The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Content within the patient forum is user-generated and has not been reviewed by medical professionals. Other sections of the Melanoma Research Foundation website include information that has been reviewed by medical professionals as appropriate. All medical decisions should be made in consultation with your doctor or other qualified medical professional.
I was diagnosed with a thin melanoma 7 years ago and a in situ 1.5 years ago. I'v also had multiple normal and dysplactic nevi biopsied throughout the years.
I recently moved 70 miles from my orignal derm who found these 2 issues. However, I still see a leading San Francisco melanoma specialist (ex head of UCSF Melanoma clinic) 2x per year who recently suggested I get an "ugly duckling" mole removed. He further said it was fine to have a derm in the North Bay do the proceedure.
This new dern removed my mole via "shave" biopsy. I was not made aware of this before she did it and I did not think to ask her or watch her. It came back as a slighly dysplastic nevi and now I have to have a full excision and pay AGAIN for both the derm surgery (partially covered by insurance) and for the UCSF pathology (NOT covered by my insurance and $350 each time).
Questions for this group:
– A shave biopsy for someone with my history seems odd and irresponsible. Thoughts on this?
– Anyone know of a good melanoma derm anywhere between Santa Rosa and Marin (Northern Cal).
My doctor does only shave biopsies. It has concerned me in the past, but often times he gets the whole thing with the scapel, so I guess I can't complain too much. I am seeking a second opinion now, though.
But I'm surprised you're getting an extraction for a slight atypical mole. My derm leaves them. Slight-to-moderate he doesn't surgically extract but does scoop out until the margins are clear. Moderate and above is extracted. My understanding is that slight atypica don't turn into melanoma like ever.
The MRF Patient Forum is the oldest and largest online community of people affected by melanoma. It is designed to provide peer support and information to caregivers, patients, family and friends. There is no better place to discuss different parts of your journey with this cancer and find the friends and support resources to make that journey more bearable.
The information on the forum is open and accessible to everyone. To add a new topic or to post a reply, you must be a registered user. Please note that you will be able to post both topics and replies anonymously even though you are logged in. All posts must abide by MRF posting policies.