How to manage dysplastic nevus?

Question

Hi doctor,

I am a 31-year-old male, and I have had this atypical mole (dysplastic nevus) since I was around 8 years old. I only have one dysplastic nevus. It has not changed or caused me any problems. It is completely flat to my skin and has never itched, bled, or changed shape. I have researched online, and it says dysplastic nevus rarely turns into skin cancer. I do not smoke or have my t-shirt off outside, and I always wear sunscreen. I have no family history of skin cancer of any type. My question is, is my mole likely to turn into melanoma? I have had it for at least 23 years, and my fiancée always checks it and says it looks no different. She checks it at least 3 times a month. I will attach a photograph. I am not a smoker or drinker of alcohol. I always wear sunscreen when out in the sun and have no family history of skin cancer. It has looked the same since I was 8 years old.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I can provide some general information based on your description. It is encouraging to hear that your dysplastic nevus has remained unchanged for many years and that you practice sun protection measures. While dysplastic nevi are considered to have a slightly higher risk of developing melanoma compared to regular moles, it is important to note that the majority of dysplastic nevi do not progress to cancer. Factors such as size, shape, color, and changes over time are typically assessed by healthcare professionals to determine the potential risk of a mole becoming cancerous. However, it is difficult to provide an accurate evaluation without a physical examination or a consultation with a dermatologist who can assess your individual case. Considering that you have been monitoring the mole closely and your fiancée has not noticed any concerning changes, that is a positive sign. Regular self-examinations and involving a healthcare professional for periodic skin checks are important steps in the early detection and prevention of skin cancer. To address your concerns more effectively, I would suggest scheduling an appointment with a dermatologist. They can evaluate the mole in person, take your medical history into account, and provide you with appropriate guidance and peace of mind.

I hope I have answered your query.

Take care.