Medical & Surgical Dermatology

Atypical Nevus

The word “atypical” means “not like the rest.” “Nevus” is the medical term for “mole.” Dermatologists use the words “atypical nevus” to describe a mole that does not look like a normal mole. An atypical mole often looks a bit like melanoma, the deadliest type of skin cancer. But an atypical mole is not melanoma or any other type of skin cancer. An atypical mole is benign (not cancer).

A dermatologist may refer to an atypical mole as a “dysplastic nevus.” Regardless of the term, these moles are benign.

Is there an increased risk of getting skin cancer?

Atypical moles are benign, but some people who have these moles have a higher risk of getting melanoma. The risk of getting melanoma increases significantly when a person with atypical moles has:
  • Many atypical moles.
  • Had melanoma in the past.
  • A first-degree blood relative (parent, sibling, or child) who had melanoma.
If a person has a few (one to four) atypical moles and none of the above risk factors, the increased risk of getting melanoma is small.

What does an atypical nevus look like?

Atypical moles tend to vary in appearance. An atypical mole can be larger than other moles. Some are more than one color. Others have a jagged border. These traits also are warning signs of melanoma. Your Water's Edge Dermatology practitioner should examine all moles that show any of the following ABCDEs of Melanoma:

A stands for ASYMMETRY; one half unlike the other half.
B stands for BORDER; irregular, scalloped or poorly defined border.
C stands for COLOR; varied from one area to another; shades of tan and brown, black; sometimes white, red or blue.
D stands for DIAMETER; while melanomas are usually greater than 6mm (the size of a pencil eraser) when diagnosed, they can be smaller.
E stands for EVOLVING; a mole or skin lesion that looks different from the rest or is changing in size, shape, or color.

If a mole has any of these traits, it is important to see a Water's Edge Dermatology practitioner. The number of newly diagnosed melanomas continues to rise. With early detection and treatment, melanoma has a high cure rate.

Atypical Nevus

When and where do atypical nevi develop?

Atypical moles usually begin to appear at or around puberty. These moles can appear in adults as well.

Atypical moles can occur anywhere on the body, but these moles most commonly develop on the trunk. Atypical moles rarely appear on the face but may develop on the scalp, head, and neck.

Is treatment necessary?

An atypical mole is not the same thing as a melanoma, so an atypical mole does not always need to be treated. If a dermatologist suspects that an atypical mole may be a melanoma, the dermatologist will remove the mole (or part of it) so that the mole can be examined under a microscope. This is known as a biopsy.

Because melanoma can develop within an atypical mole, anyone who has atypical moles should watch these (and all) moles for change. A mole can change in size, color, or shape. It can start to itch or burn. If a mole changes in any way, a Water's Edge Dermatology practitioner should examine the mole.

What is Familial Atypical Mole Melanoma Syndrome?

Some people who have many atypical moles have Familial Atypical Mole Melanoma (FAMM) Syndrome. People with FAMM Syndrome have:
  • A first-degree (e.g., parent, sibling, or child) or second-degree (e.g., grandparent, grandchild, aunt, or uncle) who has had melanoma.
  • A large number of moles, often more than 50, with some moles being atypical moles and the moles often varying in size.
  • Moles that show certain features when viewed with a microscope.

What should a person with FAMM Syndrome do?

A person who has FAMM Syndrome should have a full-body screening from a Water's Edge Dermatology practitioner every three to six months, beginning at puberty. Screenings may be less frequent once the moles appear stable. Your Water's Edge Dermatology practitioner also may recommend regular examinations from an ophthalmologist (eye doctor), skin photography, or regular screenings for relatives. All of these approaches help with early detection and treatment of melanoma. When detected and properly treated in the early stages, melanoma has a high cure rate.

People with FAMM Syndrome also should examine their own skin at least every three months and possibly more frequently. The purpose of this examination is to find the earliest change to a mole.

Atypical Nevus

When examining the skin, look for the traits described in the ABCDEs of Melanoma listed earlier. Any change in size, color, and/or shape of a mole should be reported to a dermatologist immediately. Other changes also should be reported. These include symptoms such as a mole that begins to burn or itch.

Can melanoma be prevented?

Sun exposure is the most preventable risk factor for all skin cancers, including melanoma. As unprotected sun exposure is thought to increase the number of moles, reducing sun exposure is an easy way to reduce your risk for skin cancer. Here's how to Be Sun Smart®:

  • Generously apply a broad-spectrum, water-resistant sunscreen with a Sun Protection Factor (SPF) of 30 or more to all exposed skin. Broad-spectrum provides protection from both ultraviolet A (UVA) and ultraviolet B (UVB) rays. Reapply approximately every two hours, even on cloudy days, and after swimming or sweating.
  • Wear protective clothing, such as a long-sleeved shirt, pants, a wide-brimmed hat and sunglasses, where possible.
  • Seek shade when appropriate, remembering that the sun's rays are strongest between 10 a.m. and 4 p.m. If your shadow is shorter than you are, seek shade.
  • Protect children from sun exposure by playing in the shade, wearing protective clothing, and applying sunscreen.
  • Use extra caution near water, snow, and sand because they reflect the damaging rays of the sun, which can increase your chance of sunburn.
  • Get vitamin D safely through a healthy diet that may include vitamin supplements. Don't seek the sun.
  • Avoid tanning beds. Ultraviolet light from the sun and tanning beds can cause skin cancer and wrinkling. If you want to look like you've been in the sun, consider using a sunless self-tanning product, but continue to use sunscreen with it.
  • Check your birthday suit on your birthday. If you notice anything changing, growing, or bleeding on your skin, see a dermatologist. Skin cancer is very treatable when caught early.

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