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Necessary to re-excise?
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Necessary to re-excise?

› Forums › General Melanoma Community › Necessary to re-excise?

  • Post
    • August 19, 2014 at 7:28 pm
    curious12
    Participant

      My son (age 9) had a spot removed from his heel. It was removed via punch and apparently was mildly atypical, but with margin(s) involved. The derm thinks completely unnecessary to re-excise. I am bummed there are margins (although thankful it is nothing)  Would it be overkill to take him elsewhere to re-excise? I have read that acral nevi on kids appear atypical under the scope anyways. It was 1mm,dark and on his sole? It's also painful to have a shot there, but will do it if need be! I'm not comfortable asking the derm to do it– he really didn't even want to remove it in the first place. Another derm thought it was slightly atypical but she couldn't do a punch so I went to him. guess that backfired!!

    Viewing 2 reply threads
    • Replies
        • August 19, 2014 at 10:55 pm
        curious12
        Participant

          Hi, i just wanted to add since I got the path report. It says MINIMAL cytologic atypia and extends to one peripheral margin. (Final diagnos- still says Mild Atypia) I'm feeling better about watching but would love input. Janner? : )

            • August 20, 2014 at 12:47 am
            Janner
            Participant

              Based on location and mild atypia, I'd be ok watching it.  If the pigment grows back, I know that I would probably re-excise, but I have had three primaries and high risk.  You should probably discuss with the derm if that happens.   It sounds like it really is totally benign and I've had shots in the heel and know they aren't fun.

              • August 20, 2014 at 1:07 am
              curious12
              Participant

                Thanks–and absolutely if pigment grows back, it is coming off (I already told derm that and he said yes)
                He just didn't think taking more off now was necessary. This isn't my "main" derm… but he will take anything off, does punches, sends to a good lab and gets results within 48 hours. Only thing I don't love is how casual he is.  I got a little panicky when I saw you had written that a biopsy can trigger something (I did a search on it) I suppose I could always ask the derm who said it should come off, for her opinion… but I probably should put it to bed! Thanks again  : )

                • August 20, 2014 at 9:30 am
                JC
                Participant

                  "a biopsy can trigger something"

                   

                  What does that mean?  That a biopsy can actually trigger getting melanoma?  What if you get a cut or just regular surgery, any kind of incisions/break in the skin can trigger something?

                  • August 20, 2014 at 9:30 am
                  JC
                  Participant

                    "a biopsy can trigger something"

                     

                    What does that mean?  That a biopsy can actually trigger getting melanoma?  What if you get a cut or just regular surgery, any kind of incisions/break in the skin can trigger something?

                    • August 20, 2014 at 9:30 am
                    JC
                    Participant

                      "a biopsy can trigger something"

                       

                      What does that mean?  That a biopsy can actually trigger getting melanoma?  What if you get a cut or just regular surgery, any kind of incisions/break in the skin can trigger something?

                      • August 21, 2014 at 10:18 am
                      JC
                      Participant

                        " I got a little panicky when I saw you had written that a biopsy can trigger something (I did a search on it)"

                         

                        Can someone post the information about this (biopsy triggering something)

                        • August 21, 2014 at 10:18 am
                        JC
                        Participant

                          " I got a little panicky when I saw you had written that a biopsy can trigger something (I did a search on it)"

                           

                          Can someone post the information about this (biopsy triggering something)

                          • August 21, 2014 at 10:18 am
                          JC
                          Participant

                            " I got a little panicky when I saw you had written that a biopsy can trigger something (I did a search on it)"

                             

                            Can someone post the information about this (biopsy triggering something)

                            • August 20, 2014 at 1:07 am
                            curious12
                            Participant

                              Thanks–and absolutely if pigment grows back, it is coming off (I already told derm that and he said yes)
                              He just didn't think taking more off now was necessary. This isn't my "main" derm… but he will take anything off, does punches, sends to a good lab and gets results within 48 hours. Only thing I don't love is how casual he is.  I got a little panicky when I saw you had written that a biopsy can trigger something (I did a search on it) I suppose I could always ask the derm who said it should come off, for her opinion… but I probably should put it to bed! Thanks again  : )

                              • August 20, 2014 at 1:07 am
                              curious12
                              Participant

                                Thanks–and absolutely if pigment grows back, it is coming off (I already told derm that and he said yes)
                                He just didn't think taking more off now was necessary. This isn't my "main" derm… but he will take anything off, does punches, sends to a good lab and gets results within 48 hours. Only thing I don't love is how casual he is.  I got a little panicky when I saw you had written that a biopsy can trigger something (I did a search on it) I suppose I could always ask the derm who said it should come off, for her opinion… but I probably should put it to bed! Thanks again  : )

                                • August 20, 2014 at 12:47 am
                                Janner
                                Participant

                                  Based on location and mild atypia, I'd be ok watching it.  If the pigment grows back, I know that I would probably re-excise, but I have had three primaries and high risk.  You should probably discuss with the derm if that happens.   It sounds like it really is totally benign and I've had shots in the heel and know they aren't fun.

                                  • August 20, 2014 at 12:47 am
                                  Janner
                                  Participant

                                    Based on location and mild atypia, I'd be ok watching it.  If the pigment grows back, I know that I would probably re-excise, but I have had three primaries and high risk.  You should probably discuss with the derm if that happens.   It sounds like it really is totally benign and I've had shots in the heel and know they aren't fun.

                                  • August 19, 2014 at 10:55 pm
                                  curious12
                                  Participant

                                    Hi, i just wanted to add since I got the path report. It says MINIMAL cytologic atypia and extends to one peripheral margin. (Final diagnos- still says Mild Atypia) I'm feeling better about watching but would love input. Janner? : )

                                    • August 19, 2014 at 10:55 pm
                                    curious12
                                    Participant

                                      Hi, i just wanted to add since I got the path report. It says MINIMAL cytologic atypia and extends to one peripheral margin. (Final diagnos- still says Mild Atypia) I'm feeling better about watching but would love input. Janner? : )

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