HomeAnswersDermatologymoleI have a small spot on my right forearm. Could it be a malignant atypical mole?

How to identify a malignant atypical mole?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At June 29, 2023
Reviewed AtJuly 5, 2023

Patient's Query

Hi doctor,

I have a small spot on my right forearm and I want to know if it is just an atypical mole or something potentially malignant. I already have an appointment with my doctor about it, but peace of mind is always appreciated.

Hi,

I appreciate you signing up on icliniq.com

You now have exclusive access to expert medical opinion. I need to rule out certain risk factors.

  1. Do you have any family history of melanoma or skin cancer?
  2. Is your skin tone fair?
  3. Do you have a history of sun burn in the past?
  4. Any prolong exposure to sun or UV (ultraviolet) rays?
  5. Are you using any tanning beds?
  6. Do you have many moles or dysplastic nevi on body?
  7. Have you undergone chemotherapy or radiation therapy?
  8. Any change in size, shape, color or margins of lesion noticed?
  9. Answer the questions for details.

    Regards.

Patient's Query

Hi doctor,

Thank you for the reply.

I have no family history of melanoma or other skin cancers. My skin tone is relatively consistent and somewhat fair. I rarely ever got sunburned. Mostly I never get exposed to the sun or UV rays and have not used a tanning bed. There are various spots on my body. I have not undergone any chemotherapy or radiation therapy. I am unsure about the change in the spot depicted, none noticed throughout the rest of my body.

Hi,

Glad to have you back.

I am here to help you get the best medical advice.

Skin cancer occurs in areas exposed to sunlight. It could be benign or malignant. If detected early it can be treated quickly with less scarring. The symptoms and signs are a non-healing sore that started as a patch or rash, a growth that bleeds easily and crusts over, change in shape or size of existing marks or discolorations, formation of ulcer, rough, scaly areas, lesions are painful, tender, itchy, red bumps shiny and pearly, a raised area with a central lump. There are a few risk factors present per your answer such as fair skin tone, exposure to direct sunlight, few sunburns in past, suspicious looking sore with irregular margins or borders. On looking it appears benign dysplastic nevi. If on biopsy, found malignancy get it removed by wide excision. Sample tissue of suspicious-looking lesions will be taken and sent to the laboratory and will be seen under a microscope to look for malignant changes in tissue. A biopsy is the final option to rule out malignancy.

  1. Avoid the mid-day sun.
  2. Avoid direct sunlight exposure.
  3. Avoid exposure to the sun between 11 am to 4 pm (sunlight has harmful UV rays in this period).
  4. Use broad-brimmed hats and umbrellas.
  5. Use sunscreen lotion even on cloudy days.
  6. Use sunscreen regularly.
  7. Wear protective clothing that covers your arms and legs.
  8. Do a self-examination of the skin to look for changes and detect them early.
  9. Use broad spectrum sunscreen like photostable sunscreen daily from 9 am to 12 pm before going outdoors.
  10. Avoid stress.
  11. Make yourself stress-free.

Regards.

Follow up for any doubts.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Dhepe Snehal Madhav
Dr. Dhepe Snehal Madhav

Venereology

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