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Could my general care doctor be wrong?

Forums Cutaneous Melanoma Community Could my general care doctor be wrong?

  • Post
    perpetuo
    Participant

      I'm not sure if this is an appropriate post for this forum. If not, then I apologize in advance.

      After browsing the internet, I came to the conclusion that this board has the most knowledgeable people concerning melanoma.

       

      Many months ago, I noticed a spot on my lower leg that is slightly above my ankle. I wouldn't call it a mole, but it is a somewhat lage, very irregularly shaped spot with an uneven border. I honestly couldn't tell you how long the spot has been there, but I can say with 99% confidence that it has been very near to the same size (if not the exact same) for at the very least half a year and possibly extending years into the past.

      I do not, however, believe that this is a birth mark but I really don't know. Recently, I became very paranoid at the thought that I could have skin cancer.

      I am in my 20s at a university so I went to the healthcare center where I saw a doctor. He simply looked at the spot and said the only cancer that would be located there would be malignant melanoma. He looked at it for a bit and said that it looks "nothing like" that and that was basically the end of the appointment within literally a few minutes.

      The doctor was not a dermatologist, but was/(is?) board ceritified for oncology. 

      I have two questions.

      1. What is the likelihood that the doctor was wrong and it is melanoma? 

      The more I read about melanoma on the internet, the more paranoid I get. I was hoping that he would refer me to a dermatologist who would biopsy the spot but am actually more concerned that he didn't do this at all.

      2. What action should I take (if any)?

      I told my mom about my want to see a dermatologist, but I don't think I will be able to get an appointment for many months.

      Thank you for your time

    Viewing 5 reply threads
    • Replies
        jennunicorn
        Participant

          From my personal experience… YES the doctor can be very wrong! Obviously I have no idea if your spot is anything dangerous, but the ONLY way to know for sure is to get a biopsy. When my mole started to grow on my calf, I waited to see if it would go away, but it got a little larger so I saw my primary care doctor. I trusted her completely and was not informed well enough myself about melanoma. She diagnosed it as a sebhorric keratosis, a benign lesion. I was relieved and went about my life. 5 months later this lesion got bigger and uglier and I went back to her with a different skin issue. At that time she had a dermatologist look at the spot and I had it biopsied that day. 2 weeks later I got the call that it was melanoma. I wish I could go back in time to that first appointment when the mole was much smaller and know what I know now. Doctors that are not dermatologists have very little knowledge of dermatology and skin cancer. If this is something that is worrisome to you, make an appointment with a derm, get it biopsied. 

            perpetuo
            Participant

              Thank you for the reply. If I do decide to get an appointment with a dermatologist, is there a way to expodite the issue based on the potential gravity of the situation so that I get an appointment before late summer?

               

              Dermatologists are super hard to book from what I hear :/.

              jennunicorn
              Participant

                Have to say, I just looked at the image you linked to below and I do not believe you are dealing with skin cancer, but some other dermatological issue. Of course, I am not a doctor and I am only going based on my personal knowledge. I wouldn't worry too much how far out an appointment is, call around to derms in your area, book the closest appointment and go from there. 

              Jamie1960
              Participant

                At 56, my memories of college medicine are quite dim, but also very far from complementary.

                You may want to upload some photos with good resolution for others to look at.

                Ultimately, always seek qualified / competent medical advice, which may not be at your college health center (given what you have described as a possibly patronizing / dismissive attitude on the part of the attending physician).

                Many of us have been misdiagnosed by specialists (perhaps even Board-certified oncologists) so, while you shouldn't necessarily worry, you should take charge.

                Hope this is mildly helpful.

                 

                  perpetuo
                  Participant

                    Thanks for the reply. Here are some photos.

                    This first photo is the spot in question right above my ankle.

                     

                     

                    The second photo is another spot right below my knee. This one is really tiny but I thought I might as well post it too. The doctor looked at both spots and checked my entire body + feet.

                     

                     

                    For reference, I am a light skinned African American if that changes the way these things may look.

                    Jamie1960
                    Participant

                      Thinking further about this and the racial context you have provided, were you (and your parents) born in the States and is there any Middle Eastern aspect to your lineage ?

                      Thank you.

                      perpetuo
                      Participant

                        My parents and I are African American all born in the US. I also wear jeans >99% of the time that I am outdoors so my risk factor should be fairly low 

                        perpetuo
                        Participant

                          Also no, there is no Middle Eastern aspect to our lineage. Sorry for the double post

                          Jamie1960
                          Participant

                            Thank you; was thinking Kaposi lesions might be a (distant) possibility if your country of origin was in the Mideast / Africa. In any event, get a qualified professional to take an unhurried look as soon as you can (please don't wait until summer end).

                          casagrayson
                          Participant

                            I obviously cannot tell you if the lesion is suspicious for melanoma or not and like others said, the only way to know for sure is to have it biopsied.  My local dermatologist (he specializes in cancer of the skin, which is who you should be seeking) always keeps appointments available for anyone who has a worrisome lesion.  He will always see those people within ten days.  You might call around to some local derms and tell them that you have a suspicious dark skin lesion and you need to get in as soon as possible.  Also, put your name on a waiting list — often that is the quickest way to be seen.

                            miaka618
                            Participant
                              I agree with everyone else here. Get to a dermatologist and have them check it out. I too was misdiagnosed at first. It wasn’t until a couple years later when it started to spread that my primary took it seriously. Try a dermatology group for an appointment. They usually can get you in a couple of days. It was going to be a month to see the dermatologist in my system. And a biopsy is the only true way to know for certain.
                              Good luck.
                              tschmith
                              Participant

                                I think you should get both spots looked at by a dermatologist.  You mentioned speaking to your mom about it, so perhaps she can make some recommendations in your home town.  It shouldn't take too long to get an appointment.

                                I hope it turns out to be nothing, but you are very wise to be proactive about your health.  This was the perfect place to post your concerns.  We are a group of caring people who want to help others.  Keep in touch!  

                                Best wishes!

                                Terrie

                                AliCat61
                                Participant

                                  Yes! Your doctor could absolutely be wrong! I encourage you to make an appointment with a dermatologist as soon as possible. Even if it turns out to be nothing serious, it will be worth it to have peace of mind. Our family doctor told us it was nothing when we asked him to look a raised red bumpy area on his face. while it is true that it looked nothing like traditional melanoma, it was new and different and changing. The following year, I insisted on a biopsy. When the results came back, it was diagnosed as Nevoid Malignant Melanoma,  Stage IIC. A 5-hour surgery was required to remove the deep nodules. and to create a skin flap to cover the excision. Please note: your photos look nothing like my husband's melanoma, but after that experience, I always encourage everyone to get anything suspicious look at right away. If you don't have complete confidence in your doctor's assessment, get another opinion. 

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