› Forums › General Melanoma Community › Melanoma screening expert in Raleigh, NC area?
- This topic has 45 replies, 12 voices, and was last updated 11 years, 6 months ago by
BrianP.
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- February 16, 2014 at 2:45 am
Hi, my name is Allison, 37 years old, and I'm trying to find a new dermatologist – someone who is experienced and with expertise in melanoma detection through skin screenings. I'm looking for someone new because I don't feel confident that my current dermatologist is experienced or thorough enough. She just biopsied a mole that I was concerned about (because its appearance changed), but she did it reluctantly. And it revealed a malanocytic nevus with moderate cytologic atypia with very close margins. Not melanoma at this point thankfully, but still risky. I have several more moles that look just like the one that was removed. I have a strong family history of melanoma – my sister was diagnosed with melanoma recently, and my father died from it last year. So i want to find a doctor who has years of experience identifying suspect moles. I'd rather have any number of benign moles removed than to have one dangerous one overlooked.
I live in the Raleigh, NC area. Does anyone have any recommendations for anyone in the Triangle (Raleigh, Durham, Chapel Hill) or surrounding areas? Thanks so much for your time.
- Replies
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- February 16, 2014 at 3:05 am
You have two Comprehensive Cancer Centers withinn a 30 mile radiius of you
. Duke and UNC-Chapel Hill; both of which have recognized Melanoma Clinics staffed with professional people who ONLY deal with Melanoma day in and day out.
Many here would beg to have the resources available to you so close, yet you do not even know it.
Social media is fine, but honestly, how about looking in youjr own backyard?
Two of the best in your neighborhood and you are unaware?
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- February 16, 2014 at 3:05 am
You have two Comprehensive Cancer Centers withinn a 30 mile radiius of you
. Duke and UNC-Chapel Hill; both of which have recognized Melanoma Clinics staffed with professional people who ONLY deal with Melanoma day in and day out.
Many here would beg to have the resources available to you so close, yet you do not even know it.
Social media is fine, but honestly, how about looking in youjr own backyard?
Two of the best in your neighborhood and you are unaware?
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- February 16, 2014 at 3:05 am
You have two Comprehensive Cancer Centers withinn a 30 mile radiius of you
. Duke and UNC-Chapel Hill; both of which have recognized Melanoma Clinics staffed with professional people who ONLY deal with Melanoma day in and day out.
Many here would beg to have the resources available to you so close, yet you do not even know it.
Social media is fine, but honestly, how about looking in youjr own backyard?
Two of the best in your neighborhood and you are unaware?
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- February 16, 2014 at 3:27 am
If you don't know of a good dermatologist in the Research Triangle area, then recommending that she start with a dematologist who practices at a melanoma clinic at Duke or UNC-Chapel Hill is a good suggestion.
You should have stopped there. We don't appreciate snarky comments about social media or being unaware. Nasty and pointless.
Personally, I am not aware of local plumbers until I need a plumber. Or local dentists until I need a dentist. Or melanoma doctors until I need a melanoma doctor. I think Allison is smart to ask that question here. Hopefully, somebody who actually goes to a good melanoma dermatologist in the Raleigh area will help her out– courteously.
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- February 16, 2014 at 3:27 am
If you don't know of a good dermatologist in the Research Triangle area, then recommending that she start with a dematologist who practices at a melanoma clinic at Duke or UNC-Chapel Hill is a good suggestion.
You should have stopped there. We don't appreciate snarky comments about social media or being unaware. Nasty and pointless.
Personally, I am not aware of local plumbers until I need a plumber. Or local dentists until I need a dentist. Or melanoma doctors until I need a melanoma doctor. I think Allison is smart to ask that question here. Hopefully, somebody who actually goes to a good melanoma dermatologist in the Raleigh area will help her out– courteously.
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- February 16, 2014 at 3:27 am
If you don't know of a good dermatologist in the Research Triangle area, then recommending that she start with a dematologist who practices at a melanoma clinic at Duke or UNC-Chapel Hill is a good suggestion.
You should have stopped there. We don't appreciate snarky comments about social media or being unaware. Nasty and pointless.
Personally, I am not aware of local plumbers until I need a plumber. Or local dentists until I need a dentist. Or melanoma doctors until I need a melanoma doctor. I think Allison is smart to ask that question here. Hopefully, somebody who actually goes to a good melanoma dermatologist in the Raleigh area will help her out– courteously.
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- February 16, 2014 at 3:42 am
Actually, unless your "we" is the Melanoma Research Foundation or a self appointed representative of the collective posters of this board, then what you do or do not appreciate is of no value.
