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Old 03-22-2010, 12:32 PM   #1
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Need opinion re: WHO best to remove a precancerous mole, and about type

I'm new here, and after searching for an answer, did not really get one that addressed my concern.

Dr. K, my family doctor, did a punch biopsy on a mole on my back last month. She is not a dermatologist, but does not a number of minor plastic surgery type of procedures (botox, fillers, etc.), so has some training in that area. I ASSUME.

After three weeks (and my growing certainty that nothing was wrong), her office called to tell me that the biopsy was precancerous. They didn't say what type or anything else, other than "don't worry."

But of course, I now AM worried. At least a bit, since like many here, I'm very fair, freckled and have had many bad sunburns (largely in my youth). I've also had many actinic keratoses burned off over the last few years. My older brother has squamous cell skin cancer and has to regularly undergo screening and treatments, etc. for it.

But I've NOT had this with a MOLE. (And I've got lots of moles along w/the freckles, as well as age-related spots now that I'm 60.)

Question #1: Are all precancerous MOLES potentially melanoma?

Question #2: Is a Family Practitioner (who does some specialized skin treatments) likely to do an adequate job of excising the mole? I assume she will send the whole thing for another biopsy... but, is that standard?

Thanks so much for any answers!

 
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Old 03-27-2010, 09:21 AM   #2
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Re: Need opinion re: WHO best to remove a precancerous mole, and about type

Quote:
Originally Posted by sharpmama View Post
I'm new here, and after searching for an answer, did not really get one that addressed my concern.

Dr. K, my family doctor, did a punch biopsy on a mole on my back last month. She is not a dermatologist, but does not a number of minor plastic surgery type of procedures (botox, fillers, etc.), so has some training in that area. I ASSUME.

After three weeks (and my growing certainty that nothing was wrong), her office called to tell me that the biopsy was precancerous. They didn't say what type or anything else, other than "don't worry."

But of course, I now AM worried. At least a bit, since like many here, I'm very fair, freckled and have had many bad sunburns (largely in my youth). I've also had many actinic keratoses burned off over the last few years. My older brother has squamous cell skin cancer and has to regularly undergo screening and treatments, etc. for it.

But I've NOT had this with a MOLE. (And I've got lots of moles along w/the freckles, as well as age-related spots now that I'm 60.)

Question #1: Are all precancerous MOLES potentially melanoma?

Question #2: Is a Family Practitioner (who does some specialized skin treatments) likely to do an adequate job of excising the mole? I assume she will send the whole thing for another biopsy... but, is that standard?

Thanks so much for any answers!
My precancerous (actinic keratosis) lesions were zapped off by a derm/physcian's asst. On March 18th and all seven are healed *on hands/arms. She opted for cryosurgery *freezing them off.

I have about 20 or so moles and have had them all my life pretty much. They are round. No uneven color. No itchy. No scaley. No dryness. No sore. No redness-- with any of them.
I did have a funny shaped black thing on right upper arm removed in 1988 that was a superficial spreading malignant melanoma. It has been taken care of and I am periodically checked. Going for the full body soon after biopsy of nose thing comes in.

#1--- NO. All moles are not potential. The irregular - odd ones - should be checked by a dermatologist!!

#2---I had mole removed by plastic surgeon and wished I had seen a specialist in skin cancers instead. Just my opinion but see a dermatologist. Maybe one that specializes in Skin Cancers.

Good Luck to you!! (((hugs)))

~~ starryGal

ETA: Just got the call from DERM...NO Cancer on nose. YES!!!! Thank you to all for the kind wishes and to the good LORD for prayers answered.

Last edited by starryGal09; 03-30-2010 at 08:21 AM. Reason: GOOD NEWS!!

 
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Old 03-30-2010, 12:53 AM   #3
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Re: Need opinion re: WHO best to remove a precancerous mole, and about type

My family doctor removed the whole mole along with a margin of skin all around it, which will be biopsied. She has done a number of skin procedures (mostly cosmetic ), though is not a dermatologist.

I have an HMO, which has actually been good about care and follow up for a couple of serious chronic health conditions (Multiple sclerosis and severe arthritis; I regularly see a neurologist and a rheumatologist).

I have no doubt that if anything in THIS biopsy is even questionable, that she would send me to a dermatologist who deals with skin cancer. I also got a copy of the first biopsy report.

So... I will see; and get a copy of that report also.

Thanks again.

Last edited by Administrator; 05-12-2012 at 12:12 AM.

 
Old 05-09-2010, 05:30 PM   #4
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Pat1938 HB User
Re: Need opinion re: WHO best to remove a precancerous mole, and about type

I have had melanoma twice,and basal cell cancers. Go to a top notch dermatologist. If you have melanoma I prefer to go to a MOHS dermatologist as they check to see if all the margins are clear of cancer while you are on the table. My dermatologist is excellent and studied at Mayos. He takes off many moles,freckles as a precaution. He checks my entire body and even where the sun does not shine plus my scalp and between my toes. Do not settle for less. Many doctors are rushed,and ask if you have any places that need to be checked. I went through 5 before I found my dermatologist. Good luck. Insist on punch biopsies if something looks malignant.

 
Old 06-04-2010, 12:37 PM   #5
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Re: Need opinion re: WHO best to remove a precancerous mole, and about type

I'd find a good derm. Like one of the other posters said one who does MOHS. There are a few good reasons for this:

1) A derm is more adept at spotting potential problem areas than an GP would be.
2) A derm will do a full body check (yes they look EVERYWHERE) whereas a GP might not suggest that.
3) Finding and getting with a MOHS derm will make things easier in the event that you ever DO need to have something removed. I'm only 31 and I've had 2 malig. melenomas and 2 basal cells removed, one with MOHS and it makes a huge difference. Best of luck to you.

 
Old 07-19-2011, 11:55 PM   #6
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slmm HB User
Re: Need opinion re: WHO best to remove a precancerous mole, and about type

im so glad you got good news. i had 2 taken off 5 days ago and am still waiting for the results. they said the lab they use it usually takes a week. any ways i just wanted to say this. when i went to see my family doctor about a mole on my face that had changed . he said yea it needs taken off and since its on your face we will be wanting to send you to a plastic surgeon. i guess to make any scar as pretty as can be. but it made sense to me. hope that helps some one

 
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