Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
148 Doctors are Online

Dysplastic nevus, prophylactic removal of atypical moles, hiatal hernia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions

User :   what are dysplastic naevus
Doctor :   Hi
User :   I have few should i removed all of them? I live in California do I have to move to less sunny states
User :   hi!
User :   sorry.......
Please proceed
User :   i apologised i tried few times and didn't work
User :   so the story is i was diagnosed with dysplastic naevus
Doctor :  
Its Ok , please proceed
User :   some doc told me they are pre cancerous
User :   and some tell me its benin
User :   so i'm confused
User :   some want remove more moles
Doctor :   As per your history the dyplastic nevus is confirmed
User :   and some just want watch them
User :   yes biopsy
Doctor :  
the chances of dyplastic moles turning into malignancy is very rare
Doctor :   But still there is a risk
User :   so why the big deal from my dermatologist saying that it is pre cancerous
Doctor :   Its still a precancerous lesion
Doctor :  
I guide you in this
User :   ok
User :   I'm so scared doctor
User :   I did developped new moles from 26 to 34 i'm 35
Doctor :  
Continuous monitoring of the lesion or nevus helps us more
Doctor :   Wats your age ?
User :   i have about 50 now
User :   some are brown like sun spots some are dark
Doctor :  
Ok
User :   are sun spots lantigo same as moles
User :   I heard the more you have moles the more u chance of melanoma?
Doctor :  
do yu have any family history of skin cancer ?
User :   no
Doctor :  
Ok
User :   but my brothers have few DN
User :   I moved from Paris to california
Doctor :  
Ok
User :   so I was exposed to sun daily for the past 12 years
Doctor :  
there certain warning signs
Doctor :   you need to monitor these signs
User :   should I move back to a less sunny states or France to lower my risk
User :   I know the ABCDE
Doctor :  
Yes you are right
Doctor :  
thats good
Doctor :  
because the ultraviolet rays from sun
User :   eventhough I told my doc about a 5mill mole that is changing he refuses to remove it
Doctor :   increases the chances of malignancy more
User :   m lost
Doctor :   its good to be in cool climate
Doctor :  
to reduce the risk
User :   can i still developped new DN even though I protect myself against the sun
Doctor :  
Dysplastic nevus is also called as atypical mole
Doctor :   If you are cool temperate climate, the chances of developing nevus in future life is very very less
Doctor :   the risk of any one atypical mole developing malignant transformation is low
Doctor :   the prophylactic removal of all atypical moles does not prevent the development of melanoma
User :   does moles disapeared if i avoid the sun?
Doctor :   no they will not dissappear
User :   do u suggest CBC and why?
Doctor :  
it will be in the same size
Doctor :  
but it also not improve in size
Doctor :   Yes i will suggest you CBC test
User :   so sun make the changes if i understand
User :   What CBC test would show?
Doctor :   Because the total count will give us the hint for malignant changes
User :   of a mole?
Doctor :   There will be increase in total counts
Doctor :  
and platelet count can be still on the higher side
Doctor :  
this is a indirect clue,
User :   the last blood test i did ok
User :   3 month ago
Doctor :  
the lesion is progressing towards the malignancy
Doctor :   its a good news
Doctor :   be relaxed
Doctor :  
Not to worry more
Doctor :   the diagnosis is confirmed
User :   but the basophile were little high
User :   1.5 percent is that bad
Doctor :  
now you need to monitor the nevus
Doctor :   No way
User :   the doc said that counts fluctuate sometime still normal
User :   no way what?
Doctor :  
the increase in the basophil count does not suggest towards malignancy
User :   sp only plaquette right
Doctor :  
you should avoid excessive sun exposure
User :   if my plaquette is good then i'm ok
Doctor :   use a broad-spectrum sunscreen with a sun protective factor of 30 or greater
Doctor :  
yes Platelets are normal side its a good sign
User :   so doctor
Doctor :  
There is no need to removal of these moles
User :   i have 2 more questions
Doctor :  
Changing lesions and any lesion worrisome for melanoma must be removed.
User :   so you think even though I have risk factors doesn't mean Im gonna get it
User :   idf remove i should be ok
Doctor :   Please proceed will help you
User :   ok
User :   right now I have a cold
User :   so if I wanna do CBC should wait right
Doctor :  
Ok
Doctor :  
Its better to do the CBC count
Doctor :   Once your cold settles down
User :   ok
Doctor :   because cold or any infections can alter the total count
User :   so i had a endoscopy and coloscopy
Doctor :  
so its better to do it after 1 week
User :   ok
Doctor :  
Ok
User :   they didn't do blood test before
User :   one day after I had fever
User :   now I'm scared they could have gave me a disease
User :   it was in clinic
User :   one person after another
Doctor :  
ok
User :   I went to doc and have hiv and hep C test done? what do you think?
User :   should have result done tuesday
Doctor :   Yes please proceed
User :   they didn't do blood test before
User: one day after I had fever
User: now I'm scared they could have gave me a disease
User: it was in clinic
User: one person after another
Doctor: ok
User: I went to doc and have hiv and hep C test done? what do you think?
User: should have result done tuesday
Doctor: please close the window
Doctor: and login again
User: ok
Doctor :  
Please proceed
User :   I had coloscopy and endoscopy
Doctor :   ok

