Dermatologist Questions Dermatologist

Cancerous?

I have a cellular blue Nevis? That has been gradually growing in size for the last 5 years. Doesn’t look cancerous to me but my wife seems worried.

Male | 35 years old
Complaint duration: 5 years
Medications: Effexor 37.5
Conditions: Panic disorder, agoraphobia

6 Answers

Blue nevus is a group of cells characterized by dermal proliferation of melanocytes presenting as blue to black nodules on the head, extremities, or buttocks. Most cases are acquired as solitary lesions, but they may be congenital also. Blue nevus is a benign Melanocytic lesion. The most common variant is dendritic blue nevus and cellular blue nevus. Atypical cellular blue nevus presents as an intermediate histopathology between typical and the rare variant of malignant blue nevus / melanoma arising in a cellular nevus. Only rarely a dysplastic nevus turns into melanoma. However, they are a risk factor for developing melanoma, and the more dysplastic they are, the higher the risk. Excisional biopsy is usually performed when there is any clinical concern. Please, visit dermatologist so he or she can send a biopsy to the pathologist to see if there are many atypical cells involved in your lesion. Thank you.
Cellular blue nevi are not often malignant. You could get it biopsied and this would give all family members peace of mind.

Dr. Bitter, Sr.
This lesion is most likely not cancer......but a definitive diagnosis cannot be made without a tissue biopsy and microscopic exam. This is simple to remove and since your wife is worried about it, get it removed. Easy to do in office with a little local anesthesia and maybe 1 or 2 suture repair. It will keep peace at home!!
This usually remains benign. See your dermatologist to confirm.

Suzanne Sirota Rozenberg, DO, FAOCD, FAAD
Have you had this officially diagnosed by a pathologist? If it seems to be growing, I would recommend getting it removed and diagnosed officially.

RB Thomas, MD
You should see a dermatologist immediately. This could very well be melanoma and needs to be removed

Susan LeGrand MD