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Cancer > Skin Cancer Forum > Shave biopsies and melanoma
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Q: Shave biopsies and melanoma
asked by: G8r4evr on November 22nd, 2008
New User
Hi All! I had a biopsy last week and am looking for some words of wisdom while I wait. Two years ago, I had a BCC removed and a few months ago, my biopsy results showed a moderate dysplastic nevi.

Last week, a mole on my lower side caught my attention and I decided to pick at it, to check for abnormalities. When I scraped my nail over it, it bled and also a little bit of black flaked off. How alarmed should I be? It was slightly raised, dark black, clear borders and about the size of a pencil eraser. Also, does the fact that it was raised mean that it would have to be nodular?

I have had many skin checks in the pasy few years and this particular mole never warranted even a comment from the PA's, but when I went in and pointed it out, the PA was pretty concerned. He did a shave biopsy and now I am waiting. I have now read that shave biopsies should never be done on suspected melanomas. Does this mean that if it is melanoma, they will not be able to correctly diagnose the depth?

Also, if it comes back as melanoma, what is the next step? Do you automatically go for a sentinel node biopsy? I am so terrified of surgery (mainly being put to sleep) that I am already losing sleep over this possibility).

Any words of advice/experience would be greatly appreciated =)

Cheryl~
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MandMs
replied on November 24th, 2008
Extremely eHealthy
Moles come in a wide variety of colors, shapes and sizes, even, like dark black raised ones (so, raised mole doesn't automatically mean nodular type of melanoma).
I guess you dermatologist have removed the mole cause irritation of mole is one of the three main reasons for removal along with suspicion of malignancy, and cosmetically unacceptable appearance.
Nodular melanoma, indeed, can appear as small black nodule, and, usually, tends to bleed.

Do you find this mole changed, like first being flat and now raised?
Was its size changed in a short period of time?
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