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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Worry For A Compound Nevus With Moderate Atypia ?

I had a skin biopsy. Sections show a compound nevus with moderate atypia. The nevus is primarily intradermal with only rare nests at the dermal-epidermal junction, however, there is some asymmetry with extension of single cells at the junctions out to one side of the nevus. Occasional melanocytes are mild-to-moderately increased in size and approach closely to the margins. A conservative re-excision may be warranted. Why? My physician assistant says it s nothing to worry about.
Thu, 19 Dec 2013
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Dermatologist,  's  Response
Hi,

I can understand your concern for the compound nevus with moderate atypia. You haven't told your age and the time period of mole which was present as well as the site of mole.

The biopsy shows not exactly the features exactly of the malignancy but it shows some features which are very much basic to diagnose the initial one. Moderate atypia is a word which should always be taken care of properly and carefully.

I suggest you to go for a conservative re-excision including 1 centimeter area around the previously excised mole. This will take care of all your stress.


Do not forget to go for biopsy of the are and so the histopathological examination will reduce all your anxiety.

All the best.
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Should I Worry For A Compound Nevus With Moderate Atypia ?

Hi, I can understand your concern for the compound nevus with moderate atypia. You haven t told your age and the time period of mole which was present as well as the site of mole. The biopsy shows not exactly the features exactly of the malignancy but it shows some features which are very much basic to diagnose the initial one. Moderate atypia is a word which should always be taken care of properly and carefully. I suggest you to go for a conservative re-excision including 1 centimeter area around the previously excised mole. This will take care of all your stress. Do not forget to go for biopsy of the are and so the histopathological examination will reduce all your anxiety. All the best.