Recent Mole Removal Surgery and Pathology Reports - Dermatology

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Dear Patient,
Thank you for sharing your pathology reports and concerns regarding your recent mole removal surgeries. I understand that you have undergone two separate excisions: one for a verruca vulgaris on the sole of your foot and another for a dysplastic compound nevus in your left axilla. Let’s break down the findings and address your questions.


1. Verruca Vulgaris (Foot)
The report indicates that the sections reveal verruca vulgaris, which is a benign condition caused by the human papillomavirus (HPV). The presence of hyperkeratosis (thickening of the outer layer of skin) and papillomatosis (nipple-like projections) is typical for this type of wart. Importantly, the report states that there is no evidence of malignancy, which is reassuring.

Follow-up Treatment:
Since the wart has been excised and there is no malignancy, typically, no further treatment is required unless new warts develop. It is common for HPV to remain dormant in the skin, and while the excised wart will not return, new warts can appear elsewhere. Regular monitoring of the area is advisable, and if you notice any new growths, consult your healthcare provider.


2. Human Papillomavirus (HPV)
Yes, verruca vulgaris is indeed associated with HPV. Most HPV infections are self-limiting, meaning they can resolve on their own without treatment. However, some strains can lead to recurrent warts. Maintaining a healthy immune system can help your body manage and potentially clear the virus. If you have concerns about HPV or if warts recur, your doctor may discuss treatment options such as topical therapies or cryotherapy.


3. Dysplastic Compound Nevus (Axilla)
The pathology report for the dysplastic compound nevus indicates that it is not malignant at this time. A dysplastic nevus is a type of mole that has atypical features but is not classified as melanoma (skin cancer). The report notes that the surgical margins are clear, which means that the excised tissue did not show any signs of cancerous cells at the edges of the removed specimen.

Follow-up and Monitoring:
While this nevus is not cancerous, dysplastic nevi can sometimes be associated with an increased risk of melanoma. Therefore, it is essential to continue monitoring your skin for any changes in existing moles or the appearance of new ones. Regular skin checks by a dermatologist are recommended, especially if you have a history of dysplastic nevi.


4. Recurrence and Variability
Dysplastic nevi can recur, but the risk is generally low if they have been completely excised with clear margins. It is essential to keep an eye on the area and report any changes to your healthcare provider. The term "dysplastic" refers to the abnormal appearance of the nevus, which can indicate a higher risk for melanoma compared to typical moles, but it does not mean that it is cancerous.


Conclusion
In summary, your foot lesion (verruca vulgaris) has been successfully removed, and no further treatment is necessary unless new warts develop. The axillary lesion (dysplastic compound nevus) is not cancerous, but it requires monitoring due to its atypical nature. Regular follow-ups with your dermatologist will help ensure that any changes are caught early.

If you have any further questions or concerns, please do not hesitate to reach out to your healthcare provider for personalized advice and support.
Best wishes for your continued health and well-being.