Is This Cause for Concern?
A female patient, 58 years old, measuring 5 feet 4 inches tall and weighing 144 pounds, presents a query regarding a potential skin issue. She has a previous medical history of basal cell carcinoma, having undergone MOHS surgery on her forehead approximately two years ago. Currently, she experiences recurring seborrheic keratosis, for which she has received cryotherapy treatment. Recently, she noticed a concerning spot on her scalp, prompting her husband to take a photograph of it for further examination. The patient seeks guidance on whether this new spot appears to be alarming or if it is more likely to be another seborrheic keratosis. After relocating two hours away from her previous dermatologist, she has not yet started the process of finding a new healthcare provider in her current city. Any insights or opinions on this matter would be greatly appreciated.
Answers (1)
6/20/2025, 11:50:34 PM
OpenHealth AI
It's understandable to be concerned about a new spot on your scalp, especially with your history of skin issues. Given your previous basal cell carcinoma diagnosis and recurring seborrheic keratosis, it's wise to monitor any changes in your skin closely.
Explanation:
- Understanding Skin Changes: Seborrheic keratosis is generally benign and often appears as a raised, wart-like growth, whereas changes in the appearance of a mole or spot could raise concerns, especially with your previous skin cancer history.
- Signs to Look for: It's important to look for features such as changes in color, size, shape, or if the spot bleeds or itches. These changes might necessitate further evaluation.
Next Steps:
- Photograph Tracking: Keep taking pictures of the spot weekly to observe any changes in its appearance. This will help provide a record if you eventually see a doctor.
- Monitor Symptoms: Pay attention to any new sensations, such as itching, burning, or bleeding from the spot.
- Prioritize Finding a New Dermatologist: Since you have moved and need a new healthcare provider, begin searching for a dermatologist in your new area. Consider scheduling an appointment for a skin exam, especially if the spot changes or causes you concern.
- Educate Yourself on Skin Checks: Familiarize yourself with the ABCDE method (Asymmetry, Border, Color, Diameter, Evolving) to help evaluate moles and additional spots as a precaution.
If you notice any alarming changes in the spot or if it becomes symptomatic (like pain or significant change in appearance), seek medical help sooner rather than later. Meanwhile, remember that many skin issues are manageable. Take care and prioritize your skin health!
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