Dysplastic Nevuses (Dysplastic Moles)

This term is a term used for moles that look different from ordinary moles, that is, “atypical” ones.
is the term. Although they are sometimes called Atypical moles (nevus) because of their appearance, the most commonly used
The name is dysplastic nevus. Dysplastic moles are not moles that appear at birth. familial (family
It may occur in different individuals in the family) or may occur without other individuals in the family. numbers one
It can be one, or it can be many. They are most commonly located on the trunk and back. Familial ones are often
Although they appear until puberty, they can appear at any age in general.
they are larger than other ordinary non-congenital moles. Their diameter is over 5-6 mm. Asymmetric
they can be (it’s not symmetrical when you fold me on two separate axes). I am in light and dark coffee
There may be colored areas. There are those that are puffy from the skin or are at the same level as the skin.
it could be. There may be a raised area in the middle of the mole that is not raised from the skin. non-skinned
If we think of the part as the white of the egg and the fluffy part in the middle as the yolk of the egg, such a
The image can be described as a fried egg. Dysplastic moles are different from ordinary moles in appearance.
may raise the suspicion of melanoma. Although some appearance features resemble melanoma
but these moles are benign. Like other moles, they can stay the same for life or change and become melanoma.
they can transform. In cases where dermatologists consider dysplastic moles in appearance, biopsy is diagnosed.
they may need. The surgically removed mole was examined under the microscope in the pathology departments,
Observing the features of dysplastic moles in the tissue also confirms the diagnosis. Pathologist examining microscopic
can rank atypical features. This information is also provided by the dermatologist to follow up the patient.
can use when planning.

Is the presence of dysplastic moles more risky for melanoma development?

The possibility of developing melanoma from an existing dysplastic mole is extremely rare. Expected feature, dysplastic
The mole, like other ordinary moles, remains the same and does not change in adulthood. However
In the presence of change, melanoma may develop. According to our knowledge, people with these moles
The risks of melanoma that can develop on normal skin are higher than those without dysplastic moles.
In other words, individuals with dysplastic moles can develop from normal skin rather than developing through moles.
The risk of melanoma is higher.

Should all dysplastic moles be surgically removed?

No. These moles are benign. Prevent unnecessary surgery costs and scars that may occur in patients
moles can be surgically removed only in cases where diagnosis is difficult or melanoma cannot be distinguished.
removal should be considered. In addition, removal of all existing dysplastic moles is normal in the patient.
does not reduce the risk of melanoma that may develop on the skin.

Should individuals with dysplastic moles be followed?

Yes. The purpose of following the people with dysplastic moles is to
to follow the changes that may develop and to detect the new melanoma early.
3 months to 1 year by dermatologists considering other melanoma development risks in the person
Patients are followed up with control periods between In these follow-ups, the whole body at regular intervals
photographing and, if necessary, dermoscopic examination (examination of the skin with light and magnification systems), and
follow up is also done.

Are there any precautions that patients with dysplastic moles should follow?

Compliance with lifelong sun protection precautions, self-examination at least twice a year, and
It would be appropriate to go for control at intervals and periods determined by the dermatologist.

Congenital moles (Congenital nevus)

Congenital mole, which is present in the body when the baby is born and can change over time.
brown moles. Small diameter moles are rarely present at birth.
but may appear in the first 2 years of life, which are called “late-onset congenital moles”.

How far do congenital moles go?

Congenital moles grow in proportion to the child’s body as it develops and grows. These moles
They are divided into 4 groups according to their final size (diameter) that they will reach at adult age.
“Little congenital mole” for those less than 1.5 cm
“medium size congenital mole” for those who are between 1.5-20 cm
Big congenital mole for those larger than 20 cm
Those larger than 40 cm are called “giant congenital moles”

How common are congenital moles?

Small congenital moles are approximately one in 100 births, large ones are approximately one in 20,000 births and giant ones
Congenital moles occur once in 500 000 births.

What is the appearance of congenital moles?

Small to medium-sized congenital moles are usually sharply circumscribed, smooth-surfaced, light or dark brown
It appears in the form of spots and sometimes as rough brown bumps. on them
There may be slight differences in colors (such as brown tones, black, gray) and their surface is more dense than leather.
dense and prominent hairs can be found. Surface roughening or existing bumps over time
more prominent and thickening of fine hairs can be seen. Large congenital moles, brown
or in the form of raised plaques of black-colored skin, often overlain by a rough “paving stone”-like
lumps and hard bristles. It often includes different colors such as light-dark brown, black, gray. giant congenital
Moles are usually located on a large part of the body such as the back and cover a large part of the skin.
Small and large ridges of brown and black color contain thick, stiff bristles.
A few or many smaller “satellites” (satellites) around large and giant congenital moles
so-called moles can be found.

Are congenital moles dangerous?

Originating from cells called melanocytes that give color to the skin, although rare, on congenital moles.

A mole cancer called “melanoma” can develop. The risk of developing melanoma is related to the size of the mole. Small
The risk for moles and medium-sized moles is very low and usually occurs after puberty. big and
For giant congenital moles, the risk is significantly higher (4.5-10%) and melanoma development is the first
ages, mostly before puberty. Especially large and giant located on the head, neck and back
In the presence of congenital moles, it is accompanied by central nervous system involvement called “neurocutaneous melanosis”.
disease can also be seen. In this case, a constant drowsiness in the baby, often in the first 3 years of age,
symptoms such as restlessness, headaches, recurrent vomiting and epileptic seizures are seen.

How should congenital moles be followed?

Follow-up of congenital moles differs from patient to patient. Benin’s location, size, cosmetic and
negative psychosocial effects should be taken into account. Small size and smooth surface,
congenital moles located in an easily traceable area of ​​the body at regular intervals (such as 6 months-1 year)
can be followed by dermatologists. Follow-up should be done with dermoscopic examination. dermoscopic
Examination is a method of examining moles with a device called a dermoscope. dermoscope, special light
It can be thought of as a magnifying glass. Thanks to this special light system, the doctor reveals the upper layers of the skin.
allows for review. Thus, in terms of the development of cancer that may potentially occur in me.
changes that may occur earlier
detectable. In fact, in small moles, the risk of developing cancer is usually after puberty.
Since the child is ready for local anesthesia, it is more reasonable to wait until the age of 12-13 years.
In the meantime, it would be appropriate to follow me. Moles in areas that are difficult to follow, such as the scalp, should be followed up if necessary.
It can be surgically removed immediately without removal.
Large, uneven surface, rapidly changing (growth, blistering, discoloration)
(such as congenital moles) are often surgically treated at the earliest stage after evaluation by a dermatologist.
is extracted as.

Is surgical removal of congenital moles dangerous?

Contrary to popular belief, removing moles does not pose a danger, on the contrary, a mole with suspicion of cancer
Early removal with appropriate technique can save lives.

Can the risk of developing cancer on congenital moles be reduced?

Sunlight is an additional risk factor for the development of cancer. Therefore, both me and those outside the clothes
must protect the entire skin from sunlight. For this, unless it is necessary between 10:00-17:00
should not go out under the hot sun, and when you have to go out, you should be protected from the sun with a protection factor of at least 30.
Protective creams should be used, and bare skin should be covered with wide-brimmed hats and clothing.

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