Quiite often, it is important (from this one posters opinion) to reach out in one's own neighborhood, and THEN lacking a resource, look beyond.
The internet, nor social media is not always the best first diagnosis medical resource.
Just so you know, I HAVE been to both of the Comprhensive Cancer Centers mentioned for Melanoma.
Bluntly.
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- February 16, 2014 at 3:42 am
Actually, unless your "we" is the Melanoma Research Foundation or a self appointed representative of the collective posters of this board, then what you do or do not appreciate is of no value.
Quiite often, it is important (from this one posters opinion) to reach out in one's own neighborhood, and THEN lacking a resource, look beyond.
The internet, nor social media is not always the best first diagnosis medical resource.
Just so you know, I HAVE been to both of the Comprhensive Cancer Centers mentioned for Melanoma.
Bluntly.
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- February 16, 2014 at 3:42 am
Actually, unless your "we" is the Melanoma Research Foundation or a self appointed representative of the collective posters of this board, then what you do or do not appreciate is of no value.
Quiite often, it is important (from this one posters opinion) to reach out in one's own neighborhood, and THEN lacking a resource, look beyond.
The internet, nor social media is not always the best first diagnosis medical resource.
Just so you know, I HAVE been to both of the Comprhensive Cancer Centers mentioned for Melanoma.
Bluntly.
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- February 16, 2014 at 4:47 am
POW If you want to comment on what you consider "snarky" comments then avoid being snarky yourself. You are not the MRF. The we you use is the royal we. Unless you are the queen it is not appropriate.
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- February 16, 2014 at 4:47 am
POW If you want to comment on what you consider "snarky" comments then avoid being snarky yourself. You are not the MRF. The we you use is the royal we. Unless you are the queen it is not appropriate.
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- February 16, 2014 at 4:47 am
POW If you want to comment on what you consider "snarky" comments then avoid being snarky yourself. You are not the MRF. The we you use is the royal we. Unless you are the queen it is not appropriate.
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- February 16, 2014 at 12:17 pm
First, judging from POW's responses I would guess she is in the sciences where using "we" over "I" in writing is mandatory. It becomes a habit.
Second, there is an ethos of kindness on this board. Many of us understand that during stress people might ask questions that they could have answered themselves but in asking them publicly they might get additional information and support. Perhaps, in addition to an answer someone might say something encouraging – and in the midst of anxiety that is a powerful thing.
Fen
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- February 16, 2014 at 12:17 pm
First, judging from POW's responses I would guess she is in the sciences where using "we" over "I" in writing is mandatory. It becomes a habit.
Second, there is an ethos of kindness on this board. Many of us understand that during stress people might ask questions that they could have answered themselves but in asking them publicly they might get additional information and support. Perhaps, in addition to an answer someone might say something encouraging – and in the midst of anxiety that is a powerful thing.
Fen
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- February 16, 2014 at 12:17 pm
First, judging from POW's responses I would guess she is in the sciences where using "we" over "I" in writing is mandatory. It becomes a habit.
Second, there is an ethos of kindness on this board. Many of us understand that during stress people might ask questions that they could have answered themselves but in asking them publicly they might get additional information and support. Perhaps, in addition to an answer someone might say something encouraging – and in the midst of anxiety that is a powerful thing.
Fen
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- February 16, 2014 at 1:36 pm
I really don't want to get off the topic of what we all came here for….the deadly disease of melanoma, but I must say I agree with Pow and Fen. However informative Anonymous might have been, there was also an element of as Pow said, snarkiness. Just because you think it doesn't mean you have to say it. Most of us are under a great deal of stress and some of us are fighting for our lives (I certainly am). I am new to the board and have been so impressed with the knowledge and willingness to help others in a kind and respectful way, Anonymous.
Thank you to all of you who have taken the time to answer my questions without making me feel embarrassed for asking them. Let's continue to make this the standard. We're in this fight together. Hopefully the numbers of participation will increase!
….tschmith
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- February 16, 2014 at 1:36 pm
I really don't want to get off the topic of what we all came here for….the deadly disease of melanoma, but I must say I agree with Pow and Fen. However informative Anonymous might have been, there was also an element of as Pow said, snarkiness. Just because you think it doesn't mean you have to say it. Most of us are under a great deal of stress and some of us are fighting for our lives (I certainly am). I am new to the board and have been so impressed with the knowledge and willingness to help others in a kind and respectful way, Anonymous.
Thank you to all of you who have taken the time to answer my questions without making me feel embarrassed for asking them. Let's continue to make this the standard. We're in this fight together. Hopefully the numbers of participation will increase!
