a/ The first stage. Nevi with
small dangerous potential for patients are recommended check up
regularly.
b/ The second stage Mole embodies higher degree of discomposure,
would have been surgically removed. Estimation is possible to
perform by dermatoscopic investigation with the help of
histopathologist. Exception is at surgically poorly available
loci like eyelids, big toe and likewise. Using cosmetic
advantageous methods (snow – fall, laser ablation is extreme
dangerous!
c/ The third stage. Dermatoscopic Society recommends establish
pictures-dysplastic nevi database. Especially pictures with
higher degree of discomposure should be regularly monitored and
confronted with other specialist via mail post. Discussion is
about findings while we see more dysplastic nevi on the skin
with other risk factors including patient history, number of
nevi, age, sex, type of skin, race, immune status, genetic
disposition and so on. Suitable method for nevus comparison is
photodermatoscopy. If nevi structure changes, its removal is
vital indicated also at the expense we have to consult plastic
surgeon.
The third described stage is considered to be dangerous from the
standpoint melanoma formation. There is necessary perform
excision with wide protective border and be deep enough.
From paper results, that the close cooperation with specialized
pathologist perforce necessary. Right cooperation would have
been bilateral. There is convenient to enclose
phododermatoscopic picture with transmission dissection under
examination. I have good experience to consult the pictures via
e-mail with experienced specialist occasionally abroad. The
e-mail adress list is placed also on this web sides.
