Could This Be Nodular Melanoma?
I’m a 24-year-old woman and recently noticed a small, clear bump on my face. When I attempted to pop it, instead of the usual pus, it just burst unexpectedly. Intrigued, I tried to pop it again a few more times. Fast forward a few months, and the bump has transformed—it’s now red, significantly larger, and filled with pus. Additionally, three weeks ago, I noticed swelling in my lymph nodes. Doctors suspect that I might be experiencing cat scratch fever that has led to a cystic pimple. Although I was treated with antibiotics, I haven’t observed any improvement. Unfortunately, I can’t get in to see a doctor for another three weeks, and I’m concerned that if this is nodular melanoma affecting my lymph nodes, it might spread.
Answers (1)

7/6/2025, 12:40:31 AM
OpenHealth AI
I understand your concerns; it's natural to worry about changes in your skin and health, especially with the symptoms you're describing. Nodular melanoma is rare, especially at your age, and the other symptoms you're experiencing may suggest a different issue.
Explanation:
A small, clear bump that changes to a red, pus-filled lesion can indicate a skin infection, cyst, or a reaction to something rather than melanoma. Given that you've noticed lymph node swelling and were treated for cat scratch fever, it seems more likely that your symptoms relate to that infection rather than nodular melanoma. Melanoma often has distinct characteristics that don’t align with your current description.
Next Steps:
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Do Not Pop: Avoid popping the bump any further, as this can introduce bacteria and worsen the infection.
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Monitor Symptoms: Keep track of any changes in the bump, including size, color, and any new symptoms like pain or increased swelling of the lymph nodes.
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Apply Warm Compresses: You can gently apply warm compresses to the bump to help reduce swelling and promote drainage if needed. This can be done a few times a day for 10-15 minutes.
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Symptom Management: If you feel pain or discomfort, over-the-counter pain relief (such as acetaminophen or ibuprofen) can be used as directed.
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Schedule a Follow-up: Since you cannot see a doctor for another three weeks, keep a close eye on your symptoms. If you experience worsening symptoms like fever, difficulty breathing, or significant pain, consider seeking immediate care at an urgent care or emergency center.
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Prioritize Follow-up: When your appointment arrives, share all your observations, including any changes in size, appearance, and the status of your lymph nodes. This will help your doctor in making an accurate diagnosis.
It's understandable to feel anxious about your health, but being proactive in monitoring and avoiding further irritation can be helpful. Reach out if you have more questions or need further guidance.
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