Doctor insights on:
Lentiginous Compound Nevus
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. ...Read more
I was diagnosed with Lenticginous compound melanocytic nevus, and was recommended for surgery to remove it. Just want a second opinion?
Mole: A mole removal isnot a serious ordeal but if the mole trans forms it can be more serious therefore it is not a bad Idea to follow your dermatologist's advice ...Read more
I had a shave biopsy on a compound melanocytic nevus. Came back benign. One month later I noticed a 0.5mm brown dot in center. Should I be concerned?
Compound Nevis: Shave biopsies sometimes don't remove all of the nevus, and they recur. That is the most likely explanation. Of course, follow it carefully and return to your dermatologist if it continues to grow for complete removal. ...Read more
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! ...Read more
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. Great aun
Nevus: If the lesion is stable for 5 years since the diagnosis, have it examined at least once a year, if any change at all needs immediate examination. ...Read more
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. ...Read more
Mole came back as compound nevus with congenital features. It was a scallop biopsy and the mole regrew in places within 2 months. Dr wasn't concerned and said it's normal to see this. Should I worry?
Compuond nevus,: You have a recurrent nevus. If the diagnosis was compound nevus with congenital features you should not worry. As long as there was not any dysplasia. However pathologic interpretation of a reexcised recurrent nevus can be problematic so if you were to get the regrowth excised be certain the pathologist knows that this is a recurrent lesion after a shave biopsy. ...Read more
Mole grew back 6 weeks after shave. Report compound melanocytic nevus architectural disorder moderate cytologic atypia. What's this mean, melanoma?
Clinic doctor & nurse practioner diagnosd me with genital warts. Specialist Gyno doc & emergency room doc diagnosed me with compound nevus. Which one?
Whoa: "Compound nevus" cannot be diagnosed until the lesion is excised -- it can't be told from an intradermal or junctional nevus with any reliability. It sounds like you'd like to have the thing removed -- it's your prerogative. ...Read more
Not really: Nobody really likes the terms "pigmented hairy epidermal nevus" or "nevoid melanosis". I have several colleagues who are physicians and/or athletes who have Becker nevi and all of them like it. If you have one, I hope you enjoy it as well. Richard Gere's is famous and he used to show it off onscreen. Best wishes. ...Read more
Yes: Nevus of ota, described by ota and tanino in 1939, is a hamartoma of dermal melanocytes which presents as a blue or gray patch on face, which is congenital or acquired in the distribution v1 and v2 nerve. Associated ocular complications need to be treated. Good success rates & minimal adverse effects have been reported with the q-switched ruby, q-sw alexandrite, q-sw nd:yag lasers multiple times. ...Read more
No: Clark's nevus is a type of atypical (dysplastic) nevus or mole. Many dermatologists feel these are benign, some experts think they're precursors to melanoma. Having many clark's nevi always increases the risk of melanoma. Becker's nevus is a benign (normal) nevus that occurs on the trunk, often in boys and men. They're often large and light brown. Sometimes hairs can grow from it (after puberty). ...Read more
Risky business: Moles that are suspicious for melanoma have asymmetric distribution of pigment, irregular borders, color variation, diameter of 6 mm or more, may be slightly elevated, and may evolve or change over time. I have seen plenty of melanomas that have some or all of these characteristics, but I also have seen melanomas that have none of these characteristics. See your doctor or a dermatologist. ...Read more
I had a atypical NEVUS removed yesterday with around 10 or 12 stiches I'm concerned with busting them when I move any advice? In my back
Careful: Usually when you have stitches and pull on them hard enough to burst them it is painful. If you just be careful and try not to overstretch the area you should be fine. ...Read more
Why do benign nevus's grow back if not completely removed? Why don't the left over cells just stay as they are rather than grow back again?
Growth potential: Nevus means new growth; nevi are benign neoplasms, i.e., small tumors capable of infinite but slow growth. Any nevus cell you leave behind may regress (die) or progress to a new clone depending on the strength of your opposing immune system ...Read more
Not usually: This should not disqualify you. However do not ignore. Please continue regular follow up and examination. Consider biopsy for any changes. ...Read more