….tschmith
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- February 16, 2014 at 1:36 pm
I really don't want to get off the topic of what we all came here for….the deadly disease of melanoma, but I must say I agree with Pow and Fen. However informative Anonymous might have been, there was also an element of as Pow said, snarkiness. Just because you think it doesn't mean you have to say it. Most of us are under a great deal of stress and some of us are fighting for our lives (I certainly am). I am new to the board and have been so impressed with the knowledge and willingness to help others in a kind and respectful way, Anonymous.
Thank you to all of you who have taken the time to answer my questions without making me feel embarrassed for asking them. Let's continue to make this the standard. We're in this fight together. Hopefully the numbers of participation will increase!
….tschmith
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- February 16, 2014 at 12:52 pm
Allison,
Sorry your first post on the forum started a little tit for tat. I also felt the first response was a little snarky. That can sometimes happen when folks post anonymously which is why I hate even having that option. Anyways, I also think Chapel Hill or Duke would be great options. I've been seen several times at Duke and it is a wonderful facility. Their melanoma department isn't the strongest IMHO but I'm sure they have some very capable dermatologist on staff that would be well suited for your needs. The melanoma surgical oncologist there is one of the best! If you think you might be interested in going there let me know and I'll email him for a recommendation for a dermatologist on staff.
Brian
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- February 16, 2014 at 12:52 pm
Allison,
Sorry your first post on the forum started a little tit for tat. I also felt the first response was a little snarky. That can sometimes happen when folks post anonymously which is why I hate even having that option. Anyways, I also think Chapel Hill or Duke would be great options. I've been seen several times at Duke and it is a wonderful facility. Their melanoma department isn't the strongest IMHO but I'm sure they have some very capable dermatologist on staff that would be well suited for your needs. The melanoma surgical oncologist there is one of the best! If you think you might be interested in going there let me know and I'll email him for a recommendation for a dermatologist on staff.
Brian
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- February 16, 2014 at 12:52 pm
Allison,
Sorry your first post on the forum started a little tit for tat. I also felt the first response was a little snarky. That can sometimes happen when folks post anonymously which is why I hate even having that option. Anyways, I also think Chapel Hill or Duke would be great options. I've been seen several times at Duke and it is a wonderful facility. Their melanoma department isn't the strongest IMHO but I'm sure they have some very capable dermatologist on staff that would be well suited for your needs. The melanoma surgical oncologist there is one of the best! If you think you might be interested in going there let me know and I'll email him for a recommendation for a dermatologist on staff.
Brian
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- February 16, 2014 at 1:13 pm
Wow, guess Allison gets a good feeling from MPIP just posing a simple question. The lesion you were concerned about doesn't have a high risk pathology, but your history and that it changed does. You might try a forum that has moderation, www.melanomaforum.org and ask for suggestions of centers nearby. doing your own self exam is important too.
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- February 16, 2014 at 1:13 pm
Wow, guess Allison gets a good feeling from MPIP just posing a simple question. The lesion you were concerned about doesn't have a high risk pathology, but your history and that it changed does. You might try a forum that has moderation, www.melanomaforum.org and ask for suggestions of centers nearby. doing your own self exam is important too.
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- February 16, 2014 at 1:13 pm
Wow, guess Allison gets a good feeling from MPIP just posing a simple question. The lesion you were concerned about doesn't have a high risk pathology, but your history and that it changed does. You might try a forum that has moderation, www.melanomaforum.org and ask for suggestions of centers nearby. doing your own self exam is important too.
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- February 17, 2014 at 3:15 am
Hi Brian, Thanks so much for your comment and for your offer to help me, a complete stranger. I used to see Dr. Nelson at Duke but she recently moved to another state. The doc who reluctantly removed my recent atypical mole is at. Duke.
At this point, I'm not so much interested in finding the best melanoma treatment doctor, but rather a doctor who is experienced at being able to identify melanomas (or potential melanomas) on bodies with many, perhaps hundreds, of dysplastic moles. And who is perhaps a little but more aggressive than the average dermatologist, given my family history. I have 4-5 more moles that I have realized look exactly like the atypical one I describe in my original post. I want to have them removed ASAP, and that's why I got on here looking for a new derm.
If you think your oncologist might have a recommendation, I would appreciate so much if you'd ask him. Thanks so much for being willing to help me!
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- February 17, 2014 at 3:15 am
Hi Brian, Thanks so much for your comment and for your offer to help me, a complete stranger. I used to see Dr. Nelson at Duke but she recently moved to another state. The doc who reluctantly removed my recent atypical mole is at. Duke.
