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Can an unchanged mole actually be an early melanoma?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Is this melanoma? Does it look bad?

Answered by Dr. Kakkar

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

I have noted your concern and have viewed the image (attachment removed to protect patient identity). This could be an atypical/ dysplastic nevus - has irregular borders, looks asymmetric in shape, and is perhaps bigger than 5 mm. It certainly requires a dermoscopic examination or a biopsy. Dysplastic nevi may be confused with early melanoma. Has it changed in any way recently - in terms of size, shape, color, or thickness? How long since you have had it?

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

I believe I have had this for more than 10 years. I have not noticed any changes. It barely sticks up off the skin. I am hoping this is not advanced melanoma.

Answered by Dr. Kakkar

Hi,

Welcome back to icliniq.com.

I read and understand your concern.

That is an important piece of information. If it has not changed for so many years, then it is certainly not an advanced melanoma. In fact, most dysplastic nevi never turn into a melanoma, but they need to be kept under observation - clinical or dermoscopic - for any changes, if they do occur, and subjected to biopsy. Is it different from your other usual moles? Do you have other similar looking moles? Dysplastic nevi look different from the other usual moles in terms of size, shape and usually have an elevated component in the center.

Looking forward to your response in order to help you.

Thank you.

Answered byDr. Kakkar
Medically reviewed byDr. K. Shobana
Published At May 27, 2018
Reviewed AtOctober 30, 2024

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