I Had a Mole Removed a Week Ago Using the Punch Method?

The pathology report came back benign with clear margins - but it did contain some atypical cells. What's the next step?

Doctor Answers 4

Mole removal

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That would depend on the specifics of the pathology report.  Usually if the margins are clear and it was benign, no further treatment is necessary.  Sometimes depending on the degree of atypia, further excision may be recommended for further treatment or to assure no recurrence.  Regardless, the area should be observed for any signs of recurrence.

Boca Raton Plastic Surgeon

Atypical mole

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Usually a mole that is removed and shows atypical cells needs a slightly wider deeper re-excision.  The other term for this kind of mole is a dysplastic nevus.  I would have to say that re-excision isn't absolutely necessary particularly if you are able to observe the site and re-excise if the mole returns.  For peace of mind most people elect to undergo a quick re-excision.

Steven Swengel, MD
Los Gatos Dermatologic Surgeon
5.0 out of 5 stars 13 reviews

Mole removal with atypia

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Observation of the mole scar is the first and longterm step. Depending on the amount of atypia, conservative treatment or re-excision with larger margins is possible.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

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Mole removal

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Treatment really depends on the specifics of the pathology report.  I would discuss this with your physician that treated you. 

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

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.