Dr. Thakare Sampada Avinash
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have a history of melanoma. This spot appeared on my hand this month. I am worried it could be acral lentiginous melanoma. Does it look like it needs to be biopsied? I had a wide excision of melanoma on the other hand on the middle left knuckle.
Hello,
Welcome to icliniq.com.
I have gone through the image (attachment removed to protect patient identity). It is a very small papular lesion at present.
It does not need a biopsy at present.
But you might need biopsy if there is:
1. Change in color and irregular surface.
2. Increase in the size of the lesion.
3. Irregular margins.
4. Inflammation.
5. Bleeding, crusting, or oozing.
At present, a test like dermoscopy would help to see the morphology of the lesion. Knowing your past history keep checking on the lesions.
Thank you.
Patient's Query
Thank you doctor,
Is it normal to have freckles on the palm? I am about to turn 30 and it seems to have appeared over the last month. Because of my history of melanoma, I worry about superficial spreading melanoma and acral lentiginous melanoma. I am just very scared of any new freckle. I have an appointment with my dermatologist in two weeks. Is it alright to wait until then?
Hello,
Welcome back to icliniq.com.
It is normal to have lentigines over palms and soles especially after knowing your past history of acral lentiginous melanoma.
Yes, you can wait for two weeks for the appointment. But in the meanwhile, you should keep a check on the size of the lesion and if there are any new lesions. The entire lesion can be excised with a punch biopsy for histopathological evaluation. This can be considered after a dermoscopic evaluation of the lesion.
Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Dermatology
Related Questions
Could you look at my mole and give your suggestion?
Do people using tanning beds end up with melanoma?
Does radiation therapy increase the risk of melanoma?
One of my moles has raised. Should I get them checked?
What do you think about the moles on my back?
I got a shave biopsy for melanoma in situ. Did the cancer cells get into my bloodstream?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
