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MOHS surgery on freckles despite clean biopsy

No stranger to basal or squamous over the last almost three years. Had a stage one squamous emerging suddenly from a previous “ clean slate” two months before. Not sure why the freckle was even biopsied but pathology was a clear NEGATIVE. MOHS surgeon asked me to come in two days later to remove what he now called a basal in situ but he had clear evidence, supported by medical staff that site was nothing more than a freckle. I objected but surgeon assured me it was basal despite biopsy appearing as NEGATIVE. I asked for a post surgical conference but declined. Anyone have a situation similar to this or advice other than changing MOHS surgeon? Please advise..I’m really perplexed. Thanks, Rob R.

  1. Hi . We are not medical experts, but, if you haven't had the surgery yet, I would encourage you to get a second opinion for your own peace of mind. I have a freckle on my foot that a dermatologist insisted I have him removed 30 years ago. He said freckles on the feet are uncommon and are usually indicative of cancer. I refused. Not only has that freckle never changed, but I have also noticed lots of other people have freckles on their feet. A podiatrist recently told me she sees them all the time and that she has never been concerned. Some doctors like to play it super safe. That can be a good thing or a not-so-good thing, depending on your own approach to healthcare, but a second opinion can help you make more informed decisions. I hope that helps and that you get responses from others in the community. Best wishes. - Lori (Team Member)

    1. Thanks, Lori! Insisting on a conference with the Derm,
      it was the fault of the medical
      assistant saying they shouldn’t
      have done MOHS on my back.

      She misspoke. The real issue
      Was that I had a C and E and
      the MOHS plastic surgeon
      decided on the spot, in his
      opinion that C and E wasn’t
      sufficient. I let it go.

      I told the Derm there should be
      flawless communication between the Derm and the
      surgeon. I furthered that his
      decision was sprung on me.

      In conclusion, I added I wanted
      to see every single pathology
      report and that any concerns
      be met before I undergo any
      further procedures. I’ve had
      31 MOHS excisions in 34 months.

      Suffering from surgical fatigue.

      Thanks for your input. I’ve got
      another practice on standby
      should I encounter this again.

      Thanks so much.

      Rob R.

      1. Hi Rob (). I'm glad you got some answers and that you are advocating for yourself when it comes to future procedures. The lack of communication is certainly concerning. Hopefully, you won't need more surgeries, at least not for a long time. - Lori (Team Member)

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