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dark spot – toe’s nail.

Forums General Melanoma Community dark spot – toe’s nail.

  • Post
    clisc
    Participant
      hi!
       
      Few days ago I noticed small dark spot on my 4th toe's nail.
      The dark spot is localized probably below the nail or in its structure- I'm not sure.
       
      I play football once a week but I do not remember any impact that may caused bruise.
       
      I do not know whether the spot is moving as the nail grows. I need more time to analyze it. I'll do photos once a week to notice it.
      It's possible that the spot is present from few months. I remember that I saw little dark spot but I thought that it was caused by football hit and I ignored this. I do not remember how big was that (maybe the same size or smaller).
       
      Here is a link to the photo of this toe.
       
      Is it possible to predict on the basis of the photo? What could be the reason? I'm afraid some serius like subungual melanoma. The photos of melanoma over the internet shows advanced stadium so it's hard to compare. 
       
      What tests should I do? Observation & photos? Dermatoscopy? Bunch biopsy? Radical biopsy (Surgery to remove the nail)?
      Biopsy is best for sure diagnosis but I'm afraid of Radical biopsy related to pain and complications (this spot may be nothing serious!).
      Would the punch biopsy be suitable for my case? Should I wait few weeks and see whether or not the spot movina as nail grows.
      Wouldn't the puch biopsy be noxious in case of melanoma?
       
      Which tests should I do first and where to look for help?
      Is dermatologist will be able to conclude anything on the basis of the inspection?
       
      Please help! I have a "small" problem, many questions and no answers.
       
    Viewing 11 reply threads
    • Replies
        Linny
        Participant

          It doesn't look like a typical melanoma found on a nailbed but your best bet still is to get to a doctor to have this looked at and to establish a baseline as to its appearance and location. You don't need hard trauma to a nail to cause it to discolor, sometimes the shoes you wear can cause it. If anything, go see the doc just for peace of mind and to get the process started.

          I had a toenail spot that was followed and this was the procedure that was used — it wasn't very high tech at all: the doctor took measurements and then put scratch marks at the top and bottom of the spot. Then I went home and waited for the nail to grow. The wait period was 6 weeks. In that time period if the spot grew out with the marks it meant it was normal but if it remained in place, then further testing would be needed. My spot grew out so I can't tell you with 100% certainty what the next steps would have been but there was some mention of removing the toenail to get to the skin.

           

           

            clisc
            Participant
              Linny 
              Most of the photos of melanoma located beneath of the nail looks different: stipes or wide darkening including ulcers and nail plate damage.
              Thaths why my cause may not look like this. But hard to say how initial stage looks like.
              I will go to the doctor. I will also make photos once a week.
              Linny
              Participant

                Taking photos is a great idea. Definitely make that doctor appointment. 

                Am keeping my fingers crossed that it's only a bruise of some sort.

                Linny
                Participant

                  Taking photos is a great idea. Definitely make that doctor appointment. 

                  Am keeping my fingers crossed that it's only a bruise of some sort.

                  Linny
                  Participant

                    Taking photos is a great idea. Definitely make that doctor appointment. 

                    Am keeping my fingers crossed that it's only a bruise of some sort.

                    clisc
                    Participant
                      Linny 
                      Most of the photos of melanoma located beneath of the nail looks different: stipes or wide darkening including ulcers and nail plate damage.
                      Thaths why my cause may not look like this. But hard to say how initial stage looks like.
                      I will go to the doctor. I will also make photos once a week.
                      clisc
                      Participant
                        Linny 
                        Most of the photos of melanoma located beneath of the nail looks different: stipes or wide darkening including ulcers and nail plate damage.
                        Thaths why my cause may not look like this. But hard to say how initial stage looks like.
                        I will go to the doctor. I will also make photos once a week.
                      Linny
                      Participant

                        It doesn't look like a typical melanoma found on a nailbed but your best bet still is to get to a doctor to have this looked at and to establish a baseline as to its appearance and location. You don't need hard trauma to a nail to cause it to discolor, sometimes the shoes you wear can cause it. If anything, go see the doc just for peace of mind and to get the process started.

                        I had a toenail spot that was followed and this was the procedure that was used — it wasn't very high tech at all: the doctor took measurements and then put scratch marks at the top and bottom of the spot. Then I went home and waited for the nail to grow. The wait period was 6 weeks. In that time period if the spot grew out with the marks it meant it was normal but if it remained in place, then further testing would be needed. My spot grew out so I can't tell you with 100% certainty what the next steps would have been but there was some mention of removing the toenail to get to the skin.

                         

                         

                        Linny
                        Participant

                          It doesn't look like a typical melanoma found on a nailbed but your best bet still is to get to a doctor to have this looked at and to establish a baseline as to its appearance and location. You don't need hard trauma to a nail to cause it to discolor, sometimes the shoes you wear can cause it. If anything, go see the doc just for peace of mind and to get the process started.

