Who has lots of moles, and who goes to the derm on a regular basis for heavy surveillance of their skin and moles, and who has had severely atypical or dysplastic mole biopsies?
I'm having a lot of anxiety and hypochondria after having a mole biopsy come back severely dysplastic. Then I had to get a re-excision this last week. The mole wasn't even that nasty looking. It was just a tiny little bit darker and tiny bit bigger than the others, and was in an area on my upper thigh, where the sun does not shine, so it stood out a little bit more than usual. I don't know how long it was there, in spite of my self-checks, and I went to a dermatologist 9 months prior, and didn't mention it.
Really it was only 2mm x 3 mm oval shape, uniform in symmetry and color and only about as thick as notebook paper. No changes and no symptoms. But it came back as DYSPLASTIC COMPOUND NEVUS WITH SEVERE ARCHITECTURAL AND CYTOLOGIC ATYPIA, and was done at the pathology lab of the University of Florida Department of Dermatology. And so re-excision was recommended, which I had done, but have not yet received the pathology on the re-excision. The derm says it will probably come back all clear. It was a good quarter inch chunk deep, with a 3cm incision and 6 stitches. However, the dermatologist says now, that the threshold for biopsy on moles is now much lower, because of this. I'm not a horribly moley person, but I do have my share of normal looking moles throughout my body, with a couple other more interesting ones, that have been there a long time, and that other dermatologists have said were fine. I even have one downstairs - if you know what I mean. TMI, I know, sorry but it's true.
I'm Caucasian, tan well if I'm careful, brown hair, brown eyes, no family history of skin cancer, and my close family has similar moles. I'm just the only one to be diligent about them. I'm starting to freak out now, though, and I'm self checking every day, looking with flashlights and mirrors, and now everything is looking suspicious.