Concern Over Dysplastic Nevi with Severe Atypia
At 34 years old, I'm a 5'4", 145-pound female of Caucasian descent. I've never had any problems with skin cancer or similar conditions in the past. During my routine skin examination, my dermatologist expressed concern regarding a couple of spots on my skin and mentioned three additional areas that needed monitoring. She decided to perform biopsies on the two spots that raised alarm bells. The results indicated that both were identified as dysplastic nevi with significant atypia, resulting in a recommendation for re-excision, which they clarified amounts to a procedure similar to melanoma surgery, potentially leaving approximately a three-inch scar. Naturally, I was taken aback by the findings, prompting me to insist on having the other three spots biopsied as well. The results have recently returned, revealing that all three are also classified as dysplastic nevi with severe atypia. It strikes me as unusual that all five biopsied lesions are categorized as "severe" and necessitate surgical intervention. I'm feeling quite anxious about the situation, and I apologize if my thoughts are scattered and my writing is a bit disjointed.
Answers (1)
6/18/2025, 7:30:58 PM
OpenHealth AI
I understand that receiving the diagnosis of dysplastic nevi with severe atypia can be alarming, especially when multiple spots are involved. It’s completely natural to feel anxious about the potential for skin cancer, and I commend you for being proactive in having further biopsies done.
Main Points:
- Dysplastic nevi with severe atypia are abnormal moles that require careful monitoring and may necessitate surgical removal.
- While multiple lesions being identified this way can be concerning, it's crucial to approach the situation strategically and follow up on your care promptly.
Explanation:
Dysplastic nevi are moles that appear atypical under microscopic evaluation but are not cancerous themselves. However, "severe atypia" indicates a higher risk for these lesions to progress to melanoma, which is why your dermatologist has recommended re-excision. The recommendation for surgical intervention aims to ensure complete removal and reduces any risk of malignant transformation.
Next Steps:
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Follow the Dermatologist's Advice: Schedule the re-excision as recommended. This procedure will help ensure that any potentially dangerous cells are removed and monitored effectively.
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Self-Monitor Your Skin: Keep an eye on any new spots or changes in existing moles. Use a body map to document changes over time. Look for asymmetry, irregular borders, color variation, larger diameter, or evolving features.
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Consider a Second Opinion: It’s completely okay to seek a second opinion from another dermatologist if you have lingering doubts. This can provide assurance and options for your care.
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Emotional Support: It’s really important to talk about how you're feeling. Consider reaching out to friends, family, or even a mental health professional who can help you process these feelings.
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Stay Informed: Educate yourself about skin health and the characteristics of dysplastic nevi. This may help reduce anxiety by empowering you with knowledge.
Remember, you are taking proactive steps in managing your health. It's good to be vigilant, and with the right follow-up and care, you’re doing what you can to ensure your well-being. If you have more questions or if there's something specific you want to discuss, feel free to reach out.
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