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Additional mole pathology

Forums General Melanoma Community Additional mole pathology

  • Post
    flvermonter
    Participant

      Hi Again,

       

      Hi Again,

       

      Back in April, my husband had a mole removed on his back and one on his abnomen.  We have been on a journey since the results of the mole (melanoma) on his back, and stage i lung cancer.  Today I received a call from his dermatoligist that removed the moles and referred us to Moffitt.  Turns out the other small mole was pre melanoma and has to be removed.  They had sent us to Moffitt for the larger one and didn't know if Moffitt was going to remove the small one.  Called Moffitt and was advised they would not, as it is not Melanoma (yet) and of course my husband has many other things to worry about.  So the Dermatoligist will remove the rest of the mole in a few weeks after my hsubands 2 surgeries.  One for the rest of the lymph nodes, and one for top lobe of his right lung.  Needless to say the call I received was like out of left field for me  Not sure why no one ever mentioned it before.  Have others heard of this?

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    • Replies
        washoegal
        Participant

          I'm not exactly sure what your question is but I'll try to answer.  I have had a couple of thing cut off that the doc called "pre-cancerous"  they were actually atypical moles.  I have not heard of anything called pre-melanoma before.  But terminology aside, I would get a copy of the pathology report and see what he is talking about for myself.  If the recommendation is simply for wider margins, but it appears the the entire suspect more was removed than it can wait.  If it is only an atypical mole it can also wait.  It all depends how your husband is feeling and what the pathology report reads. 

          Good Luck,

          Mary

          Stage 3a

          washoegal
          Participant

            I'm not exactly sure what your question is but I'll try to answer.  I have had a couple of thing cut off that the doc called "pre-cancerous"  they were actually atypical moles.  I have not heard of anything called pre-melanoma before.  But terminology aside, I would get a copy of the pathology report and see what he is talking about for myself.  If the recommendation is simply for wider margins, but it appears the the entire suspect more was removed than it can wait.  If it is only an atypical mole it can also wait.  It all depends how your husband is feeling and what the pathology report reads. 

            Good Luck,

            Mary

            Stage 3a

              flvermonter
              Participant
                hi, thanks. just looked at the path report. it says:
                skin right abdomen ..compound melanocytic nevus with architecual disorder SNF moderate cytlogic atypia. note this lesion extends to one peripheral margin. ree vision for clear margins is recommended.

                what do u think? thanks Mary

                flvermonter
                Participant
                  hi, thanks. just looked at the path report. it says:
                  skin right abdomen ..compound melanocytic nevus with architecual disorder SNF moderate cytlogic atypia. note this lesion extends to one peripheral margin. ree vision for clear margins is recommended.

                  what do u think? thanks Mary

                  flvermonter
                  Participant
                    hi, thanks. just looked at the path report. it says:
                    skin right abdomen ..compound melanocytic nevus with architecual disorder SNF moderate cytlogic atypia. note this lesion extends to one peripheral margin. ree vision for clear margins is recommended.

                    what do u think? thanks Mary

                    Janner
                    Participant

                      Sounds like a moderately atypical nevi.  Probably never would have become melanoma.  It's not really "pre-cancerous" because that implies it would have become melanoma and that is unlikely.  For these type of lesions, the recommendation is usually to have at least clean margins.   This lesion doesn't have clean margins.  Severely atypical lesions usually require 5mm margins.  This is one of those inconveniences – just get the margins and move on.  With any biopsy scar, however, you should watch for any pigment regrowth and report that to your doc.  Many people who have biopsies have "atypical" or "dysplastic" nevi.  While they carry a higher likelihood of becoming melanoma than a totally benign mole, most of them will never change and become melanoma.

                      Best wishes,

                      Janner

                      Janner
                      Participant

                        Sounds like a moderately atypical nevi.  Probably never would have become melanoma.  It's not really "pre-cancerous" because that implies it would have become melanoma and that is unlikely.  For these type of lesions, the recommendation is usually to have at least clean margins.   This lesion doesn't have clean margins.  Severely atypical lesions usually require 5mm margins.  This is one of those inconveniences – just get the margins and move on.  With any biopsy scar, however, you should watch for any pigment regrowth and report that to your doc.  Many people who have biopsies have "atypical" or "dysplastic" nevi.  While they carry a higher likelihood of becoming melanoma than a totally benign mole, most of them will never change and become melanoma.

                        Best wishes,

                        Janner

                        Janner
                        Participant

                          Sounds like a moderately atypical nevi.  Probably never would have become melanoma.  It's not really "pre-cancerous" because that implies it would have become melanoma and that is unlikely.  For these type of lesions, the recommendation is usually to have at least clean margins.   This lesion doesn't have clean margins.  Severely atypical lesions usually require 5mm margins.  This is one of those inconveniences – just get the margins and move on.  With any biopsy scar, however, you should watch for any pigment regrowth and report that to your doc.  Many people who have biopsies have "atypical" or "dysplastic" nevi.  While they carry a higher likelihood of becoming melanoma than a totally benign mole, most of them will never change and become melanoma.

                          Best wishes,

                          Janner

                        washoegal
                        Participant

                          I'm not exactly sure what your question is but I'll try to answer.  I have had a couple of thing cut off that the doc called "pre-cancerous"  they were actually atypical moles.  I have not heard of anything called pre-melanoma before.  But terminology aside, I would get a copy of the pathology report and see what he is talking about for myself.  If the recommendation is simply for wider margins, but it appears the the entire suspect more was removed than it can wait.  If it is only an atypical mole it can also wait.  It all depends how your husband is feeling and what the pathology report reads. 

                          Good Luck,

                          Mary

                          Stage 3a

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