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Severe Atypical Mole – Repigmentation After Removal

Forums General Melanoma Community Severe Atypical Mole – Repigmentation After Removal

  • Post
    weesesd
    Participant

      Back in April my Dr noticed an odd looking mole on my back during an EKG in his office.  He referred me to a plastic surgeon who scheduled a biopsy.  The biopsy came back severely atypical and they said that on a scale from 1-10 with 10 being the worst it was a 9-10.  They did a removal of the entire mole and cut a 1.5" diameter circle out of my back to get all the margins.  Once sutured it was a 2" long wound.  It did not heal smoothly, becoming slightly infected and then then opening up.  They sutures were not dissolving, so they removed the remaining sutures and gave me a cream to help it heal.  At that point it was about the length and width of my wife's pinky.  After that it healed rapidly and when she last looked at it in the beginning of August it was just a superficial scab.

       

      She noticed that it was looking odd on Friday morning.  It has a dark brown/black center down the entire length of the center of the scar.  The scar are surrounding that is a medium brown with a light brown scalloped edge on the skin around the scar.  The scar is also covered with a loose somewhat mobile skin that is shiny.  One small area is flaking and the scar itched when she touched it. 

       

      I am scheduled to go back to the plastic surgeons office tomorrow afternoon.  Does this seem normal?  Has anyone else had something similar happen?  I am quite worried that this is now a melanoma.  Would it be better for me to see a dermatologist rather than a plastic surgeon?  Thanks for your support!

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    • Replies
        JC
        Participant

          As with all mole removals, watch the scar area for any pigment regrowth.  If anything looks like it is growing back, I'd request it be removed again 

            weesesd
            Participant

              I guess part of what I am wondering is how often when it grows back is it something serious, especially after a total removal?  Does this sound really concerning or not too unusual?

              Janner
              Participant

                It will be hard to determine the exact pathology – melanocytes always look worse through scar tissue.  So the thing is to get the surgeon to get additional good margins.  Is this bad?  Probably not.  But things can be a bit less clear with the scar tissue.  Make sure the pathology goes to a dermatopathologist who reads a lot of melanoma.  Not saying it is melanoma at all, but you want someone who does this daily instead of just on occasion.

                Best wishes,

                Janner

                Janner
                Participant

                  It will be hard to determine the exact pathology – melanocytes always look worse through scar tissue.  So the thing is to get the surgeon to get additional good margins.  Is this bad?  Probably not.  But things can be a bit less clear with the scar tissue.  Make sure the pathology goes to a dermatopathologist who reads a lot of melanoma.  Not saying it is melanoma at all, but you want someone who does this daily instead of just on occasion.

                  Best wishes,

                  Janner

                  Janner
                  Participant

                    It will be hard to determine the exact pathology – melanocytes always look worse through scar tissue.  So the thing is to get the surgeon to get additional good margins.  Is this bad?  Probably not.  But things can be a bit less clear with the scar tissue.  Make sure the pathology goes to a dermatopathologist who reads a lot of melanoma.  Not saying it is melanoma at all, but you want someone who does this daily instead of just on occasion.

                    Best wishes,

                    Janner

                    weesesd
                    Participant

                      I guess part of what I am wondering is how often when it grows back is it something serious, especially after a total removal?  Does this sound really concerning or not too unusual?

                      weesesd
                      Participant

                        I guess part of what I am wondering is how often when it grows back is it something serious, especially after a total removal?  Does this sound really concerning or not too unusual?

                      JC
                      Participant

                        As with all mole removals, watch the scar area for any pigment regrowth.  If anything looks like it is growing back, I'd request it be removed again 

                        JC
                        Participant

                          As with all mole removals, watch the scar area for any pigment regrowth.  If anything looks like it is growing back, I'd request it be removed again 

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