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Atypical mole pathology report

Forums Cutaneous Melanoma Community Atypical mole pathology report

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    maestral
    Participant

      Hello everyone,

      I've not been diagnosed with melanoma so I deeply apologize if I missed the forum and took the time and space from people who needed help and advice much more than me. The reason I post here is because I find out people on this forum have much more knowledge about this topic than people on general health forums. Recently, I found a mole which had all of the ABCD signs of melanoma (about E I was not sure since I hadn't checked it monthly – I know, I was stupid). It was highly assymetrical, had multiple colors (at least 3 with dark brown or maybe even black spots) with an uneven borders and had diameter of slightly more than 6 mm. I showed it to dermatologist and he told me that the mole was suspicious, possibly even early melanoma so he performed complete excision and sent it to pathology lab. Few days ago the pathology report came back as: NAEVUS NAEVOCELLULARIS COMPOSITUS. I live in a non-english speaking country so it's hard for me to translate medical terms but in description it says something like: "Melanocytes mature in a proper manner…". I asked my dermatologist about the report and he said that a mole was completely benign and that's it's not an atypical mole in the end. This left me confused and longing for answers. So I have two questions.

      1. If the mole was clinically atypical but pathology showed that it's not, does that still count as an atypical mole due to the way it looks? I read that the people with atypical moles are at much higher risk for melanoma than general population so I try to assess my risk especially since I live on the sunny mediterranean coast and I spent a lot of time in the sun. My friend was recently diagnosed with melanoma so I decided to be much more vigilant about my skin from now on. 

      2. How common it is that a mole which shows ABCD sings is completely common mole without sings of atypia like in my case? Is it something which happens frequently or something which is quite rare? Because when you browse the google regarding this topic it appears that each ABCD mole is either a melanoma or atypical mole… this topic seems to be really fuzzy

      Thank you for your answers and I apologize once more for taking your time and for grammar mistakes I made

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        WithinMySkin
        Participant

          Hi Maestral!

          A mole looking atypical using our vision is very different than BEING atypical with pathology. It seems that even though the mole (or a compound nevus, as the pathology states) looked like it met the ABCD of melanoma, it was a benign mole. That's great news! The ABCD signs of melanoma are a guideline for making an educated guess on what moles to remove and what moles are benign. These guidelines aren't a guarantee that a mole is atypical in pathology – only a pathologist can tell this with fancy microscopes and dyes.

          Health and happiness,

          Lauren

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