Doctor insights on:
Non Pigmented Melanoma
Melanoma: Melanoma is the tumor that gives cancer a bad name. There are many descriptions of what the "typical" melanoma looks like, but some are not typical. Some have no pigment at all, and even experts need more than a look to know what it is. If you suspect you have a melanoma, seek medical care, the sooner the better. If you do, you will have the best chance of survival. If not you can stop worrying. ...Read more
A condition in which some element of your skin--which is one of the most complex organs in the body--degenerates into cancer. The three most common types of skin cancer are: basal cell, squamous cell, and melanoma which occur in that order and degree of aggressiveness. Although heredity plays a major role, sun exposure and tobacco use and ...Read more
I have had a skin pigment on my leg for 2 years and had grown and got darker. Is it skin cancer or melanoma?
ABCDEs: 21 year old lady with pigmented skin lesion. I suggest you visit a dermatologist. Are you fair skinned? Family history of melanoma? These are risk factors. Physicians examine and look for Asymmetry of the lesion, the Borders, the Color and Diameter, Evolution of the lesion. Lesions can be biopsied and pathologically examined under microscope. May just be a "sunspot" or pigmented macule/nevus. ...Read more
I picked off a small mole last week. It disappeared. I went to a dermatologist after picking it. She can see NO pigments under dermatoscope. Could it be melanoma that I picked off? If it was melanoma, how can it be diagnosed as there are no signs left now
Melenoma: Maybe you cuffed it but picking it off. Would follow Derms advice. ...Read more
Mole accidentaly scraped off no pigment in scar dr said can't biopsy exact site of mole not clear (large scar) how would u know if there is melanoma?
Biopsy: Biopsy of site is gold standard of diagnosing or ruling out most pathology. For pigmented lesions a personal and family history is important as well as a complete examination including lymph node drainage areas. Some pigmented lesions can lose color and that also is an indication for biopsy. ...Read more
8mth ago 2-3mm mole accident scraped off. Now just scar no mole pigment. What if this was a melanoma. Dr no biopsy coz can't tell where mole was?
Do not worry: If the mole was something bad, it would have come back by now, especially that it was not properly excised. Given the size of this mole, it was most likely benign. ...Read more
Asymmetrical burn like mark on arm, but NO burn. Was hot and sore, but now flat brown pigment like discolouration, like dirt. Skin cancer?
I had melanoma removed 7 years ago, second removed 2 years later, same region. Now have had hard non painful gland in neck for 6+ months. Concerning?
Melanoma: Yes it is! Get in to see your primary care doctor without delay! Good luck to you. ...Read more
A type of skin cance: Melanoma is a type of skin cancer that arises from the pigmented cells (melanocytes) in the skin. In general, it is more malignant than the other two common skin cancer types (basal cell and squamous cell), but early melanoma has a good prognosis. Look online for the abcde for diagnosing melanoma. If you have a suspicious mole - have it checked out by a deramatologist. It could save your life! ...Read more
Learn your ABCD's: Definitive diagnosis is made by biopsy. Melanomas are screened by the abcd's: a-asymmetry; b-irregular borders; c-different colors; d-diameber >6mm (size of pencil eraser). If you notice a mole with these characteristics, get it checked out asap. If you have a skin lesion which is growing, ulcerating, bleeding, or otherwise changing, get it seen as well for evaluation and possible biopsy. ...Read more
Cancer of melanocyte: Melanoma is cancer of melanocytes. Melanocytes are cells that produce the dark pigment, melanin, which is responsible for the color of skin. These cells predominantly occur in skin, but are also found in other parts of the body, including the bowel and the eye (see uveal melanoma). Melanoma can originate in any part of the body that contains melanocytes. ...Read more
Malignant Melanoma.: AAD Malignant Melanoma screening: ASYMMETRY: 1 half is unlike the other. BORDER: irregular, scalloped or poorly defined. COLOR: varied with shades of tan, brown or black; or white, red or blue. DIAMETER: > 6 mm. EVOLVING: mole /skin lesion looks different from the rest or is changing in size, shape or color. An irregular mole that itches, bleeds or is painful is worrisome for possible cancer. ...Read more
Use ABCDE RULE:
It's best to see a dermatologist but a good rule of thumb is the abcd guidelines
a=asymmetry of lesion
b=border is irregular
c=colors are multiple and not consistent
d=diameter is greater than 6mm
e=evolution of lesion with changes and enlargement. ...Read more
Yes: In addition to the surgery mentioned, there are new drugs for melanoma. One, called ipilumimab, is not chemotherapy. It is an immunologic therapy that was approved for use in 2011. It is the first drug to improve survival in stage IV melanoma, and some patients are alive 5-6 years after diagnosis with stage IV melanoma while on the drug. Have hope! ...Read more
Hopeful but not cure: Patients with a V600 BRAF mutation, approximately 40-60% of melanoma patients! And with metastatic/advanced disease may benefit from Debrafenib. However it is not a cure and it tend to prolong disease free survival rather and is typically used in combination with other treatments for optimal outcomes ...Read more
Nodal spread: If found early and resected there is a good chance for cure. If the pigmented lesion is within the mucosal region, the lesion may be more aggressive and spread more quickly. On the outer surface of the vulvae as with the inner regions the groin nodes must be checked and one may need a groin dissection. Frequently spread goes internally to hypogastric nodes. ...Read more
Sometimes: There are a portion of melanomas that have a genetic inheritance, e.G, the dysplastic nevus syndrome. We are not yet certain about exactly how the inheritance works for this. Other rare inherited conditions also increase the risk of melanoma and other cancers too. Finally, there are a large number of melanomas that have no inherited predispostion as well. ...Read more