Concerns About a Falling Lesion: What Should I Do?
I am a 30-year-old female who noticed a lesion on the exterior of my lower arm at the end of February. To be honest, it wasn’t in a spot that I could easily see, so I can’t tell how long it had been there. Initially, it started to itch, and then it began to expand rapidly and become crusty. I visited my doctor, who suspected it could be a seborrheic keratosis, yet he decided to refer me to a plastic surgeon for a biopsy given the lesion's swift growth. However, the situation changed when the lesion unexpectedly fell off before my appointment with the surgeon, leaving no tissue for analysis. The area where the lesion was appears normal, but I find myself feeling anxious. My concerns stem from what I’ve learned about seborrheic keratosis, which typically grows slowly and is unlikely to disappear on its own. I was looking forward to confirmation from the biopsy that it was a harmless lesion, but now I’m encountering information regarding melanoma regression, which has led to fears that the lesion might have been malignant.
Answers (1)
7/11/2025, 9:01:45 PM
OpenHealth AI
It's completely understandable to feel anxious after the unexpected changes to the lesion you noticed on your arm, especially given the concerns you are now facing about skin health. You're right to seek clarity and reassurance regarding this situation.
Main Points:
- The lesion falling off can be concerning, but it doesn't definitively indicate a malignant condition.
- Your doctor’s initial assessment and referral for a biopsy were appropriate given the characteristics of the lesion.
- Monitoring and understanding changes in your skin is essential moving forward.
Explanation:
Seborrheic keratosis is a benign (non-cancerous) skin growth that often appears as a raised, wart-like lesion. It's true that these typically grow slowly and don’t usually disappear on their own. The rapid change you observed might have been due to irritation or another benign process. The anxiety caused by not knowing is completely valid, especially with your awareness of conditions like melanoma, which can indeed have a more aggressive course.
It’s encouraging that the area where the lesion was looks normal now. However, without a biopsy, the exact nature of the original lesion remains uncertain, which can understandably fuel anxiety.
Next Steps:
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Monitor the Area: Keep an eye on your skin for any new changes, such as new lesions, changes in color or texture in the surrounding skin, or any return of the original lesion. Document these changes in a diary.
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Sun Protection: Protect your skin from sun exposure by using a broad-spectrum sunscreen and avoiding tanning. This simple step can help reduce the risk of skin conditions.
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Follow-Up with Your Doctor: If you notice any new symptoms, changes, or possibly even if you remain anxious about the situation, consider scheduling a follow-up with a dermatologist. They can evaluate your skin more thoroughly and may recommend additional monitoring or testing if necessary.
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Educate Yourself About Skin Health: Knowledge can empower you. Understanding what to look for and when to seek help can ease some of your anxiety.
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Practice Relaxation Techniques: Since this situation is stressful, engaging in mindfulness or relaxation techniques can help manage your feelings while you monitor your skin health.
Please remember, it's always best to seek clarity and assistance when concerned about your health. You’re taking a proactive approach, which is crucial in maintaining your well-being. If you have any more questions or need further guidance, feel free to ask.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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