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How to diagnose nodular melanoma?

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

Patient's Query

Hello doctor,

Before three months, my husband noticed a pink spot on my hip. I thought it was just a bug bite and I put some cortisone cream on it. It has been three months, and for a while, I forgot about it. Now, I do not think that it has grown much. It would be hard to say as I kept trying to rip it off. When I spent some time on the internet, I convinced myself that I have nodular melanoma. I have attached the photos.

Please confirm it.

Thank you.

Hello,

Welcome to icliniq.com.

It is impossible to diagnose from a picture whether or not it is a nodular melanoma (attachment removed to protect patient identity). On the site, it is extremely uncommon on unexposed parts as well as in your age group. Also, nodular melanoma grows very rapidly. It could probably just be an intradermal nevus. Melanoma seems like a highly unlikely possibility here, but a confirmed diagnosis can be made only by dermoscopy or biopsy.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

I also noticed two new growths on the back of my neck and shoulder area (photo attached). One is about the size of a pencil tip, and the other is about the size of a crayon.

Please help.

Hi,

Welcome back to icliniq.com.

Like I earlier mentioned, its impossible to make the diagnosis of nodular melanoma over pictures. Monitor the lesion for change in texture and increase in speed of growth. It is always better to get it dermoscopically tested. In the pictures (attachment removed to protect patient identity), the second one looked like an intradermal nevus.

Does it hurt?

When did you first notice it?

Please revert back with the answers.

Thank you.

Answered byDr. Rashmi Singh
Medically reviewed byiCliniq medical review team
Published At February 22, 2017
Reviewed AtOctober 23, 2024

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