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Dysplastic Nevus or melanoma question

Forums General Melanoma Community Dysplastic Nevus or melanoma question

  • Post
    frannie72
    Participant
    Just got mole removed during routine check. Have been pretty good about skin checks, especially in last 10 years (am 49, female). Doctor said mole is most likely a dysplastic nevus but needs to go. Said not to worry, highly unlikely it’s melanoma but it could be eventually. Pencil eraser size, one side is darker brown, one edge a little uneven. I’ve had this mole forever  and I don’t think it’s changed but it’s in a weird spot so hard for me to see it (very low back). Plus I’ve had regular skin checks, almost every year. I did some reading and it seems like the majority of melanoma do not arise in existing moles (I did not know, sorry if that’s old news to you all!). What is your experience with dysplastic nevus becoming melanoma?  Will have biopsy results in 2 weeks.

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      JudiAU
      Participant
      Well, yes. I had one change. Regular mole for as long as I remember that changed when I turned 40. Grew, changed shape, flaked and this rude woman from preschooler hassled me to get it checked. 2B melanoma. 4 year later I was stage 4.

      so yes, it happens but mostly it does not. Rely on the pathology report. .

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      frannie72
      Participant
      Hello,

       

      Thought I’d post pathology report, just got it, I think I understand it, more or less. Doc says won’t re-excise at this point since it’s “moderate” but will watch for regrowth.  I am at higher risk since I do have dysplastic nevi but doc says once/year is fine for skin check?

      FINAL PATHOLOGIC DIAGNOSIS

      Left lower back: Dysplastic nevus with moderate atypia
      MICROSCOPIC DESCRIPTION:
      An upper dermal and junctional proliferation of melanocytes
      demonstrates moderate confluence of nests between adjacent rete
      ridges, papillary dermal fibroplasia, and moderate nuclear
      hyperchromasia within random melanocytes. The biopsy tissue edges are
      free of involvement.

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