Discussions By Condition: I cannot get a diagnosis.

Would you care to take a peek at my arm?

Posted In: I cannot get a diagnosis. 2 Replies
  • Posted By: equestrian
  • January 19, 2009
  • 08:16 PM

Hi everyone:

For the past year, I have been watching the growth of what appears to be some type of skin growth on my arm. I have an appointment to see a dermatologist on Jan 28th, but my nerves are getting the best of me...

I noticed the tumor about a year ago, and have watched it grow larger and larger (it is now larger than a dollar coin). It is not circular in shape, rather looks like the number "3". It has differences in color across the presentation ranging from darker purple to light pink. The mark also has a topography ranging from smooth to bumpy - with the worst (darkest and most palpiable) feeling like a small pea-sized lump underneath the skin.

I have a positive familial history of skin cancer but am in excellent health (26 years old).

My fiance teases me saying that when it counts down to "1" he'll take me to see a specialist. :)

It is not painful, nor does it itch.

If anyone in the dematology specialty could take a peek at my pictures I would greatly appreciate it!

Thanks!!
Jill

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2 Replies:

  • Possible tick or other insect bite. You should have a cbc and other blood work. Let us know what the doctor says.
    Monsterlove 2921 Replies
    • January 19, 2009
    • 11:30 PM
    • 0
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  • Well, there are several possibilities here and if indeed you have a family history, the worst case scenario here would either be basal cell carcinoma or at very worst squamous cell, but it really doesn't look to be either at this particular point. I also find its location on the arm to be less consistent with the manifestation of skin cancer, typically appearing on sites with chronic sun exposure where basal or squamous is concerned. I certainly don't think this is a melanoma. The other possibility is a lipoma, which is a tumor of adipose tissue that in some persons can cause mild discoloration of the skin. They are painless, with irregular borders and can be moved to some extent under the skin. The only problem here is that it has grown too fast in my opinion. Although I can't be more specific, I'd say it's pretty safe to relax from worries that you may have a melanoma. If by slight chance its a basal or squamous, which I doubt to some degree, then simple eliptical excision will resolve the problem in this case. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • January 19, 2009
    • 11:46 PM
    • 0
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