                          I had a toenail spot that was followed and this was the procedure that was used — it wasn't very high tech at all: the doctor took measurements and then put scratch marks at the top and bottom of the spot. Then I went home and waited for the nail to grow. The wait period was 6 weeks. In that time period if the spot grew out with the marks it meant it was normal but if it remained in place, then further testing would be needed. My spot grew out so I can't tell you with 100% certainty what the next steps would have been but there was some mention of removing the toenail to get to the skin.

                           

                           

                          jvictoria
                          Participant

                            Clisc,

                            I had melanoma under my thumbnail and am currently stage 4. I would work with a melanoma specialist that has significant exposure to subungual melanoma ~50-60 per year. I would then go with whatever they recommend is best for your particular situation.

                            Good luck. I hope it's nothing except a little agression during sports.

                              clisc
                              Participant
                                Juan
                                I wish you back to health.
                                I will start on dermatologist and if its necessary will search on the specialist.
                                Do you remember an initial change on your nail? Was it band or dark spot like mine? 
                                How long it took to be diagnosed?
                                 
                                jvictoria
                                Participant

                                  Mine is a scary story… it was actualy at the base of my thumbnail, it was a small growth and colorless. My nail began growing out abnormaly, at that point a biopsy was performed and the result was 'no melanoma'. So, one with my happy life. The nail continued to grow out oddly and over the course of a year I went to a few other dermatologist only to have them read the original pathology report and tell me it was nothing of major concern. Almost to the day one year later, I went to my last dermo, he looked at my nail and he didn't like what he saw. He did a shave biopsy right then and a few days later, Melanoma. The original lab, which is one of the best labs in the country, went back to the first biopsy and found that the original had melanoma also. So, the long winded answer to your question is it took a little over a year to dignose my Melanoma.

                                  clisc
                                  Participant
                                    Juan
                                    Thats very sad that they haven't found crucial pattern at first.
                                    The colorless melonoma tumour are probably rare. The conclusion is that it is worth showing sample in two independent laboratories.
                                    The other conclusion – if there were some abnomral in nail plate and they haven't found any bacteria or fungal infections – it was suspicious as always must be some reason of abnormal situation.
                                     
                                     
                                    clisc
                                    Participant
                                      Juan
                                      Thats very sad that they haven't found crucial pattern at first.
                                      The colorless melonoma tumour are probably rare. The conclusion is that it is worth showing sample in two independent laboratories.
                                      The other conclusion – if there were some abnomral in nail plate and they haven't found any bacteria or fungal infections – it was suspicious as always must be some reason of abnormal situation.
                                       
                                       
                                      jvictoria
                                      Participant

                                        Thx clisc

                                        jvictoria
                                        Participant

                                          Thx clisc

                                          jvictoria
                                          Participant

                                            Thx clisc

                                            clisc
                                            Participant
                                              Juan
                                              Thats very sad that they haven't found crucial pattern at first.
                                              The colorless melonoma tumour are probably rare. The conclusion is that it is worth showing sample in two independent laboratories.
                                              The other conclusion – if there were some abnomral in nail plate and they haven't found any bacteria or fungal infections – it was suspicious as always must be some reason of abnormal situation.
                                               
                                               
                                              jvictoria
                                              Participant

                                                Mine is a scary story… it was actualy at the base of my thumbnail, it was a small growth and colorless. My nail began growing out abnormaly, at that point a biopsy was performed and the result was 'no melanoma'. So, one with my happy life. The nail continued to grow out oddly and over the course of a year I went to a few other dermatologist only to have them read the original pathology report and tell me it was nothing of major concern. Almost to the day one year later, I went to my last dermo, he looked at my nail and he didn't like what he saw. He did a shave biopsy right then and a few days later, Melanoma. The original lab, which is one of the best labs in the country, went back to the first biopsy and found that the original had melanoma also. So, the long winded answer to your question is it took a little over a year to dignose my Melanoma.

                                                jvictoria
                                                Participant

                                                  Mine is a scary story… it was actualy at the base of my thumbnail, it was a small growth and colorless. My nail began growing out abnormaly, at that point a biopsy was performed and the result was 'no melanoma'. So, one with my happy life. The nail continued to grow out oddly and over the course of a year I went to a few other dermatologist only to have them read the original pathology report and tell me it was nothing of major concern. Almost to the day one year later, I went to my last dermo, he looked at my nail and he didn't like what he saw. He did a shave biopsy right then and a few days later, Melanoma. The original lab, which is one of the best labs in the country, went back to the first biopsy and found that the original had melanoma also. So, the long winded answer to your question is it took a little over a year to dignose my Melanoma.

