Top
20
Doctor insights on: Why Would Doctors Remove An Atypical Nevus

Share
1

1
Why would doctors remove an atypical nevus?

Why would doctors remove an atypical nevus?

Reduce cancer risk: Skin cancers like melanoma are totally curable when they are caught early enough. Changes in moles signal a possible start of skin cancer. If the doctor is not sure..Or if he/she is sure..The best policy is to remove the mole. After it is looked at by the pathologist, it can be determined if it is cancerous..Which may require a new surgery or not cancerous in which case it is now gone. ...Read more

See 1 more doctor answer
Dr. Coyle Connolly
1,104 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
Why would doctors excise an atypical nevus?

Why would doctors excise an atypical nevus?

Prevention: Atypical nevi have a higher propensity to become cancerous. If it is excised that chance is eliminated. Sometimes we excise them to treat and diagnose at the same time. Sending the excised lesion to a pathologist for exam will tell us exactly what it is. ...Read more

See 2 more doctor answers
3

3
Dermatologist referred me to plastic surgeon for suspicious scalp lesion removal. Was that for cosmetic reasons or because they suspect melanoma?

Dermatologist referred me to plastic surgeon for suspicious scalp lesion removal. Was that for cosmetic reasons or because they suspect melanoma?

Scalp Lesion: No way for me to know that based on sketchy information; be sure to ask the surgeon for the reason for the referral and discuss in depth. If the lesion is to be removed by the surgeon, the definitive diagnosis will be made by the consulting pathologist. No reason for undo alarm until you know more facts. Remember that even melanomas, caught in early stages, are highly curable. ...Read more

See 1 more doctor answer
4

4
Why would my doctor prefer an endometrial biopsy?

Why would my doctor prefer an endometrial biopsy?

More info?: Typically we like to do the one procedure that will give us the most complete information. ...Read more

6

6
I have an irregular mole (mum died melanoma) dermatologist said to keep an eye on it or they can remove. What do you suggest?

I have an irregular mole (mum died melanoma) dermatologist said to keep an eye on it or they can remove. What do you suggest?

See below: You concern is understandable, however, vast majority of the moles do not become melanomas. You may watch the mole and if one becomes larger, irregular, changes color, develops a nodule, ulcerates or bleeds, see your doctor. Having it removed is another option if that would give you greater peace of mind. ...Read more

7

7
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. ...Read more

See 1 more doctor answer
8

8
Would an oncologist do an intensive operation to remove a small malignant tumor because chances are that cancer would then be curable or maybe not?

Would an oncologist do an intensive operation to remove a small malignant tumor because chances are that cancer would then be curable or maybe not?

Cancer: Your question is not clear. Oncologists are not surgeons. What is an "intensive operation"? if there is a primary neoplastic growth suspicious for a malignancy and it appears well localized without distant metastasis, surgical excision with possible proximal regional lymph node dissection is the treatment of choice with or without agjuvant treatment. "cure" is not goal, control is. ...Read more

10

10
Dermatologist office called. Tiny mole they removed was mildly dysplatic. He wants to do a larger incision 'just to be safe because of an area of damage skin'. What does this remark mean?

Dermatologist office called. Tiny mole they removed was mildly dysplatic. He wants to do a larger incision 'just to be safe because of an area of damage skin'.  What does this remark mean?

Mole : Atypical , formerly termed dysplastic moles are "graded" mild, moderate, or severely atypical . The biopsy is read by a pathologist and it may be determined if the mole was completely removed or not. At times , the dermatologist may use clinical judgement to remove more tissue if the results are ambiguous . Talk to your dermatologist regarding all options ...Read more

See 2 more doctor answers
11

11
If a dr thought a mole was melanoma, do they usually do an excision biopsy as opposed to a shave?

If a dr thought a mole was melanoma, do they usually do an excision biopsy as opposed to a shave?

Excisional biopsy: An excisional biopsy is often used when a wider or deeper portion of the skin is needed. Using a scalpel, or punch biopsy tool, a full thickness of skin is removed for further examination, and the wound is sutured. Superficial shave biopsies are generally discouraged for the removal of suspicious pigmented lesions since they may not allow for optimal pathologic interpretation of the skin sample ...Read more

See 1 more doctor answer
12

12
Dermatologist told me dysplastic moles do not turn cancerous and only high dysplasia ones should be removed in case pathologist undiagnosed? Is true?

Dermatologist told me dysplastic moles do not turn cancerous and only high dysplasia ones should be removed in case pathologist undiagnosed? Is true?

Basically: If your dermatologist is confident that a particular nevus is dysplastic and not melanoma, leave it on. Keep an eye on your skin. Folks with dysplastic nevi are at greater risk for melanomas. Stay vigilant and you'll be okay. ...Read more

14

14
Why would I need to take seizure medications after a surgery to remove a malignant tumor?

Why would I need to take seizure medications after a surgery to remove a malignant tumor?

Prevent seizures: If you have previously had a seizure because of your tumor, you will need to take seizure meds for a while. If you have not previously seized, then the meds are simply used as a precaution to prevent future seizures. The use of prophylactic seizure meds is currently being studies and mildly controversial. I personally do use seizure meds in all my malignant brain tumor patients. ...Read more

See 1 more doctor answer
15

15
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

See 1 more doctor answer
16

16
My doctor found atypical cells through a biopsy. Do i need to revisit?

See details: Biopsy of what? You need to speak with the doctor who performed the biopsy and learn what needs to be done next. Atypical cells need to be explained further. ...Read more

See 1 more doctor answer
17

17
How would you read a doctor who refers you to urologist, who recommends biopsy for any psa 2.5+..My dr. Told of latter says, "buyer be aware." ?

How would you read a doctor who refers you to urologist, who recommends biopsy for any psa  2.5+..My dr. Told of latter says, "buyer be aware." ?

Unclear: My training focused on a change from baseline rather than a specific number. For instance if your psa has been 1.0 or close for a few years and in jumps up by .75 in one year, that is worth an ultrasound. Then depending on those findings a trip to the urologist for potential biopsy. Any other thoughts from collegues? ...Read more

See 2 more doctor answers
19

19
Why do docs recommend to biopsy my nodule rather than remove it?

Need more info: Where is the nodule? How big is it? Could it be just a miscommunication, a biopsy can be an excision biopsy, i.e., biopsy that removes the lesion. It would be prudent to discuss the issue with your doctor. ...Read more

20

20
Do doctors recommend that an octreoscan be done for carcinoid syndrome?

Do doctors recommend that an octreoscan be done for carcinoid syndrome?

Yes: An octreotide scan or octreoscan is a type of scintigraphy used to define metastatic carcinoid lesions. Octreotide, is a drug similar to somatostatin. It is radiolabeled with indium-111 to seek out the carcinoid lesions and is then delivered intravenously. Radioactive octreotide attaches to tumor cells that have receptors for somatostatin and releases a radioactive signal that can be detected ...Read more