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My Husband Had Moles Removed and the Severe on Shows Lesion Close to a Letral Inked Edge

asked 1 year ago by Tracy in Manchester in Marlton, NJ
Latest answer by Tracy Kuykendall, MD
Question viewed 532 times
Tags: male, biopsy, removal, results, stitches

he had 4 shave biopsy's of moles, 2 came back mild, 1 moderate and 1 severe. Had severe one removed thursday - diagnois on original biopsy states Junctional melanocytic nevus with architectural disorder and severe cytologic atypism of the melanocytes comments the lesion is close to a lateral inked edge. Now received a call, and no one is in office to answer, but his appt for June 2nd to remove stitches needs to be changed based on biopsy results, what could that mean?

4 answers to My Husband Had Moles Removed and the Severe on Shows Lesion Close to a Letral Inked Edge

+1

Atypical Nevi

Our most dreaded call: The Atypical Nevus. There are many theories behind the atypical mole. Are they "pre-cancerous"? We don't really know but the easiest way to explain to patients is that they are. Atypical Nevi are graded as "mild, moderate, or severe". And there are variations among these depending on which pathologist reads them. We all have our opinions, but usually we all follow certain guidelines. If moderate or severe, we re-excise.... more
+1

Appropriate Treatment for Atypical Moles

Atypical moles (also called dysplastic nevi) are usually rated by the pathologist as being mild, moderate, or severe. In our office, we will do an excision with suture closure to get clear margins for all moles that have moderate to severe atypia. If the margins are close to the edge, another procedure to remove more tissue may be indicated. Far a mildly atypical mole we will observe the area and, if any pigmentation recurs in the biopsy site in the future, a very small excision is done... more
+1

Treatment for moles with severe atypia

Dysplastic moles (moles with some atypical features but still benign) can range in atypia from mild to moderate to severe. Severely atypical moles are very close in their histologic appearance to melanoma and need to be removed completely. So if the biopsy shows that the severely atypical mole goes to a lateral margin, it should be removed so that it is completely out with a margin of normal skin.
+1

Moles

What you are describing is DYSPLASTIC NEVI. these have a slightly higher chance of developing cancer. Therefore they should be removed completely. Also when you have dysplastic nevi you should follow up with you dermatologist on a regular basis for complete check from head to toe at least on a yealy or half yearly basis.

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