                                                  clisc
                                                  Participant
                                                    Juan
                                                    I wish you back to health.
                                                    I will start on dermatologist and if its necessary will search on the specialist.
                                                    Do you remember an initial change on your nail? Was it band or dark spot like mine? 
                                                    How long it took to be diagnosed?
                                                     
                                                    clisc
                                                    Participant
                                                      Juan
                                                      I wish you back to health.
                                                      I will start on dermatologist and if its necessary will search on the specialist.
                                                      Do you remember an initial change on your nail? Was it band or dark spot like mine? 
                                                      How long it took to be diagnosed?
                                                       
                                                    jvictoria
                                                    Participant

                                                      Clisc,

                                                      I had melanoma under my thumbnail and am currently stage 4. I would work with a melanoma specialist that has significant exposure to subungual melanoma ~50-60 per year. I would then go with whatever they recommend is best for your particular situation.

                                                      Good luck. I hope it's nothing except a little agression during sports.

                                                      jvictoria
                                                      Participant

                                                        Clisc,

                                                        I had melanoma under my thumbnail and am currently stage 4. I would work with a melanoma specialist that has significant exposure to subungual melanoma ~50-60 per year. I would then go with whatever they recommend is best for your particular situation.

                                                        Good luck. I hope it's nothing except a little agression during sports.

                                                        Janner
                                                        Participant

                                                          Typical strategy is observation as another posted indicated.  If it grows out, no worries.  If it stays in place as the nail grows out, then see a specialist.  You can certainly see a specialist now, but they are likely to just want to monitor.  Toes easily get bumped/shoved into shoes and it's not that uncommon to have "unexplained" lesions.  If you are stressing this, see a doc!

                                                            clisc
                                                            Participant
                                                              Anonymous
                                                              Im afraid because I probably had this few months ago. But unfortunately ignored this. It may be new injury at the same place.
                                                              I will go to the doctor now, probably I will have to wait for dematologist few weeks So I will have time to monitor and do photos.
                                                               
                                                              Treadlightly
                                                              Participant

                                                                Hi Clisc,

                                                                I had an acral lentiginous melanoma in 2010 which ended up being stage 2A. It was not in my toenail, but rather on the heel of my foot.

                                                                Ironically, just before my diagnosis, I actually had a bruised toenail on the same foot. I noticed it the evening after playing in a softball game in which I had run very hard around the bases. I decided to go to the doctor because I thought it was strange…I had run just as hard many times before without such a bruise occurring. The whole nail had turned purplish-black.

                                                                To make a long story short, a few weeks later I decided to try to scrape a brown stain off the heel of the same foot with a calous fille and it bled…so I went back to the same doctor, who then sent me to a dermatologist…which led to my MM diagnosis.

                                                                Now, after saying all of that…I actually think your nail looks bruised. I can also see some discoloration beyond the bruise which could also be trauma-related. Even though you can't recall anything specifically happening…feet do take an awful lot of abuse. Like you said…you can track it while you wait to be seen by a dermatologist and report your observations to that doctor once you are seen.

                                                                Now…not being obolivious like my doctor was…I am ALSO seeing a small oblong brown mark on the same toe (towards the adjacent toe). Can you confirm if there really is a brown spot on that same toe?

                                                                Best regards,
                                                                Mark

                                                                clisc
                                                                Participant
                                                                  Mark
                                                                   
                                                                  Thank you for your comment. Good to heare that you defeated the disease.
                                                                  Any changes located at skin are easier to evaluate.
                                                                   
                                                                  In fact I've been at the doctor, she gave me referral to a dermatologist but she told me that it looks like a bruise.
                                                                  So I hope you both are right :)
                                                                  I think its better double check in this case. Appearances may be deceptive.
                                                                  There are not initial stage of subungual melanoma pictures to compare.
                                                                  I will consult it with the dermatologist.
                                                                   
                                                                  I can not see any more spots on this nail. Threre is only one.
                                                                  clisc
                                                                  Participant
                                                                    Mark
                                                                     
                                                                    Thank you for your comment. Good to heare that you defeated the disease.
                                                                    Any changes located at skin are easier to evaluate.
                                                                     
                                                                    In fact I've been at the doctor, she gave me referral to a dermatologist but she told me that it looks like a bruise.
                                                                    So I hope you both are right :)
                                                                    I think its better double check in this case. Appearances may be deceptive.
                                                                    There are not initial stage of subungual melanoma pictures to compare.
                                                                    I will consult it with the dermatologist.
                                                                     
                                                                    I can not see any more spots on this nail. Threre is only one.
                                                                    clisc
                                                                    Participant
                                                                      Mark
                                                                       
                                                                      Thank you for your comment. Good to heare that you defeated the disease.
                                                                      Any changes located at skin are easier to evaluate.
                                                                       
                                                                      In fact I've been at the doctor, she gave me referral to a dermatologist but she told me that it looks like a bruise.
                                                                      So I hope you both are right :)
                                                                      I think its better double check in this case. Appearances may be deceptive.
                                                                      There are not initial stage of subungual melanoma pictures to compare.
                                                                      I will consult it with the dermatologist.
                                                                       
                                                                      I can not see any more spots on this nail. Threre is only one.
                                                                      Treadlightly
                                                                      Participant

                                                                        Hi Clisc,

                                                                        I had an acral lentiginous melanoma in 2010 which ended up being stage 2A. It was not in my toenail, but rather on the heel of my foot.

