Hello –
I have history of dysplastic nevi. 3 AMH were removed 9.5 and 5 years ago. Margins taken were 3,4, and 5 mm. No pigment regrowth in 3 & 4 mm margn nevi, so I may finally stop freaking out about these and my concern that doctor should have takn 5 mm.
Moving forward, I have had 2 or 3 severely atypical nevi. I just had one biopsied. My derm was certain via dermoscopy that it would come back mildly atypcial at worst. She was wrong – it is severe. My concern is 3% of severely atypical nevi that actually turn out to be melanoma on reexcision. My hope is that if dermascopically it only looked atypical, that it is truly a nevus and not a melanoma.
I am spinning because I am concerned about the nevi removed with 3 and 4 mm margins 9+ years ago. If these were going to recur, would they have already done so?
I really had myself convinced that my days of big excisions were behind me. I have so few moles left at this point, and get a full body check every 4 months, and go in if anything else concerns me. I did, in fact, have another derm look at this mole a few week ago.
i have a 3 year old that has had a congenital nevus on his scalp biopsied. It came back "congenital nevus with random cytologic atypia mostl likely due to anatomical site". Path recommended removal if clinical atypical. 3 derms say it is fine, and to leave it. I have an appointment tomorrow with his pediatric derm to discuss reomoval now.
Any advise out there regarding my concerns for my 9 year old smaller than desired excisions, my current severely atypical nevus, or my son's nevus?
Finally, i have read frequently that a pathologist will call something severe or AMH rather than melanoma to support a patient in terms of insurance. This doesn't make sense to me as I would think it would open a doctor up to a future law suit if it turns out to be worse. Any thoughts? My OCD can use any help or guidance today. Thank you.
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