I have a small dark freckle on the skin, which left a brown spot on excision. Is this sinister?

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Do you have a family history of melanoma? Do you have any associated symptoms? Are there any itching, irritation, or pain? Is there bleeding or crust formation? Do you have many moles, dysplastic nevi, or freckles on the body? Are any changes in shape, size, or color noticed? Do you have a history of severe sunburn? Is there prolong exposure to the sun or UV rays? Do you use tanning beds?

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Use photostable sunscreen daily at 9 AM, 12 PM, and 3 PM for two months. Signs of malignant lesions are a nonhealing sore that started as a patch or rash, a growth that bleeds easily or crusts over, change in shape or size of existing marks or discoloration, formation of ulcer, rough or scaly areas, a lesion which are painful tender and itchy, red bumps shiny and pearly, a raised area with a central lump. As there are no mentioned above signs or symptoms, it is a benign lesion. But causes of skin cancer can be long-term sun exposure, severe sunburn at an early age, repeated exposure to radiation, unusual scars on the skin, week immunity, frequent exposure to certain chemicals, and tanning beds. The risk factor is being fair-skinned, exposure to UV (ultraviolet) rays, certain skin conditions, elderly population, many moles or dysplastic nevi on the body. Avoid the mid-day sun. Use sunscreen lotion, even on cloudy days, as mentioned previously. Wear protective clothing that covers your arm and legs. Avoid tanning booths. Do a self-examination of the skin to look for changes and detect them early. If it is detected early, it can be treated quickly with less scarring. Do you notice any of the above signs or symptoms?

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Yes, the clinical picture suggests no pathology (nothing serious). But avoid popping, pricking, scratching, or rubbing lesions. It can cause secondary bacterial infection. Use Fucidin cream twice daily for seven days on the lesion (if signs of infection present). Do not worry. It is nothing serious. If any changes are observed, as mentioned previously, go for a biopsy to rule out malignancy.