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Dark pigmentation on my glans

Hi,

I am 30 years old white male.
A pigmented spot appeared on my glans during the last 3 months and is now 3mm wide.
I visited my dermatologist, but he said the spot is quite new and have not a clear structure yet so he suggested 4 possible diagnostics that we shall validate over time:
1)Nevocellular nevus
2)Genital Lentigo
3)Pigmented papilloma
4)Incipient Melanoma
Obviously I am very scared about the 4th diagnosis so I wonder what are the odds my pigmentation to evolve to melanoma? My doctor said for the  moment no sign of melanoma is present but it can't be excluded yet.
Best Answer
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
You can send your pictures on this forum attached to your profile. This will help in clarifying the picture and help in making a list of differentials.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

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Avatar universal
Thank you for your reply, my doctor said that we should just watch it every 3 months, he did not suggest biopsy and I must agree I am afraid of getting biopsy sample from such a sensitive area. Can you please let me know your email I will send a copy of the dermoscopic image my doctor got. Considering the place were is taken I am not feeling comfortable publishing it on the web.
Helpful - 0
563773 tn?1374246539
MEDICAL PROFESSIONAL
Hello,
The possibility of a melanoma is there because the mark has expanded very fast. However the diagnosis of melanoma is still not confirmed and it can be done by means of a biopsy. Melanomas are usually >6 mm in size, with irregular borders , asymmetrical and dark in color. So follow up with your dermatologist and get a biopsy skin done to confirm the diagnosis.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.


Helpful - 0
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