Dermatology :: Acne Shave Biopsy?


Mar 1, 2015

I had this benign smooth small-ish bump on my nose for around two years, then around october time last year my nose got very dry and it kind of scraped/came off. It bled a little but it didn't seem to be full of blood, maybe just a clear fluid. It never bothered me up until it came off.  I was really happy because i thought it had gone. But then it started to come back. it came back even WORSE! it got very red, formed an uneven texture and still hasn't disappeared and we are in March. I have been to a doctor, who prescribed me acne medication, which just irritated it. Then i visited a dermatologist who told me i could have a shave biopsy. Its not cancerous which is good. But i am very very self concious about it. It is not a raised red , uneven bump on my nose. If you apply pressure it will stay down for 5 seconds until it comes back again.

I have been weighing up whether i want to go ahead and have a shave biopsy, i am worried about it scarring badly. It isn't very big, it is about 4mm/5mm, but it still is very obvious ( especially to me ). How long do shave biopsies take to heal? could it come back after the biopsy? and how long after the shave biopsy would i have to wait before wearing makeup?

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Everything has healed now but I am left with a small 'crater' where the cut was made but the coloring of the mole is still there. If anything, it looks worse than before. I'd really like to get rid of this.. what are my options?

I've attached 2 images of how it looks from the side and also front-on (which shows how it caves in now). I know it's not a huge thing and is purely cosmetic.

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We found that mpMRI/MRGB reduces the detection of low-risk PCa and reduces the number of men requiring biopsy while improving the overall rate of detection of intermediate/high-risk PCa.

Unsure how to proceed I asked my GP to refer me to a private urologist with the hope of being able to discuss the alternatives.

In the meantime I did some extensive research and discovered two further studies which concluded that for low grade PCa (PSA<10) the outcome for watchful waiting was no worse in terms of morbidity that invasive treatment and the outcome in terms of quality of life was much better. Both studies were conducted over at least 10 years by reputable agencies. One, conducted by the New England Journal of medicine is here [URL] ... . The other can be found by searching 'PIVOT'. Also, a number of well-known doctors have published articles in favour of doing nothing – Dr Mark Porter in The Times and Dr Sarah Jarvis in this very website, not to mention other articles in The Daily Mail, Telegraph and Independent. I got to thinking that if invasive treatments did not improve my outcome, what was the point of a biopsy?

I finally got to see a private urologist who discussed the options and, although he was marginally in favour of a biopsy, did not object to my proposal. So now I am going to monitor my PSA and I will reassess the situation if/when my PSA goes into double digits. I have since gone on a no-dairy and low red meat diet and my latest PSA (Dec14) was down marginally to 7.2 – still high but moving in the right direction. I appreciate that this course of (in)action is not for everyone and not knowing is frustrating at times, but for me at least, I feel it is the best current option.

I am 56 years of age and my father, who is still very well had an RP for PCa about 15 years ago. All DREs have reported ‘enlarged but benign-feeling’.

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To be honest, I'm scared of the results. I have always been healthy other than the occasional common cold, so this is something that really took me by surprise.

For those who are going through or have gone through this, what was your experience with the fine needle biopsy like? If your nodule was benign, did you still get it removed just in case? I just turned 21 with a lot of life plans ahead of me and I am scared that due to its increased size, it could be cancer.

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