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Amelontic Melanoma question – superficial spreading kind.

Forums General Melanoma Community Amelontic Melanoma question – superficial spreading kind.

  • Post
    Kav7438
    Participant

      Hi

      i am wondering if anyone can help me out here with their knowledge or experience. I started using tretinoin – prescription retin a at the start of march. Within the first week I developed a Papule of sorts that came up just under my collarbone near my shoulder right next to a liver spot I've had for a few years. 

       

      I have an an appointment this week to see a GP that specialises in Dem who will refer me on if need be (im in the U.K. But grew up in Australia). The spot has been there for 8 weeks now as it appeared with no change. It is pink feels scaly especially after shower and about 5 mm. It literally appeared overnight and I noticed it straight away as I am vigilant with my skin. I waited the 4 weeks, its hasn't gone so made an appointment which brings me to this week(long waits uk). Being next to a liver spot I guess that makes it a sun damaged area of skin, as only other place I have liver spots are my legs. 

       

      My initial thought is it is an actinic keratosis which the retain a has unmasked but now I am seriously freaking out that it instead an amelonitic melanoma and I've let it go for 8 weeks since it surfaced. I can't find much information on amelonitc melanoma online, it basically says there's no symptoms and it could just be that slight raised red splotch as that is how they present. 

      Just to clarify there's no nodule it's a slightly raised papule, not itchy, not bleeding just causing me to cry every Time I look at my young children :(.

       

      anyone have any insight or experience? 

       

      Thankyou for your time

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        Janner
        Participant

          RetinA is most likely to expose actinic keratosis.  As this is a sun exposed area, that is also likely.  Go with the most likely explanation first, don't search for the unlikely.  Don't let an AK spoil anything.  And even if it was more than an AK, basal cell carcinoma and squamous cell carcinoma are much more likely given the location and description.  These can be easily removed.  Just see a derm, get a biopsy and stop stressing.

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