Practice Policy Update regarding COVID-19

Lab Results Explanation

Lab Results Explanation

Benign Harmless Growth: There are many, many growths that are completely harmless. Benign harmless growths do not require further care. Please call the office if you have specific questions.

Inflamed Skin: Your biopsy result showed that your skin is inflamed. No other specific diagnosis could be determined. We recommend a follow-up visit to discuss additional therapy, if clinically indicated.

Abnormal Mole: This is formally known as a “dysplastic nevus”. This type of growth shows irregularity in the skin pigment cells. This irregularity may be minor not requiring further treatment. However, irregular moles may also be very abnormal and precancerous. A small percentage develops into a dangerous form of cancer known as melanoma. The risk from melanoma is increased if you or one of your blood relatives have had a history of melanoma, if your skin is very light colored, or you have a history of 5 or more sunburns in your life or one or more blistering sunburns, if you have 50 or more moles on your body, a history of atypical moles in the past, and repeated sun exposure. Almost 50% of Caucasians have at least one abnormal mole. Because it is impossible to predict which ones become melanoma, in general we recommend the complete removal.

  1. Mildly Atypical Moles (aka: Dysplastic Nevus) : We usually like to recheck the skin in 1-3 months of initial biopsy to check for clinical recurrence. We only do further treatment on these mildly atypical moles if the color returns at the biopsy site. If the color returns, then we generally advise further treatment to ensure removal of all atypical cells.
  2. Moderate atypical moles: Require further minor surgery in our office under local anesthesia to removeall of the atypical cells. We resend the specimen back to the lab to ensure complete removal.
  3. Severe atypical moles & Atypical Melanocytic Hyperplasia (AMH): Always require surgical removalas this type of atypical mole is very close to a melanoma and it’s impossible to predict if it will become a melanoma. Excision (removal) of these severely atypical moles are done in our office under local anesthesia.

Pre-Skin Cancer: Actinic Keratosis are precancerous growths. They are not now cancerous, but have the potential to become cancerin the future. An abnormality exists in the cells close to the skin surface known as “epidermal cells”. This ranges from minimal to severe. Treatment is determined by the extent of abnormality. Since it is impossible to know which with progress to non-melanoma skin cancer, complete removal usually by freezing is recommended. Additional treatments such as chemo-creams and photodynamic therapy treatments may also be recommended at your follow-up visit to address the surrounding sun damage skin calls that usually surround these skin pre- cancers.

Minor Skin cancer: Basal cell carcinoma is the most common skin cancer. They generally grow quite slowly, so you do not have to rush in for the treatment. Depending on where your skin cancer is located, we may need to schedule an appointment to discuss treatment options. In many cases, we can schedule for removal directly. A basal cell skin cancer invades local tissue, but almost never spreads or metastasize. These skin cancers are typically removed in our office under local anesthesia via Mohs surgery or excision.

Squamous Cell Carcinoma: Is the second most common skin cancer. Again, these occur primarily in the sun exposed areas. Squamous cell cancer must be completely removed because of the small potential for metastasis. These skin cancers are typically removed in our office under local anesthesia via Mohs surgery or excision.

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