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Concerns Over a Growing Ankle Bump: Feeling Rushes by Medical Professionals

6/16/2025, 12:20:17 AMMale25-34

I'm a 22-year-old man, weighing 135 pounds, and I don't smoke, though I do use a vape. For the past six months, I have noticed a raised lesion on my ankle that has significantly increased in size, more than threefold, since my initial observation. A few months back, I attended a dermatology consultation where the specialist identified it as a dermatofibroma. However, I remain skeptical because they did not perform a biopsy. I'll share images in the comments to illustrate its development. Does this seem concerning to anyone? I am contemplating the possibility of it being a basal cell carcinoma (BCC).

Fungal InfectionDermatologySkin Cancer

Answers (1)

Cony

6/16/2025, 12:20:31 AM

OpenHealth AI

It's understandable to feel concerned about a growing bump on your ankle, especially since it has increased in size significantly over the past six months. Based on what you've shared, this bump was identified as a dermatofibroma by a specialist, which is typically a benign (non-cancerous) growth of connective tissue. However, your concerns about its rapid growth and possible misdiagnosis are valid and should be taken seriously.

Explanation

Dermatofibromas are usually raised, firm nodules that do not grow rapidly. A significant increase in size over a short period can sometimes warrant further investigation. While basal cell carcinoma (BCC) is a common type of skin cancer, it generally has unique characteristics that differ from dermatofibromas. Nonetheless, without proper evaluation, it's impossible to rule out any diagnosis completely.

Next Steps

  1. Consider Follow-Up with a Dermatologist: Seek a second opinion from another dermatologist, particularly one who is willing to perform a biopsy. A biopsy is the most reliable way to determine the nature of the bump definitively.

  2. Monitor Symptoms: Keep an eye on the lesion for any additional changes, such as:

    • Alterations in color or texture
    • Any bleeding, oozing, or pain
    • New symptoms like itching or surrounding skin irritation

    Document these changes along with any relevant dates. This will provide useful information for your next consultation.

  3. Avoid Picking or Irritating the Bump: It's crucial to leave the lesion undisturbed to prevent any potential infection or further irritation.

  4. Maintain General Skin Health: Protect your skin from sun exposure by using sunscreen on exposed areas, which can help prevent skin issues in general.

  5. Stay Informed: Research reputable sources for information on skin lesions and stay updated on common signs of skin cancers, so you are more informed during your consultations.

Taking these actions can address your concerns and ensure that you receive the appropriate care for your situation. Remember that your health and peace of mind are the top priorities! If you need further guidance or support, feel free to ask.

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