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Dr. Caplan
Dr. Caplan, Dermatologist
Category: Dermatology
Satisfied Customers: 420
Experience:  A family doctor, with medical and residency training in Boston, MA, patients of all ages and wide range of illnesses.
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I've had this years... Just wanting to make sure it's

Customer Question

Hi... I've had this for several years... Just wanting to make sure it's nothing
Submitted: 11 months ago.
Category: Dermatology
Customer: replied 11 months ago.
Here is a pic
Customer: replied 11 months ago.
Is this something I should worry about?
Expert:  Dr. Caplan replied 11 months ago.

Hello!

Welcome to the JustAnswer.com chat dialog.

I am a Family Medicine doctor, board certified with active licenses and certification in Internal Medicine, Pediatrics, Obstetrics and Gynecology, as well as Integrative Medicine & Naturopathy, with advanced training in Neurology, Cardiovascular Medicine, Gastroenterology, Endocrinology, and Psychiatry. I am also well-trained in Functional Medicine. Perhaps most importantly, I consider myself a patient listener.

I have read your post and seen the image.

Would you prefer a summary answer to your question, or would you prefer more back-and-forth, where there will be a series of more questions and more details clarified?

Either way, I’ll do my best to take the appropriate time to help you.

Customer: replied 11 months ago.
It doesn't matter...
Expert:  Dr. Caplan replied 11 months ago.

The quick answer, is that the mark does not look worrisome.

Customer: replied 11 months ago.
Good!! I've had it for several years!
Expert:  Dr. Caplan replied 11 months ago.

if you're curious...

How to detect worrisome signs? Beware of the ABCDEs:

A is for Asymmetry; if one half of a mole or skin mark doesn’t match the opposite half.

B is for Borders; if the edges are fuzzy, irregular, jagged, or uneven.

C is for color; if the color is not uniform, or includes multiple shades of brown or black or pink or other colors within.

D is for Diameter; if the spot is larger than a pencil eraser – but some may even be smaller.

E is for evolving; if the spot is changing, it may be growing, and worrisome.

Customer: replied 11 months ago.
you don't think it's anything to worry about
Expert:  Dr. Caplan replied 11 months ago.

exactly.

Expert:  Dr. Caplan replied 11 months ago.

does it itch? is it painful?

Customer: replied 11 months ago.
no, nothing... It's fine...sometimes I just get in these moods where I worry over things!
Expert:  Dr. Caplan replied 11 months ago.

That condition, my friend, is called human! Happens to us all :)

Expert:  Dr. Caplan replied 11 months ago.

If, hundreds of thousands of years ago, the primate in the woods didn't worry about the rustling he/she heard near him, we would not be here today. anxiety is built into our blood! Unfortunately, sometimes.

Customer: replied 11 months ago.
I agree!
Customer: replied 11 months ago.
Does this one look ok to?
Expert:  Dr. Caplan replied 11 months ago.

It is harder to see with the picture you've uploaded.

Expert:  Dr. Caplan replied 11 months ago.

the image itself looks a bit blurry, on my end.

Customer: replied 11 months ago.
M
Expert:  Dr. Caplan replied 11 months ago.

Perhaps it is a clear image and the lesion is a bit on the fuzzy side. This one I would probably want to discuss in more detail, and with consideration of any risk factors for melanoma you may have, may want to look under a microscope (via biopsy)

Expert:  Dr. Caplan replied 11 months ago.

I hope I have been able to help with your original question. It appears as though we're moving into multiple other questions. Have I been able to help you with your original question?

Customer: replied 11 months ago.
Maybe this pic is better
Expert:  Dr. Caplan replied 11 months ago.

It is a better picture, yes. I still feel the same way. I would probably want to discuss in more detail, and with consideration of any risk factors for melanoma you may have, may want to look under a microscope (via biopsy)

Customer: replied 11 months ago.
Ok
Expert:  Dr. Caplan replied 11 months ago.

Provided you don't have unusual or excessive risks for melanoma, I think you can feel ok about having this last one checked out. No need to feel anxious without need. That being said, melanoma is increasing in the population at very alarming rates, so I would certainly encourage you to have this last mole evaluated.

Expert:  Dr. Caplan replied 11 months ago.

If you would, please click on EXCELLENT. My goal is to have only the best, ***** ***** patients, and believe it or not, we doctors don't get compensated at all if the responses are not rated favorably by our patients like you!

If you have any follow up questions, please don’t hesitate to ask for me in your question title.

Thank you! Hopefully, I’ll see you again soon.

Customer: replied 11 months ago.
I had chatted with another dr a few weeks ago... This is what he said about the same spot
Expert:  Dr. Caplan replied 11 months ago.

this "spot" you're referring to, is the last picture you sent? You have sent me several during this chat dialog.

Customer: replied 11 months ago.
the last one
Expert:  Dr. Caplan replied 11 months ago.

I see. Well, I can certainly see that Dr's perspective. I tend to err on the side of caution when it comes to this format of patient care. I don't know your individual risk factors for melanoma, since I have very little history, so although I would like to reassure you the way the other doctor did, I would say that I (we, the other doctor included) lack the appropriate information to be able to reassure you.

Customer: replied 11 months ago.
What are the risk factors?
Expert:  Dr. Caplan replied 11 months ago.

That is a great question. But, offers a very long, complicated answer.

Expert:  Dr. Caplan replied 11 months ago.

Was I able to address your original question to your satisfaction?