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Atypical melanocytes are abnormal pigment-producing cells that can be malignant or benign. They are often identified during a physical exam and can be examined by a pathologist. Treatment options depend on the nature of the cells, and monitoring over time is recommended for benign cases. Second opinions are also recommended.
Atypical melanocytes are pigment-producing cells with an abnormal appearance. They are usually identified during a physical exam when a doctor notices an unusual skin lesion and can be examined by a pathologist in a laboratory setting to learn more about what is going on inside the cells. In some cases they are malignant, while in others they can be benign. It is important to evaluate the skin lesions to determine their nature before deciding how to proceed with treatment.
Most commonly, atypical melanocytes appear in a pigmented lesion with irregular borders. The lesion can change rapidly, suggesting that uncontrolled cell growth is occurring, but this is not always the case. Often, these growths are identified by healthcare professionals, as they may be in places where patients are not looking or patients may not recognize the telltale signs of a problematic skin lesion.
A doctor can scrape off a suspicious growth or remove it altogether and send the cells for biopsy. If a pathologist identifies atypical melanocytes, as much information about the cells as possible will be provided. This will determine whether they are malignant, premalignant or benign. If the cells look dangerous, additional treatment such as surgery around the margins or radiation to suppress cell growth may be recommended. In other cases, a wait-and-see approach should be recommended.
In the case of benign atypical melanocytes, monitoring of the lesion over time is usually recommended. While these cells may not be a problem, there may be an increased risk of developing a malignant skin condition. Catching the condition sooner will provide more treatment options and may even increase the chances of a successful treatment option. The growing awareness of skin cancer risks has made many people much more conscientious about checking and monitoring skin changes.
Patients may also wish to consider getting a second opinion when atypical melanocytes are identified. Skin care physicians are usually happy to provide referrals to colleagues so that patients can feel confident with a diagnosis and treatment plan. Every doctor’s approach to managing skin problems is unique, and different recommendations from a new doctor don’t necessarily mean that the previous doctor was incompetent or recommended a dangerous treatment. Some doctors are more aggressive and practical, while others prefer to be more conservative. Both therapeutic approaches have advantages and disadvantages and are equally valid.
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