Concern about the Aggressive treatment for Displastic Nevi
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Concern about the Aggressive treatment for Displastic Nevi

› Forums › General Melanoma Community › Concern about the Aggressive treatment for Displastic Nevi

  • Post
    • December 1, 2013 at 10:22 pm
    ktrlieb
    Participant

      Hello, MRF members and users, 

      I had a biopsy of a mole on my ankle on 11/18, and it was diagnosed as a displastic nevi on 11/21. The doctor's office called me on that day to schedule surgery to remove the remaining mole on 11/26. I underwent the surgery on that day. I am concerned about the aggressiveness of the treatment. The doctor removed a significant area around the mole and sent it off to be analyzed. 

      From my research, I haven't seen displastic nevi handled in such an aggressive manner. I go back on 12/8 to have the stitiches removed, so I can pose my questions to the doctor at that time, but does anyone have any suggestions as to what questions (other than the obvious, "Is it melanoma?") I should be asking? Are there stages to displastic nevi that warrant aggressive action and concern? I appreciate your suggestions and opinions, and I thank you all in advance for your attention to my question and concerns. 

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    • Replies
        • December 9, 2013 at 10:21 am
        Kim K
        Participant

          You will get a quicker response posting on the main bulletin board, this one is hardley viewed nowdays.  Yes, you need to get clear margins of ~1 cm for a severely dysplastic nevi, and at least 2 cm for mel.  The surgeon then has to make the incision approx. 3x longer or more than the "circle of removal" to ensure a nice skin clousure.  If not you get tension and puckering of the surgery site and it won't heal as well.

          Incisions heal across the cut, not end to end.

          Don't worry about the size of the cut, just that they got adequet margins all around and below.

          • December 9, 2013 at 10:21 am
          Kim K
          Participant

            You will get a quicker response posting on the main bulletin board, this one is hardley viewed nowdays.  Yes, you need to get clear margins of ~1 cm for a severely dysplastic nevi, and at least 2 cm for mel.  The surgeon then has to make the incision approx. 3x longer or more than the "circle of removal" to ensure a nice skin clousure.  If not you get tension and puckering of the surgery site and it won't heal as well.

            Incisions heal across the cut, not end to end.

            Don't worry about the size of the cut, just that they got adequet margins all around and below.

            • December 9, 2013 at 10:21 am
            Kim K
            Participant

              You will get a quicker response posting on the main bulletin board, this one is hardley viewed nowdays.  Yes, you need to get clear margins of ~1 cm for a severely dysplastic nevi, and at least 2 cm for mel.  The surgeon then has to make the incision approx. 3x longer or more than the "circle of removal" to ensure a nice skin clousure.  If not you get tension and puckering of the surgery site and it won't heal as well.

              Incisions heal across the cut, not end to end.

              Don't worry about the size of the cut, just that they got adequet margins all around and below.

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