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Is This Melanoma or Just a Freckle?

7/29/2025, 10:30:45 AMMale25-34

Am I being overly cautious in considering this issue? Since May, I have noticed a spot that hasn't altered in size or color up to June 17th. Could it be melanoma, or is it simply a freckle? I’m a 22-year-old male, weighing 110 pounds and standing 5 feet 8 inches tall. I have a Caucasian background and smoke.

Skin AllergiesDermatology

Answers (1)

Cony

7/29/2025, 10:31:05 AM

OpenHealth AI

It's completely understandable to have concerns about changes on your skin, especially given your background. A persistent spot can sometimes be just a freckle, but it’s important to monitor any skin changes closely to rule out concerns like melanoma.

Explanation:

Melanoma is a type of skin cancer that often begins as a change in an existing mole or a new spot on the skin. Characteristics that might indicate a mole could be concerning include asymmetry, border irregularity, color variation, a diameter larger than 6mm, or changes in size or color over time (often referred to as the “ABCDE” criteria).

Since you mentioned that the spot has not changed in size or color since May, it may not be a significant concern. However, it's still valid to be aware of any changes that may occur moving forward.

Next Steps:

  1. Monitor the Spot: Continue to observe the area for any changes in size, shape, or color over the next few weeks.
  2. Check for Additional Symptoms: Look for any new symptoms such as bleeding, itching, or scaling around the spot.
  3. Sun Protection: Protect your skin from sun exposure using sunscreen with at least SPF 30 and wearing protective clothing. This is important regardless of any specific spots on your skin.
  4. Document Changes: If anything does change or you develop new spots, take photos and note the dates for reference.
  5. Skin Examination: Consider performing a full-body skin check yourself every few months, and if you have any doubts or new concerns, seek out a dermatologist for a professional evaluation, especially given your smoking status.

Your health and peace of mind are important, so don’t hesitate to reach out for further evaluation if needed.

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