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Mole with moderate atypia - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   hello
User :   i have few ?
Doctor :  
Sure, proceed with it
User :   the first is dermatology
User :   I had 7 moles removed
User :  
User :  
User :   I'm 35
Doctor :  
User :   Olive skin
User :   I had maybe 5 moles
User :   until age 26
User :   I moved where I was born
User :   and i started having moles
User :   like around 50 at 35
User :   my question is
Doctor :  
User :   the dermatopathologist
User :   say 7 moles to be dysplastic focal moderate atypia
Doctor :  
User :   proliferation of slightly enlarged melanocyte arange in single units and nest at dermo epi junction
Doctor :   Ok

User :   focally whithin dermis
User :   dermal fibrosis
User :   mild lymphocyte and melanophage inflitrat
User :   no pagoids migration
User :   no evidence of malignancy
Doctor :   Have they classified it as Benign?

User :   yes
User :   but re-existion suggested
User :   in I got second opinion with very different result
Doctor :   Ok
Doctor :  
It is good that it is benign
User :   proliferation of melanocytes at dermo epi junction
User :   few nest in derms
User :   cell are round
Doctor :   Ok

User :   with nucleus small size
User :   without atypia
Doctor :  
That is good enough
User :   one mole said that it was strongly pigmented with melanine
Doctor :   Ok

User :   diagnosis
User :   benin junctional and dermal lentiginous nevus
User :   only one was only totally junctional
User :   sorry for all the info I know its a lot
Doctor :   Ok

User :   so now my dermatologist want see me every 6 months
Doctor :  
You have gone into pure pathology
User :   yes sir
Doctor :  
It is quite elaborative
User :   I love science
Doctor :   It is always better to have such follow ups

User :   and I get really into extrem details
User :   do u think my moles were concerning?
Doctor :   Ok

Doctor :  
Since it has been confirmed histopathologically
Doctor :  
I dont think that there is no need to worry for you
User :   whats my risk for melanoma
User :   is it normal for me at 35 to make moles isn't it bad to have junctional activity in mole at my age?
Doctor :   Right now since it has not been that bad

Doctor :  
and has been excised, you should not worry much
Doctor :  
but the follow ups are for that purpose only
Doctor :  
to see how you are progressing
User :   do u think I my risk of melanoma is higher
User :   what do u mean by progressing
Doctor :   Meaning the transition to malignant stage

Doctor :  
hence it has to be reexamined regularly
User :   are my chance higher than average?
User :   or just standar protocol
Doctor :   It is higher than average

User :   why?
Doctor :  
For more detailed answer
Doctor :  
I would suggest you to consult our Oncologist for specialist opinion
Doctor :  
It is out of my scope to comment on it
User :   ok
User :   can u ask him
Doctor :   He is available in our panel

User :   but do i have to go every 6 months for life
Doctor :  
and will answer via mail/phone
Doctor :  
It is good to be on follow up every 6 months
Doctor :  
I dont think that is of that concern
Doctor :  
weighing the worth of the same
User :   I don't understand
User :   weighing the worth of the same
Doctor :   the follow up I mean to say

Doctor :  
because if it turns malignant
User :   should I move back to france where there is less sun
Doctor :  
then early treatment is very easy and effective
Doctor :   I cannot say that you need to shift
Doctor :  
if it were so serious, I am sure your dermatologist would have suggestd that
User :   what r the chance for any of my mole to turn
User :   I mean is my moles that bad??
User :   I thought they were benin so what's the deal?
Doctor :   it is a risk as per my knowledge

Doctor :  
wrt the growth rate
User :   ??
User :   wrt??
Doctor :  
the growth of your skin lesions
Doctor :  
with reference to
User :   u mean the amount of moles I developped or the path report
User :   but the path report sounded good to u or bad??
Doctor :   It is good

Doctor :  
but the growth rate does not fall into Benign as pure
User :   wxplain
User :   the growth rate of my moles
Doctor :   Sorry?

User :   for what?
User :   its very slow
User :   cpu
Doctor :   It is more

Doctor :  
like 50 skin lesions
User :   u mean the fact that I make a lot of new moles is bad
Doctor :   Yes

User :   are moles and sun spot the same?
User :   lentigo and moles same?
User :   but doesn't mean I will developped melanoma right?
Doctor :   lentigo is usually brownish

User :   I have both
Doctor :   Ok

User :   moles and lentigo
User :   doesn't mean I will developped melanoma right?
User :   r u there?
Doctor :   I shall explain you

User :   it is a really slow chat?
Doctor :   Characteristics of unusual moles that may indicate melanomas or other skin cancers follow the A-B-C-D-E guide

Doctor :   I am chatting with a few other patients simulaneously
Doctor :  
hence sorry for the delay

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