Doctor insights on:
Spitz Nevus Cancer
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 from 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
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Sometimes: There is a ton of variability within skin lesions. Some very bland lesions can have cancer, and others that look very ugly can be free of cancer. Fortunately, the "abcd" of skin lesions is useful to decide which need a biopsy. Asymmetry, irregular borders, dark or irregular color, or a diameter greater than 6 mm are higher risk features. Finally, if a nevus is changing that should prompt biopsy. ...Read more
Can sebaceous Nevus turn to cancer? If so how likely? And how often should it be checked. I'm scared what should I do
Remove the lesions: As I may have mentioned earlier, the lesions need to be excised. Even though the lesions are benign, they will grow. ...Read more
Not generally: A halo nevus is a benign pigmented spot that has a pale ring around it. Usually this a sign that your immune system is attacking the pigment cells and the nevus may actually disappear. It is not typically a bad sign, but it is often considered for biopsy because a changing mole may suggest that it is transforming from totally benign to premalignant. ...Read more
I was told I have a nevus in my eye. Follow up in a year. How often do these become cancer? I think the Dr said it was in the choroidal area?
Should I get rid of my nevus spilus because of the cancer risk? It's on my leg, almost 3cm big. I don't want to remove it but should I worry about risk
Pathology moderate atypical dysplastic nevus, recommend further excision. Is this cancer/melanoma?
Not yet: It may develop into a malignancy but is not yet. The borders may be incompletely excused, or te pathologist may feel that a wide enough clear margin has not been achieved. ...Read more
I'm 19 years old and just had a nevus dysplasia biopsy result. Follow up in 2 weeks. Though benign, what is my future outlook like with skin cancer?
Possibly: Some locations of nevi are more likely than others to become cancers tha others. Watch all for changes. ...Read more
I got a call from the dermatologist's office. I have a small mole on my butt, a severe dysplastic nevus with pre cancerous cells. Is this cancer? I have further surgerynext week.
Possibly: So far the dermatologist doesn't have enough information to diagnose cancer. You need to have the whole thing removed and carefully examined by someone with pathology training. This wouldn't be colon cancer, and if you had colon cancer, this would be an unlikely place for it to turn up. ...Read more
What happen if there are cancer cells in a sentinel lymph node in the biceps but none in the armpit? The tumor started from a nevus on the arm.
Complete dissection: I would recommend that you undergo a complete axillary dissection and a complete removal of any remaining nodes where the positive node was located. ...Read more
They can change!: Melanoma is a skin cancer that involves the cells which produce pigment. Moles on our skin also contain the same cells so when they change and appear worrisome (the abcde's) we worry about those cells transforming into melanoma. So moles don't cause cancer but can transform into cancer given the right conditions (sun exposure, family/genetic history. Etc.). Visit www.Skincancer. Org for more info. ...Read more
Not necessarily: We usually describe regular or irregular moles and also cancerous ones. Irregular or asymmetric moles usually can be bigger & raise more scrutiny when there are many. Any change in color, size, border, etc should be checked. Some regular moles can become irregular/asymmetric. Irregular moles may confer risk of melanoma elsewhere usually not themselves progressing to melanoma. Thorough derm eval! ...Read more
No: It is hard to know if your moles are concerning without an examination. It is concerning when moles change — change in size, color, become irregularly shaped, itch, bleed. Most moles are relatively easy to remove and test. Please see your primary doctor or a surgeon to see if this needs to be removed and tested. ...Read more
Have new ones checkd: Although changes in our skin are normal as we age, if u notice new changes that r concerning have them looked at by your regular doctor. Most benign skin changes are easy to identify by looking at them. Skin cancer identification is defined by the a, b, c's. An- asymmetric shape. B- borders that are irregular, c-color (multiple colors are concerning) there are some more features but these r basics. ...Read more
Watch closely: You should watch the moles to see if any is growing, changing color, bleeding or becoming a mass. If you see any changes, consult your doctor. If you want to be absolutely sure, you could have the mole in concern removed, however, that is usually not a practical issue since most people have multiple moles. ...Read more
They can be: An irregular mole which is changing in size shape or color can be a melanoma. That is why the acronym, abcd was designed to remind us that an asymmetric, border irregular, color- mixtures lesion with a diameter of more than 5mm should make us/you suspect that the mole may indeed be a melanoma, so a biopsy is often recommended. In such situations. ...Read more
Biopsy: The only definitive way to confirm suspicious lesions will be with biopsy of the lesion. ...Read more
I have moles on my head and keep getting more. One is white with a brown ring around it. I also have one that's white with pink around it. Cancer?
Not Likely: Probably benign spots but you should see a dermatologist. ...Read more
Moles appearing that I've never seen before. When is it a danger? How do I know if the mole is cancerous? What is the likelihood of it being cancer?
Look for ABCD moles:
A = asymmetrical
b= border of mole is irregular
c= variegated (different colors or shades within)
d = diameter greater than 6mm (the size of a pencil eraser)
These are general guidelines ; see your dermatologist if you have any concerns. ...Read more
Skin cancer: There are different techniques to remove skin cancer. The technique that has the highest cure rate and that spares the most normal tissue is called mohs micrographic surgery. This method allows the cancer to be traced out under the microscope by examining the entire periphery of the excised tumor. If any roots are seen the excision and microscopic checking continues until tumor free plane obtained. ...Read more
Seek Dermatologist's: A good dermatologist can check your moles and advice you whether your moles are benign or suspected to be cancerous. More than 90% of the moles are benign and do not need surgery, yet they need to be monitored carefully both by you(for any changes) and your doctor, and you need to use sunb protection on your skin on a regular basis. ...Read more