Doctor insights on:
Spitz nevi: Some doctors are more aggressive and recommend complete excision with clear margins of all spitz nevi, unequivocal or not, because spitz nevi have histological overlap with malignant melanoma and recurrent lesions may present with pseudomelanomatous changes, which makes differentiation more difficult later. Personally i surgically excise all spitz nevi. ...Read more
Low risk: The skin on a Becker's has only a slightly greater chance than other skin of developing melanoma, and as far as I know no increase for other cancers. Removal with laser isn't going to be perfect. Richard Gere showed his off in lovemaking scenes, other male models / actors have kept theirs, and the several physicians I know who have a Becker's all like them. "That's where a bear licked me!" ...Read moreSee 1 more doctor answer
No specific link: The congenital melanocytic nevus syndrome is considered sporadic in its occurrence.A few available studies of biopsy material have found abnormalities on the 1st, 12th or 19 th chromosome but no consistent pattern is reported.See the recent article : www.Ncbi.Nlm.Nih.Gov/pmc/articles/pmc2994429. ...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
Could be genetic: There are several genetic syndromes that predispose one to multiple nevi at a young age, that could progress to more serious lesions. It would be prudent to have the teenager evaluated by a dermatologist, who would be most familiar with those syndromes. ...Read more
Can be difficult: Identifying dysplastic nevi can be difficult. There is a spectrum of changes in nevi, benign ->mild/moderate dysplasia->severe dysplasia->in-situ melanoma ->malignant (melanoma). There is no one feature of dysplasia, it is a combination of findings. Young patients can have very atypical looking nevi that are completely benign. Requires experience; send to a Dermatopathologist if there is doubt. ...Read moreSee 1 more doctor answer
In a reexcision of a moderately dysplastic nevi is it possible the margins could come back unclear still?
Is very small congenital nevi of concern? 14 yr old son has one that's grown to 5mm. Not evaluated as congenital, but generally appears ok to derms.
My dermatologist removed a clarks nevi (?) from my chest. She left a border. Should that be removed now, or should I wait 2 see if there are changes?
Resect and screen: I would remove the whole lesion with clear margins to be safe as there was something concerning about it which warranted the resection in the first place. It is possible that another area of the lesion has cells which have the potential to develop into a tumor. If you have many moles it is important that you also make sure and follow up regularly with a dermatologist for screening. ...Read moreSee 1 more doctor answer
How serious is sebaceous Nevi? 2 on scalp.. I'm very worried... Do they need to be removed- I am 32 years old. Can I die from them . Please help!!!!!!
Benign: Sebaceous nevi are benign, so you are not going to die from these. You should get these removed for cosmetic reasons. You may consult this site for additional information: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3162275/ ...Read more