2 biopsy's; nevus dysplastic Concerns Questions

[luvdogs]

This was my first visit to a derm office and since I lot my F/T position at work I no longer have med.  insurance. So I nt through a hospital clinic and pay a percentage based on my salary. I had a mole on my brastrap area that was getting irritated and wanted it removedso I was sent to a derm office for that.

Upon the PA checking my upper body he saw a dark brown freckle on my chest and another on my stomach. Both were flat and 1-2 mm in size. Just assumed they were freckles never concerned because they didn't look like phtos of moles or freckles that you see w/ cancer. So he asked how long they were there I didn't know exactly but for a while said and he said not to worry it wasn't cancer but should be removed. So they shaved off the brastrap mole and punch biopsed the chest and abdomen ones.

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I had the biopsy's read by a dermopath since the first was read by a gen. path. Initially,  was upset by the fact that after the punch biopsy's 2 weeks went by and I went to have the stitches removed and the nurse took them out and said ok have a nice day! I felt I walked out and that was that no worries. Until a week later the office calls to schedule further removal!  I was shocked and confused thought she had someone elses chart but there was a note that the doctor had discussed this with me when   stitches were removed! LOL! I explained that no one had discussed any biopsy report and that a doctor did not even see me. So that was upsetting. I did ask to speak w/ the Dr. when I did his comment was that it was ok he just was not in the office that morning.

HOW prevalent are these to turn into cancer?? Should I have them both resected further?
Also seems I developed a keloid on the abdom area its a small red purplish. WILL I develop another keloid since more tissue will be removed there??

What do the path reports really mean regarding the rete ridges and the nests what is abnormal about it biologically when its seen under the scope at a paths lab? If anyone can elab I'd be interested to know.

Both path reports were;
chest;irritated nevus melanocytic/ clarks nevus dermopath  says is compound the other says it's intradermal

abdomen; clarks nevus compound type dysplastic nevus moderate cytologic atypia the dermopath  says its junctional
and dysplastic nevus.

Dermopaths report is more detailed explains rete ridges elongated melanocytes predom. in nests also solitary units along dermoepidermal junction. Nests horiz elongated occas bridging of rete ridges.
Melanocytic proliferation subtended by by papillary dermal fibroplasia and infiltrate of lymphocytes and melanophages. Exact terms of abdom reading.

The chest explains rete ridges elongated melanocytes predom. in nests also solitary units along dermoepidermal junction. Nests horiz elongated occas bridging of rete ridges.
Junctional melanocytic component extends horiz beyond nests of melanocytes in the dermis.

(brastrap mole justlabeled melanocytic nevus intradermal type)


My surgery is coming up this week and I'm getting more and more anxiety over this. It just seems that w/o a clear cut answer it leaves me confused and questioning if I should even have further resection.