A shave bx for a lesion on my back revealed a dysplastic nevus with severe changes. It reappeared in the same spot, and was bx'd again. This time, a dermatopath reviewed the case and said it was paucicellular, but was "very worrisome for a very early, evolving melanoma," hence my recent wide excision. I'm worried that not having a definite answer is affecting my follow up care, as I have had no additional testing. Should I ask for more? If it is Melanoma, I want to be as cautious as possible.
I'm Afraid my "Non-diagnosis" Will Affect my Follow Up and Treatment. I Possibly Have Melanoma?
Doctor Answers 2
should have the dermatopathologist review the original slide and get another opinion...but in any event it appears you had sufficient therapy...and need nothing more other than a periodic general full body check...the recommendations are evolving and now are more realistic than as recently as a few years ago...assuming there's no history to suggest there's a family tendency to melanoma, then the idea of monitoring the skin frequently and undergoing blood tests or xrays/scans is outmoded and actually was never was a good idea...melanoma is extraordinarily common and not nearly as scary as most people think...the cure rate on average is in the high 90% range with nothing more than in-office surgery...of course deep invasion spells trouble, but that's relatively uncommon compared to the vast majority of melanomas...and don't forget to limit your sun exposure...
Have a question? Ask a doctor
Melanoma and recommended guidelines
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.