At this point, I'm not so much interested in finding the best melanoma treatment doctor, but rather a doctor who is experienced at being able to identify melanomas (or potential melanomas) on bodies with many, perhaps hundreds, of dysplastic moles. And who is perhaps a little but more aggressive than the average dermatologist, given my family history. I have 4-5 more moles that I have realized look exactly like the atypical one I describe in my original post. I want to have them removed ASAP, and that's why I got on here looking for a new derm.
If you think your oncologist might have a recommendation, I would appreciate so much if you'd ask him. Thanks so much for being willing to help me!
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- February 17, 2014 at 3:15 am
Hi Brian, Thanks so much for your comment and for your offer to help me, a complete stranger. I used to see Dr. Nelson at Duke but she recently moved to another state. The doc who reluctantly removed my recent atypical mole is at. Duke.
At this point, I'm not so much interested in finding the best melanoma treatment doctor, but rather a doctor who is experienced at being able to identify melanomas (or potential melanomas) on bodies with many, perhaps hundreds, of dysplastic moles. And who is perhaps a little but more aggressive than the average dermatologist, given my family history. I have 4-5 more moles that I have realized look exactly like the atypical one I describe in my original post. I want to have them removed ASAP, and that's why I got on here looking for a new derm.
If you think your oncologist might have a recommendation, I would appreciate so much if you'd ask him. Thanks so much for being willing to help me!
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- February 16, 2014 at 2:01 pm
As stated above, I would recommend calling the Duke clinic to get their recommendation on a dermatologist with solid experience dealing with melanoma – they will be able to point you in the right direction.
Please do not get discouraged by anonymous criticisms posted here… the overwhelming majority of people here are incredibly helpful and we are all looking for the same things — support and hope.
Kevin
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- February 16, 2014 at 2:01 pm
As stated above, I would recommend calling the Duke clinic to get their recommendation on a dermatologist with solid experience dealing with melanoma – they will be able to point you in the right direction.
Please do not get discouraged by anonymous criticisms posted here… the overwhelming majority of people here are incredibly helpful and we are all looking for the same things — support and hope.
Kevin
-
- February 16, 2014 at 2:01 pm
As stated above, I would recommend calling the Duke clinic to get their recommendation on a dermatologist with solid experience dealing with melanoma – they will be able to point you in the right direction.
Please do not get discouraged by anonymous criticisms posted here… the overwhelming majority of people here are incredibly helpful and we are all looking for the same things — support and hope.
Kevin
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- February 17, 2014 at 3:07 am
Hi,
I see Dr. Nelson at Duke but she’s moving. I would call to find out who is similar to her:) She is fabulous! -
- February 17, 2014 at 3:07 am
Hi,
I see Dr. Nelson at Duke but she’s moving. I would call to find out who is similar to her:) She is fabulous! -
- February 17, 2014 at 3:07 am
Hi,
I see Dr. Nelson at Duke but she’s moving. I would call to find out who is similar to her:) She is fabulous!
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- February 17, 2014 at 2:57 am
Thank you all so much for taking the time to respond. I do realize that I am incredibly lucky to live in an area with two excellent cancer centers, and I am grateful. My father was treated for his melanoma by excellent doctors at the VA Medical Center, some of whom were Duke doctors. However, the doctor who I mention in my original post who I'm not comfortable with, who wanted to leave alone the mole that resulted in the findings I described, is at Duke.As a side note, I meant to include in my original post that along with my moderate cytologic atypia, my cellular architecture is severe, so that makes it more serious.At this point, I'm not trying to find a melanoma expert in terms of treatment but rather a dermatologist with enough experience picking up melanomas on bodies that have multiple, maybe hundreds, of displastic moles. And who is perhaps a bit more aggressive than average given my family history.I came here in the hopes that someone on this site might have a recommendation. Thanks again. -
- February 17, 2014 at 2:57 am
Thank you all so much for taking the time to respond. I do realize that I am incredibly lucky to live in an area with two excellent cancer centers, and I am grateful. My father was treated for his melanoma by excellent doctors at the VA Medical Center, some of whom were Duke doctors. However, the doctor who I mention in my original post who I'm not comfortable with, who wanted to leave alone the mole that resulted in the findings I described, is at Duke.As a side note, I meant to include in my original post that along with my moderate cytologic atypia, my cellular architecture is severe, so that makes it more serious.At this point, I'm not trying to find a melanoma expert in terms of treatment but rather a dermatologist with enough experience picking up melanomas on bodies that have multiple, maybe hundreds, of displastic moles. And who is perhaps a bit more aggressive than average given my family history.I came here in the hopes that someone on this site might have a recommendation. Thanks again. -
