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Cancer > Skin Cancer Forum > Question About My Mole...please Help
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Q: Question About My Mole...please Help
asked by: shgrdii on March 22nd, 2005
New User
Hi. I have a mole on the left side of my neck below my ear. It was bigger than usual and started to change in color in the past 6 months or so. Earlier this month I went to a doctor and he did a biopsy on my mole. The report came back and said I had a dysplastic nevi with slight atypia and some inflammatory cells. I am scheduled to get the mole excised on april 15th. The doctor told me this was the best report I could get. My two aunts who have had melanoma said the report was good also, and my two of my mom's friends who are doctors, veteranarians, but still doctors said the reports are good. However, I get paranoid about stuff like this. I really don't understand what exactly my pathology report means. When the doctor read me the pathology report I was too freaked out and paniced to really listen and understand what he was saying. But should I be worried about this mole still?? Even though I am getting it removed in less than a month?? What exactly does slight atypia mean?? Is this close to being melanoma?? Can this mole turn into melanoma in less than a months time?? Will I be ok?? My mole is like brown with a little pink and. It is not raised except a tiny bit in one little area where the skin from the biopsy was taken. It has never itched or bled before. I looked up pics of melanoma and my mole looks nothing like it, but I am still paranoid. Can someone please help me on this??
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bkdaniels
replied on March 22nd, 2005
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Question About My Mole...please Help
Hey shgrdii, how are you doing?

All patients diagnosed with 1 or more ams should undergo a complete cutaneous examination. Patients with ams should avoid excessive sun exposure and routinely use a sunscreen with a sun protective factor of 15 or greater.

In 1820, norris proposed an association between nevi and melanoma. He described a family in which 2 members developed melanoma, while other family members had "many moles on various parts of their bodies."

however, the exact appearance of these lesions is unknown. The national institute of health consensus conference on the diagnosis and treatment of early melanoma defined a syndrome of familial atypical mole and melanoma (famm).

The criteria of famm syndrome are as follows: (1) the occurrence of malignant melanoma in 1 or more first- or second-degree relatives; (2) the presence of numerous (often >50) melanocytic nevi, some of which are clinically atypical; and (3) many of the associated nevi show certain histologic features.

Patients with famm syndrome should have a complete cutaneous examination performed at the first office visit and then at least every 12 months for life. An individual with an isolated am has little risk of developing a melanoma and should not be identified as melanoma prone.

For excellent patient education resources, visit emedicine's procedures center. Also, see emedicine's patient education article mole removal.

Best wishes,
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wakkochic17
replied on March 22nd, 2005
Experienced User
Shgrdii ... Your diagnosis means you have some atypical moles (hence the change in size/color) but that they are not cancer. I had two taken out last year with the same exact diagnosis. It's still the safest bet to get them taken off if they change color or size (one of mine changed color and the other size). It's still possible that they may have turned into something down the line, but for right now you are clear!! Since you do have these type of moles, however, it's safest to check yourself regularly so that if any others change shape, etc you can get them removed early on.
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shgrdii
replied on March 23rd, 2005
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I just went to my doctor today to fill out paper work for my surgery to get this removed. The assistant told me that my mother had called because I was so worried and anxious about this thing and she told me that she talked to the doctor and the doctor told her that I will be fine and that I should have nothing to worry about and that nothing will happen between now and my surgery on april 15th. Im still a bit worried, but I feel a lot better. And thanks to both of you for your help. I appreciate it.
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