Hi doctor, I have a question about a mole. I had a mole biopsied a few week back and the pathology report came back, as the pathologic process is that of a proliferation of nevomelanocytes within the epidermis and focally within the dermis. Cytologic atypia is present and manifests as large nuclei, pleomorphism, and abnormal chromatin patterns. No atypical mitotic figures are identified. An architectural disorder is present and manifests as lentiginous hyperplasia, horizontal growth pattern, individual melanocytic hyperplasia and abnormally formed junctional nests that focally demonstrate bridging adjacent rete ridges. There is junctional asymmetry. The melanocytic cells extend to the deep margin and to both lateral margins. The pathologist called it a "mild to moderate" atypical mole and suggested that I get it excised, which I did. However, when they went to check the margins, it was upgraded from "mild to moderate" to "severe." How concerned should I be about this? And why would a mole be upgraded upon excision? They are recommending another excision, as some of the cells were left behind, which I will do within the next few weeks.
Hi. One should always look for following changes for melanocytic nevus as follows: The treatment is complete excision along with the margins. For more information consult a dermatologist online -->