32 years old and this diagnosis was made when I was 27.

How often should I have a professional skin check if, in the past, I've had a "compound melanocytic nevus with architectural disorder and moderate to focally severe cytologic atypia"? I'm 32 years old and this diagnosis was made when I was 27.

Often: The description of your abnormal moles is a pathology report of dysplastic atypical nevi with architectural disorder NAD. The histology slide would show tissue with atypical cells. With moderate cytolgic atypia. These moles occur in the setting of sporadic and familial melanomas You are at a higher risk of developing skin cancer Melanoma. Make an appt today with a Dermatologist!

See 1 more doctor answer
8

8
Is dysplastic nevus with moderate atypia malignancy?

Is dysplastic nevus with moderate atypia malignancy?

No: Dysplastic nevus is not cancer, but left alone these can progress to cancer. Best to have it removed, that is all the treatment necessary.

9

9
Shave biopsy came back as this. Compound melanocytic nevus with moderate cytologic atypia. Five weeks later it's grown back already. What's this mean?

Shave biopsy came back as this. Compound melanocytic nevus with moderate cytologic atypia. Five weeks later it's grown back already. What's this mean?

You should: Have the entire lesion excised and have the specimen reviewed by a qualified dermatopathologist. Some pigmented lesions are difficult to determine, even for experienced pathologist.

11

11
Mole grew back 6 weeks after shave. Report compound melanocytic nevus architectural disorder moderate cytologic atypia. What's this mean, melanoma?

Mole grew back 6 weeks after shave. Report compound melanocytic nevus architectural disorder moderate cytologic atypia. What's this mean, melanoma?

Seek 2nd opinion: Recurrence of a mole makes it likely that it is a melanoma. You should get further surgery done by a melanoma expert (surgical Oncologist). It always useful to seek 2 or 3 opinions and go with the aggregate of the recommendation, provided to you.

13

13
Moderate atypia mole removed. My dermatologist said no worries as worry only about high dysplasia moles in which we take more tissue to be cautious???

Moderate atypia mole removed. My dermatologist said no worries as worry only about high dysplasia moles in which we take more tissue to be cautious???

Correct: Not all atypical moles progress to malignant melanoma (form of aggressive skin cancer). Those with high grade dysplasia are more likely to progress and should be removed with adequate benign tissue resection margins

14

14
I had a mole removed that came back abnormal junctional nevus". I'm going to get more skin around the site removed, mwhat dows this mean?

I had a mole removed that came back abnormal junctional nevus". I'm going to get more skin around the site removed, mwhat dows this mean?

What is abnormal?: Junctional nevus is a benign lesion. Ask your doctor what "abnormal" means, because that's a very vague diagnosis. The pathologist may have seen something in the specimen that s/he wasn't absolutely sure about, but s/he should be much more specific than "abnormal", and your doctor should explain why more tissue needs to be removed from a benign lesion.

See 1 more doctor answer
15

15
I had a mole removed that came back as junctional nevus I have to go back for more skin around the site removed what does this mean is it probsble mel?

No.: Junctional nevus is a benign lesion. Ask your doctor why more tissue needs to be removed. It may be because the pathologist saw something in the specimen that he wasn't absolutely sure was benign, or there may be another reason. You have a right to know.

16

16
My pathology report states junctional and lentiginous melanocytic nevus, extending to the peripheral edge. Is this melanoma? .

Mole, not cancer: Here is a translation of your path report: Junctional- location as it relates to depth in the skin, the junction between epidermis and dermis. Lentiginous- means flat dark spot, melanocytic- made up of pigment cells (melanocytes), nevus - a lesion that contains nevus cells a type of melanocyte, aka "mole". This is a benign spot that appears to have been completely removed. Not a malignancy.

18

18
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.

See 1 more doctor answer
19

19
What is adenomatous hyper plasia with mild atypia?

What is adenomatous hyper plasia with mild atypia?

Benign growth: It is an increase of number of cells/ benign growth that originates from the glands-with mild abnormality of the cells (atypia). Atypia can be caused by other things like irritations /infection/inflammation- not just premalignancy. Discuss further with your doctor.

20

20
Please translate. Focal squamous atypia. Ki-67 shows mild increase in cell proliferation. Focal VIN can't be excluded

Please translate. Focal squamous atypia. Ki-67 shows mild increase in cell proliferation. Focal VIN can't be excluded

Pap smear: I take it that this is the result of a Pap smear and requires follow-up by your physician as this may show some abnormal cells that could be the precursor of a possible serious condition