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Dermatopathology Report Question
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Dermatopathology Report Question

› Forums › Cutaneous Melanoma Community › Dermatopathology Report Question

  • Post
    • April 11, 2018 at 8:22 pm
    MrG
    Participant

      Hello All,

      I had a mole removed in March and the diagnosis was 'compund nevus with moderate dysplasia' and it noted the margins appear free of melanocytes.  With that said, I had a severe dysplastic mole removed a year ago and went back in for a wide margin removal of the site. The report notes that should the pigment persist or the lesion recur, more complete removal is recommended. Given my background, should I go ahead and insist on having another wide margin removal?  

      Thanks for the advice!

       

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        • April 12, 2018 at 12:36 am
        Janner
        Participant

          They recommend 5mm margins for severely atypical lesions.  For moderately atypical lesions, the recommendation is clean to conservative margins.  If you already have clear margins, I, personally, would not go back for more for a moderately dysplastic nevus unless I had pigment regrowth.  If the margins weren't clear, I would.  That's what I would do.  You have to do what makes you comfortable.

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