                                                                        Ironically, just before my diagnosis, I actually had a bruised toenail on the same foot. I noticed it the evening after playing in a softball game in which I had run very hard around the bases. I decided to go to the doctor because I thought it was strange…I had run just as hard many times before without such a bruise occurring. The whole nail had turned purplish-black.

                                                                        To make a long story short, a few weeks later I decided to try to scrape a brown stain off the heel of the same foot with a calous fille and it bled…so I went back to the same doctor, who then sent me to a dermatologist…which led to my MM diagnosis.

                                                                        Now, after saying all of that…I actually think your nail looks bruised. I can also see some discoloration beyond the bruise which could also be trauma-related. Even though you can't recall anything specifically happening…feet do take an awful lot of abuse. Like you said…you can track it while you wait to be seen by a dermatologist and report your observations to that doctor once you are seen.

                                                                        Now…not being obolivious like my doctor was…I am ALSO seeing a small oblong brown mark on the same toe (towards the adjacent toe). Can you confirm if there really is a brown spot on that same toe?

                                                                        Best regards,
                                                                        Mark

                                                                        Treadlightly
                                                                        Participant

                                                                          Hi Clisc,

                                                                          I had an acral lentiginous melanoma in 2010 which ended up being stage 2A. It was not in my toenail, but rather on the heel of my foot.

                                                                          Ironically, just before my diagnosis, I actually had a bruised toenail on the same foot. I noticed it the evening after playing in a softball game in which I had run very hard around the bases. I decided to go to the doctor because I thought it was strange…I had run just as hard many times before without such a bruise occurring. The whole nail had turned purplish-black.

                                                                          To make a long story short, a few weeks later I decided to try to scrape a brown stain off the heel of the same foot with a calous fille and it bled…so I went back to the same doctor, who then sent me to a dermatologist…which led to my MM diagnosis.

                                                                          Now, after saying all of that…I actually think your nail looks bruised. I can also see some discoloration beyond the bruise which could also be trauma-related. Even though you can't recall anything specifically happening…feet do take an awful lot of abuse. Like you said…you can track it while you wait to be seen by a dermatologist and report your observations to that doctor once you are seen.

                                                                          Now…not being obolivious like my doctor was…I am ALSO seeing a small oblong brown mark on the same toe (towards the adjacent toe). Can you confirm if there really is a brown spot on that same toe?

                                                                          Best regards,
                                                                          Mark

                                                                          clisc
                                                                          Participant
                                                                            Anonymous
                                                                            Im afraid because I probably had this few months ago. But unfortunately ignored this. It may be new injury at the same place.
                                                                            I will go to the doctor now, probably I will have to wait for dematologist few weeks So I will have time to monitor and do photos.
                                                                             
                                                                            clisc
                                                                            Participant
                                                                              Anonymous
                                                                              Im afraid because I probably had this few months ago. But unfortunately ignored this. It may be new injury at the same place.
                                                                              I will go to the doctor now, probably I will have to wait for dematologist few weeks So I will have time to monitor and do photos.
                                                                               
                                                                            Janner
                                                                            Participant

                                                                              Typical strategy is observation as another posted indicated.  If it grows out, no worries.  If it stays in place as the nail grows out, then see a specialist.  You can certainly see a specialist now, but they are likely to just want to monitor.  Toes easily get bumped/shoved into shoes and it's not that uncommon to have "unexplained" lesions.  If you are stressing this, see a doc!

                                                                              Janner
                                                                              Participant

                                                                                Typical strategy is observation as another posted indicated.  If it grows out, no worries.  If it stays in place as the nail grows out, then see a specialist.  You can certainly see a specialist now, but they are likely to just want to monitor.  Toes easily get bumped/shoved into shoes and it's not that uncommon to have "unexplained" lesions.  If you are stressing this, see a doc!

                                                                                clisc
                                                                                Participant

                                                                                  The spot is moving as nail grows so it must be bruise under the nail.

                                                                                   :)

                                                                                  clisc
                                                                                  Participant

                                                                                    The spot is moving as nail grows so it must be bruise under the nail.

                                                                                     :)

                                                                                    clisc
                                                                                    Participant

                                                                                      The spot is moving as nail grows so it must be bruise under the nail.

                                                                                       :)

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