User :   no blood test was done before exams
User :   I got sick the day after fever and chills
User :   for 24h
Doctor :  
Ok Please wait
Doctor :  
Let me analyse it
User :   I noticed that patient were before and after me
Doctor :  
again
User :   is it possible I got disease from the procedures
Doctor :  
Yes there is a possibility that Hepatitis C can come from the procedures
User :   after 50 days I'm sick again
User :   like a cold
Doctor :   Ok
User :   Really so why do they not make blood test for patients?
Doctor :  
They in fact should
Doctor :  
test for Hepatitis B
Doctor :  
and Hepatitis C
User :   the doc told me not to worry because the materials is very well cleaned between patients
Doctor :  
Yes in fact they do
User :   I got blood tes HIV and hep C done
User :   yesterday 50 days afte procedure
User :   will get result tuesday
Doctor :  
Let us wait
Doctor :  
for the result
User :   do you think my fever was a sign i was fighting virus?
Doctor :   Did you measure it?
User :   is there chance to catch HIV too?
User :   was about 40
User :   really high
Doctor :  
Do you mean 40 Centigrade
Doctor :  
The fever is not because of Hepatitis
Doctor :  
IT could be something else
User :   yes
User :   is there chance to catch HIV too?
Doctor :  
Not really
User :   do you find it odd that no blood tes was done?
User :   can they do that?
Doctor :   It is not usual to conduct HIV and Hepatitis test prior to procedures
Doctor :  
They do them only if the doctor feels that the person has high risk behaviour
Doctor :  
So it is not mandatory
Doctor :  
Ok
Doctor :  
DId you follow me?
User :   do u mean that they could have done blood test on spot
Doctor :  
No
User :   get result before procedure?
Doctor :  
I do not mean so
Doctor :  
There is no need to conduct such tests before procedures unless the doctor strongly feels the need of them
Doctor :  
So it is on doctor's discretion to conduct them
User :   so my chances of getting Hept C are very low
Doctor :  
Yes
Doctor :  
Hepatitis C is transmitted not by procedures per se
Doctor :  
but by blood transfusion, sex and mother to child
Doctor :  
If the procedure invovles blood like then there is a chance of HIV and in those cases
Doctor :  
they do the testing prior
Doctor :  
liek Blood transfusion, Major surgeries
Doctor :  
where the doctor is exposed to blod
Doctor :  
Ok
User :   I did have polyptocmie
Doctor :   Where is the poly removed

User :   rectum
Doctor :  
Ok
User :   usage unic instrument said the test result
Doctor :  
Ok
User :   u think i should be worry
Doctor :  
Never to
Doctor :  
No need to
User :   what do u mean ?
Doctor :  
worry
User :   ohh great
User :   i was diagnose hernia 2 cm
User :   is that bad
User :   the doc said its like a faulse hernia
User :   part stomach skin strech to upper
Doctor :  
Hernia is not bad but follow up with doctor to check if there are some complications
User :   but no bulge
User :   you thin i could live healthy life with hernia hiatal
Doctor :   Yes
User :   can they disapeared?
Doctor :  
They do not cause problems if taken care
User :   great
User :   I'm so scared to get my HIV and Hep C test
User :   I hope I'm ok
Doctor :  
You should be ok
User :   thanks for all
Doctor :  
Ok
Doctor :  
Thanks for consulting us
Doctor :  
Bye for now
User :   your service is great
User :   u guys in India?
Doctor :   Yes
Doctor :  
Thanks for your compliments
User :   You guys the best
Doctor :  
Please recommend this to youur friends and family
User :   someday India will be better than US
Doctor :   Thanks
User :   and be the greatest with asia
User :   God bless you and your family
User :   bye
Question is related to
Diseases and Conditions
Medical Procedures
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor