Dr. Utkarsh Sharma
Pathology
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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Patient's Query
Hi doctor,
I had a foot excision on friday, and my test came back benign. But what concerns me is that my dermatologist called my mole a wart almost three weeks before surgery and sprayed it with nitrogen. So was shocked and could not believe she did not suggest a biopsy or use a dermoscopy. Now I do not know if I had cancer or not. I am currently on Oxycodone, Amlodipine, Trazadone, and Alvesco inhaler.
Hi,
I am glad you chose icliniq for your medical-related queries.
I understand your concern and will try to help you with it.
Please send me the biopsy (histopathology report) of the excised tissue mentioning it as benign. Who suggested your foot excision? It is unclear whether the foot was excised (amputated) or just small tissue from the representative area was excised. Please make it clear. If it was just the mole (or wart) that was excised, then you do not need to worry, and it is probably a benign lesion. You can review the diagnosis at another diagnostic center.
Thank you.
I appreciate your trust in icliniq.com and for giving me the chance to serve you.
Our goal is to prioritize your health and help you according to your preferences and needs.
Patient's Query
Hi doctor,
Thank you for the reply.
My pathology report said I had talon noir. There was not any cancer or anything. The reason I continue to worry is that I was told that the area was a mole and that it had some of the ABCDEs of cancer. Then the dermatologist sprayed it with nitrogen twice, and I was wondering if it changed the pathology report. I am not sure if you saw the pictures I uploaded. One week later, the area changed to a puffy red bump.
Hi,
Welcome back to icliniq.com.
I do understand your concern.
Thanks for asking again.
I hope you are improving each day. I have seen all the images you had attached earlier and in this post (attachment removed to protect patient identity). Talon noir is a benign condition that can mimic melanoma (malignant) and cause a diagnostic dilemma. However, a talon noir more commonly occurs on pressure points around the heel or other areas of the foot due to trauma (more commonly in athletes), so as I can see in images, it is an uncommon location for a Talon noir. Another notable thing is that it has a relatively short history of a few weeks only. The dermatologist should have used a dermoscope and histological examination along with clinical history to establish the diagnosis. Also, a bleeding wart can mimic a talon noir, but as I said, the duration and location are atypical for a talon noir. So it is possible that trauma due to cryotherapy (nitrogen freeze) could have altered the pathological diagnosis. The dermatologist should be trusted for her experience, and you should not be apprehensive anymore because both are benign and not dangerous, whether a wart or a talon noir. Also, in a biopsy, there is no evidence of malignancy.
Regards.
Once more, thank you for allowing us to be of service to you.
We value the high level of confidence you have in us!
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Pathology
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