Re-excision after biopsy showed abnormal cells

Did you just receive a melanoma diagnosis? This is the perfect moderated forum to obtain information about pathology as well as get your most important questions answered.

Re: Re-excision after biopsy showed abnormal cells

Postby momof4 » Mon Feb 13, 2012 12:59 am

Your pathology should state the degree of atypia.  Mild, moderate or severe.  Maybe call your derm office and ask them to send you a copy of the pathology report.  You can always post it here and those with experience can comment.  When it is mild there is never a need for add'l treatment.  If a moderate doesn't show clear borders to the pathologist they will generally recommend a conservative re-excision.  Severe is always excised even if borders are clear.  I have never had a biopsy report not say a degree of atypia.  going on biopsies no 18, 19 and 20 right now).  Any sort of atypia is not melanoma.  There is a slight chance that severe may progress to melanoma.  The main indication with atypical moles is your elevated risk for developing a later melanoma unrelated to the atypical mole.  

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Re: Re-excision after biopsy showed abnormal cells

Postby Lompoc » Mon Feb 13, 2012 1:55 am

The pathology report shows two "junctional nevus with dysplastic features" and four "compound dysplastic melanocytic nevus".  I don't see the words mild, moderate or severe anywhere on the pathology reports.  What do these terms mean as it relates to mild, moderate or severe?

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Re: Re-excision after biopsy showed abnormal cells

Postby Catherine Poole » Mon Feb 13, 2012 6:48 am

Dysplastic used in both of these descriptions is what we term atypical moles. They aren't the perfectly rounded moles but instead have "funny" appearences to them.  These both described are not cancerous as they are not melanomas.  But many docs do take these off wholesale instead of more judiciously.  No one can predict what mole may turn to melanoma.  But a change to an existing mole may warrant a biopsy.


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Melanoma International Foundation


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