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 more
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 more
????: What would you be trying to accomplish with the bandages? ...Read more
In a reexcision of a moderately dysplastic nevi is it possible the margins could come back unclear still?
Possible: In the majority of cases, when the appropriate margins are taken, the margins come back a clear. However positive margins do occur. ...Read more
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.
Any skin lesion: That small (less than 1 cm diameter), not growing, symmetrical, regular border are features suggesting benign character and ur dermatologist's words are reassuring. Take care! Http://www. M.Webmd. Com/melanoma-skin-cancer/abcds-of-melanoma-skin-cancer. ...Read more
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 more
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
Is it normal for a, fair skinned, 4-year old to have plenty of red capillaries on the cheeks? It's not like a classic spider nevi. Picture on profile
Many: It all depends on size of the lesion, location of the lesion, and experience of the surgeon. A dermatologist or plastic surgeon are both good choices. ...Read more
Dysplastic nevi: Generally I don't do shave biopsies of suspected dysplastic nevi. However if a deep saucerization was done it might be all out. It depends if the doctor thinks that the lesion was removed or not. If just the top of the lesion was removed, it should be re excised. ...Read more
Possible: The apple doesn't always fall close to the tree. You have to check all four grandparents and all aunts and uncles. Sometimes you just get lucky (or unlucky) and get a mixed new gene from the combo of both your parents. In any event, if you have the syndrome, please be diligent with yearly full body exams by your dermatologist. ...Read more
I know biopsy is warranted but does increased growth & slight colour change to dysplastic nevi always mean cancer?
No: However, you are correct in that a biopsy or removal may be warranted. ...Read more
Is it possible to have spider nevi if you're an alcoholic even if you do not have cirrhosis? Fibroscan was only 6kpa
I have dysplastic nevi syndrome. So how do I know when to see derm. If all of my new moles are out of the ordinary anyway??
Dysplastic nevi: Good questions, but to be answered by the dermatologist who sees you. Generally, you should be examined every 6 months, and photos may be taken; however some pts require exams every 3 months. ...Read more
How long does it take for a potentially cancerous dysplastic nevi turn to cancer if not completely removed when 1st biopsied.
No one knows: A dysplastic may never become malignant. No one really knows. ...Read more
How early should children ages 10-15 see a dermatologist, is that too young? I have dysplastic nevi syndrome and two of my kids have many moles.
FAMMM: Your condition is also called familial atypical multiple mole- melanoma. Screening for melanoma in fammm kindreds should begin at age 10 with a baseline total body skin examination including scalp, eyes, oral mucosa, genital area, and nail, as family members may develop melanoma in their early teens. ...Read more
Reposting this question since the "top doctors" didn't answer my question. 30 year old male, NEGATIVE for liver disease, has spider nevi (4) - causes?
Relax: Many healthy people have a few spiders. I've had one on my thumb pad since I was a kid. Life's difficult enough without reading all about nonspecific stuff and getting worried. Be thankful for good health. Folks who naturally tend to worry often do remarkably well when they start up an intense fitness program. Sound like a plan? Best wishes. ...Read more