Is This Basal Cell Carcinoma? My Dermatologist Can't See Me Until August, and I'm Anxious
I'm a 31-year-old female, standing at 5'8" and weighing 230 pounds. During my teenage years and twenties, I rarely applied sunscreen, although I've started to be more diligent about it now. Currently, I’m not on any medication and have very oily skin. I attend annual skin examinations, but I recently became aware of a blemish on my nose that has persisted for about six months. It’s not painful, nor can I pop it, but its refusal to disappear has me worried that it might be basal cell carcinoma. I've captured some photos of the area in various lighting conditions because my dermatologist won't be available to see me until late August, which is prompting me to seek advice here.
Answers (1)
6/24/2025, 7:50:37 PM
OpenHealth AI
It's understandable to feel anxious when noticing a persistent blemish on your skin, especially when you're aware of the risks of skin conditions like basal cell carcinoma (BCC). Here’s a breakdown of what you should know and actionable steps you can take to ease your concerns while you wait for your dermatologist appointment.
Key Points Summary:
- Persisting blemish characteristics: While a persistent spot can be concerning, it's not always indicative of cancer.
- Common features of BCC: Basal cell carcinoma can sometimes appear as a shiny bump, a sore that doesn’t heal, or a flat scar-like lesion. However, a proper diagnosis requires professional evaluation.
- Managing anxiety while waiting: Focus on self-care and monitoring changes in the blemish.
Explanation:
You mentioned that the blemish on your nose has been present for about six months and is not painful or easily popped. BCC typically varies in appearance; it might be a pearly white or pink bump, and many look different from typical acne spots. While the persistence of any skin abnormality calls for professional evaluation, especially given your history of sun exposure, it’s important to remember that not all persistent blemishes are cancerous.
Next Steps:
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Monitor the blemish: Keep an eye on any changes in size, shape, color, or texture. Take note of whether it becomes red, sore, or starts to bleed. Continue taking photos for a clearer record.
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Self-care measures:
- Sun Protection: Keep applying sunscreen diligently. Use a broad-spectrum sunscreen (SPF 30 or higher) daily, even if it’s cloudy.
- Gentle skincare: Since you have oily skin, use gentle, non-comedogenic skincare products, and avoid picking at the blemish.
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Document symptoms: Note down any additional symptoms you experience, such as itching or changes in the surrounding skin. This documentation can be helpful for your dermatologist appointment.
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Stress management: While waiting for your appointment, practice relaxation techniques, such as deep breathing or mindfulness, to help manage your anxiety.
If you notice any severe changes, such as significant bleeding, rapid growth, or other alarming symptoms, consider seeking care sooner at a walk-in clinic or urgent care where a medical professional might provide reassurance earlier.
Remember, your anxieties are valid, and keeping track of your skin changes will help your healthcare provider make a more informed assessment. I'm here if you need further information or support!
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