› Forums › General Melanoma Community › Looking for some advice
- This topic has 9 replies, 2 voices, and was last updated 9 years, 11 months ago by
Gene_S.
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- April 3, 2016 at 7:08 pm
I do not have melanoma or at least I think I do not have melanoma. I spent most of my childhood in the sun with no sunscreen. I was a lifeguard, golfer, surfer, cross country runner… so most of my life was outdoors. I can remember a few bad burns but for the most part I would tan and tan easily. No one in my family has ever had melanoma.
I am 36 years old and have always had alot of moles. I may literally have 150-200 on my body and this has recently started to bother me. Most of my moles are smaller than a penicl eraser. I have had 4 moles removed in my life. One turned out to be a sebhoric keratosis, the other a mildly dysplastic nevus and the other was a spitz nevus and the other was completly normal.
I had one dermatologist tell me my risk for melanoma is no higher than anyone else and wanted to see me every year.
I had another dermatologist tell me I had a slightly higher risk because of all my moles and wanted to see me every year but once my mole came back as a spitz nevus he has be comming back every three months.
My question is am I at a greater risk for melanoma becaus of all of my moles? Also almost none of my moles are perfect circles and none are the same color ( they are all brown but different shades of brown).
Does this mean they are dysplastic nevus ? None of my derms brought that up but when I look at them. For the most part I am more concerned than my dermatologists.
With so many moles would it be benificial for me to go to a pigmented lesion specialist ? I have the university of Penn close by ?
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- April 4, 2016 at 6:24 am
A standard spitz nevus is nothing special and no reason to go to 3 month checks. If it were an atypical spitzoid tumour or STUMP then maybe there would.
http://www.dermnetnz.org/lesions/spitz-naevus.html
In your situation I would have no concern whatsoever. I would commit to annual skin checks – already more than what a lot of people do, and a wise move given that you have a lot of moles/freckles – and keep an eye on my own skin. You are looking for the ABCDE and ugly duckling criteria – asymetrical, weird borders, weird colours, large diameter, evolving/changing or simply anything that stands out as different on your skin (ugly duckling). Most people find their own melanomas, so don't rely on the doctor to know what's new or different for you.
If annual checking does not seem enough, 6 or 9 monthly is fine. A bit of an overkill, but if you want to be super cautious do it hat way.
It goes without saying to also wear sunscreen, protective clothing etc.
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- April 4, 2016 at 6:24 am
A standard spitz nevus is nothing special and no reason to go to 3 month checks. If it were an atypical spitzoid tumour or STUMP then maybe there would.
http://www.dermnetnz.org/lesions/spitz-naevus.html
In your situation I would have no concern whatsoever. I would commit to annual skin checks – already more than what a lot of people do, and a wise move given that you have a lot of moles/freckles – and keep an eye on my own skin. You are looking for the ABCDE and ugly duckling criteria – asymetrical, weird borders, weird colours, large diameter, evolving/changing or simply anything that stands out as different on your skin (ugly duckling). Most people find their own melanomas, so don't rely on the doctor to know what's new or different for you.
If annual checking does not seem enough, 6 or 9 monthly is fine. A bit of an overkill, but if you want to be super cautious do it hat way.
It goes without saying to also wear sunscreen, protective clothing etc.
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- April 4, 2016 at 6:24 am
A standard spitz nevus is nothing special and no reason to go to 3 month checks. If it were an atypical spitzoid tumour or STUMP then maybe there would.
http://www.dermnetnz.org/lesions/spitz-naevus.html
In your situation I would have no concern whatsoever. I would commit to annual skin checks – already more than what a lot of people do, and a wise move given that you have a lot of moles/freckles – and keep an eye on my own skin. You are looking for the ABCDE and ugly duckling criteria – asymetrical, weird borders, weird colours, large diameter, evolving/changing or simply anything that stands out as different on your skin (ugly duckling). Most people find their own melanomas, so don't rely on the doctor to know what's new or different for you.
If annual checking does not seem enough, 6 or 9 monthly is fine. A bit of an overkill, but if you want to be super cautious do it hat way.
It goes without saying to also wear sunscreen, protective clothing etc.
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Tagged: cutaneous melanoma
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