Are flat brown spots on the lower leg cancerous?

Question

Hi doctor,

I have had flat, brown, or tanned spots on the lower left leg for the past two years. It itches very rarely. It is very flat. It was due to rubbing or scratching. Currently, I am taking tablet Amlodipine, Benazepril, and Sartan 10 milligrams for cholesterol and acid reflux medications. My last dermatologist visit was six years ago.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern and will do my best to assist you with it.

I have gone through the attachment (attachment removed to protect patient identity). I can see a scaly, red patch. It seems like a chronic eczematous dermatitis patch, perhaps psoriasis. I suggest you use a moisturizer over that area. In addition, I suggest you apply a potent topical steroid ointment, Clobetasol propionate 0.05 % (Clobestol topical) ointment or Halobetasol propionate 0.05 % ointment, twice daily. Do you have scaly patches elsewhere, like the scalp, knee, elbow, or back?

I hope this helps.

You can always reach me at icliniq.com.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

It could be precancerous. I would like to rule out the possibility of Bowen disease, which initially resembles eczema. It is like SCC (squamous cell carcinoma) in situ.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.