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Old 08-04-2012, 07:52 PM   #1
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Exclamation Dyplastic Nevus or Melanoma?

I've had a dyplastic nevus since birth that is around 1" diameter at its smallest point. It's vaguely ovular in shape, but definitely asymmetrical. lighter around the edges and darker in the middle. It's flat, but kind of "pebbly" feeling. It also has hair, which sounds gross, but I've heard that's a good thing as far as skin cancer goes? Doctors have never seemed too concerned about it. It's on my lower back and the main concern with getting it removed has been mostly cosmetic. I have seen a derm about it a few times, but I really don't want to get it removed at this point because it would involve a small skin graft, I would have to be awake for the procedure, and it is right around where my waistband sits, so the healing process would be uncomfortable. I'm also a big baby about pain and surgery.

I have lately been worrying that it's melanoma, not because I've really noticed any visual changes. it would be hard to notice small changes because the mole is so large and is on a part of my body that I don't look at very often. It hasn't really hurt or itched, and this may just be me being paranoid, but sometimes I'm just kind of aware that it's there. It's not painful or itchy or anything, but it feels like I can just feel it resting there, in a way.

I'm not a huge fan of it visually, so that is one reason to get rid of it. If I were to go ahead and remove it and biopsy it to make sure it's okay, would that prevent skin cancer from forming there? I'm pretty sure it is the only dyplastic nevus I have, and I don't think I have enough common moles to qualify as that syndrome that I can't remember the name of where you have more than 50 moles. I do have more than average, but I also have trouble differentiating between moles and freckles. I have fair skin that burns easily, but I am very diligent about sunscreen.

I'm just really paranoid about it and worried that it will eventually turn into melanoma. Another thing that was expressed to me by doctors is that it is left-center, so they were worried that if it did turn into melanoma and metastasize, it would spread to my CNS.

Does anyone have any experience getting a similar area of skin removed? Did it hurt? Would it be worth it? I'm just really worried and I'm also a bit of a hypochondriac.

 
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Old 08-05-2012, 09:41 PM   #2
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Re: Dyplastic Nevus or Melanoma?

Don't fool around with this...See your Dermatologist...Our oldest son has paid the price for the Sun and tanning...He has had five removed...Some very deep and all with stitches...With this on your waist area it could be a problem...If it was cancerous or melanoma, it has to be cut out deep enough to stop any feelers...They usually take on a multi-colored look....However, with the rash of deaths with this unforgiving problem, doctors do not hesitate to biopsy and take them out...It is not in our family history but the Dermatologists have also now taken three that are suspect off of our youngest son...It is far scarier than people realize...Take care...ILD...

 
Old 08-06-2012, 12:48 AM   #3
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Re: Dyplastic Nevus or Melanoma?

One of the things that can cause a mole to turn into melanoma is constant irritation. If this is at your waist, it will be constantly irritated by waistbands. The removal shouldn't be bad. It would be numbed up first. Superficial things like moles don't hurt like deeper surgeries that involve muscle tissue. The donor site for the graft may hurt worse than the mole site, but some pain medication will take care of that while it heals. No sense worrying about it and taking chances.

Last edited by ladybud; 08-06-2012 at 12:49 AM. Reason: typo

 
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