- February 17, 2014 at 2:57 am
Thank you all so much for taking the time to respond. I do realize that I am incredibly lucky to live in an area with two excellent cancer centers, and I am grateful. My father was treated for his melanoma by excellent doctors at the VA Medical Center, some of whom were Duke doctors. However, the doctor who I mention in my original post who I'm not comfortable with, who wanted to leave alone the mole that resulted in the findings I described, is at Duke.As a side note, I meant to include in my original post that along with my moderate cytologic atypia, my cellular architecture is severe, so that makes it more serious.At this point, I'm not trying to find a melanoma expert in terms of treatment but rather a dermatologist with enough experience picking up melanomas on bodies that have multiple, maybe hundreds, of displastic moles. And who is perhaps a bit more aggressive than average given my family history.I came here in the hopes that someone on this site might have a recommendation. Thanks again.-
- February 17, 2014 at 5:00 am
Realistically, a mole with that diagnosis really proposed little threat. Have the other suspect moles changed in any way? Typically, you are looking for the ugly duckling. Since your recent biopsy was NOT melanoma and unlikely to become melanoma, then I would be less worried about those identical looking moles. (Most atypical nevi never change to melanoma)., it is important to find a doc that you feel comfortable with. I would personally be looking for a doc who does Mole Mapping. However, those are few and far between. Second to that, I would find a derm who integrates taking and comparing photos as a regular part of an office visit. The goal is to evaluate the changing moles and those that are a true ugly duckling. This is difficult if you have DNS, but that is where the photographs can really help isolate candidates for biopsy and those that can stay as is. Remember, looks alone can be deceiving and it will be hard for any doctor to single out every melanoma. (Something like 73% of all PCP docs misdiagnose melanoma and we've seen our share of specialists do that too) I would have been fine with the mole you had removed staying on my body until I felt it was changing for the worse. We know most of my moles are dysplastic, but knowing that doesn't make me remove them until they change.
Best wishes,
Janner
(3 MM primaries, stage 1B since 1992)
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- February 17, 2014 at 5:00 am
Realistically, a mole with that diagnosis really proposed little threat. Have the other suspect moles changed in any way? Typically, you are looking for the ugly duckling. Since your recent biopsy was NOT melanoma and unlikely to become melanoma, then I would be less worried about those identical looking moles. (Most atypical nevi never change to melanoma)., it is important to find a doc that you feel comfortable with. I would personally be looking for a doc who does Mole Mapping. However, those are few and far between. Second to that, I would find a derm who integrates taking and comparing photos as a regular part of an office visit. The goal is to evaluate the changing moles and those that are a true ugly duckling. This is difficult if you have DNS, but that is where the photographs can really help isolate candidates for biopsy and those that can stay as is. Remember, looks alone can be deceiving and it will be hard for any doctor to single out every melanoma. (Something like 73% of all PCP docs misdiagnose melanoma and we've seen our share of specialists do that too) I would have been fine with the mole you had removed staying on my body until I felt it was changing for the worse. We know most of my moles are dysplastic, but knowing that doesn't make me remove them until they change.
Best wishes,
Janner
(3 MM primaries, stage 1B since 1992)
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- February 17, 2014 at 5:00 am
Realistically, a mole with that diagnosis really proposed little threat. Have the other suspect moles changed in any way? Typically, you are looking for the ugly duckling. Since your recent biopsy was NOT melanoma and unlikely to become melanoma, then I would be less worried about those identical looking moles. (Most atypical nevi never change to melanoma)., it is important to find a doc that you feel comfortable with. I would personally be looking for a doc who does Mole Mapping. However, those are few and far between. Second to that, I would find a derm who integrates taking and comparing photos as a regular part of an office visit. The goal is to evaluate the changing moles and those that are a true ugly duckling. This is difficult if you have DNS, but that is where the photographs can really help isolate candidates for biopsy and those that can stay as is. Remember, looks alone can be deceiving and it will be hard for any doctor to single out every melanoma. (Something like 73% of all PCP docs misdiagnose melanoma and we've seen our share of specialists do that too) I would have been fine with the mole you had removed staying on my body until I felt it was changing for the worse. We know most of my moles are dysplastic, but knowing that doesn't make me remove them until they change.
Best wishes,
Janner
(3 MM primaries, stage 1B since 1992)
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Tagged: cutaneous melanoma
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