I have a tiny black mole

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TheNancyGirl
TheNancyGirl Member Posts: 40
edited June 2014 in Stage I Breast Cancer


I have a tiny black mole that has appeared on the side of my right breast (the one that had the IDC). It's just developed in the past 6 months and appears to be growing. It doesn't feel like a "lump". I had a bilateral mastectomy with immediate reconstruction. Is this something that I should get looked at? I'm not "prone" to moles.


Edited to correct: The mole has just developed within the last 2 months... not 6. I don't know what I was thinking when I wrote that!

Comments

  • geewhiz
    geewhiz Member Posts: 1,439
    edited October 2013


    PLEASE make an appointment immediately with a dermatologist. It's quick and easy. My sister had a small black mole appear on her leg. She said it looked like a speck of pepper . Sure enough, it was melanoma. It was caught very early and she is fine years later.

  • TheNancyGirl
    TheNancyGirl Member Posts: 40
    edited October 2013


    thank you so much for responding. Problem is... making a dermatologist appointment isn't quick and easy for me. I live in the boonies and the closest dermatologist (and my oncologist) are 2 hours away. But.... I will take your advice and get it checked as soon as possible. Since I've never been to a dermatologist before, I worry that I'll have a long "first time patient" wait.


    P.S. when I first noticed it less than a month ago, I thought it was one of those tiny seed ticks and kept trying to pick it off. :) Now it's grown enough that I can tell that it's a mole. It's still small but nowhere near as small as a flake of pepper. More like ummm... an apple seed size?

  • lekker
    lekker Member Posts: 594
    edited October 2013


    The easy way to remember the warning signs of melanoma are ABCDE - asymmetry, border, color, diameter, and evolving. You said that the mole seems to be growing and changing so you at least have the E. Go ahead and try to get in with the derm as soon as is reasonable. If nothing else, he or she will be able to help you understand what to look out for in the future. We should all know our own skin because one other warning sign of a potential problem is the "ugly duckling" mole - the one that doesn't look anything like the others.

  • TheNancyGirl
    TheNancyGirl Member Posts: 40
    edited October 2013


    I don't know if this helps.. but here's a picture of it. You guys seem SO very knowledgeable.. I know nothing of moles. It seems like it's a lighter brown in the picture when, from as best as I can see, (it's on the side of my breast) it appears more black to me in person.


    image


    Also, please forgive me for my ignorance but I thought you could only get melonoma (skin cancer) from parts that have been exposed to the sun? I can guarantee you that even before my mastectomies, my breasts were never sun burnt or tanned. :) So I didn't consider Melonoma... My mind just always automatically goes to "breast cancer". On this same breast, I have a bump that is pimple like and has been there over a year. I mentioned it to my oncologist and he didn't seem concerned at all. So I wonder if I'm curious over nothing with this mole too.

  • wrenn
    wrenn Member Posts: 2,707
    edited October 2013


    i would mention it to the oncologist.

  • TheNancyGirl
    TheNancyGirl Member Posts: 40
    edited October 2013


    I tried to make a Dermatologist appointment at the closest place. It's only about an hour away and they can't/won't get me in until 2014. So I'll mention it to my oncologist at my regular appointment next week but this is my last visit with him. He's leaving the practice. I know he'll tell me to see a dermatologist... and after next week I won't even have an oncologist anymore. Grrrrrr

  • J9W
    J9W Member Posts: 395
    edited October 2013


    Ask your Oncologist to get you into the dermatologist sooner. Waiting a few months will drive you crazy! Or at least, it would drive me crazy. J9

  • peggy_j
    peggy_j Member Posts: 1,700
    edited October 2013


    I agree. First, your MO should have an opinion when he looks at it and may know how to get you an earlier appt with the dermatologist. I'm assuming you already explained your concern to the receptionist? What was his/her response? Did they at least put you on the waiting list in case there's a cancellation? FWIW, I have an annual skin cancer screening and they schedule it for...5 minutes (!) so it's possible they can squeeze you in, esp. if the referral is coming from your MO. BTW, isn't your MO referring you to another MO?

  • bluepearl
    bluepearl Member Posts: 961
    edited October 2013


    Melanoma can and does occur in areas without sun exposure. It follows the ABCDE code.....asymetry (melanoma appears asymetrical....one side bigger than the other),, borders which are not round but irregular, color is often different within the lesion and diameter is often bigger than the end of a pencil and evolving...change of any sort. That being said, see your dermatologist and have it removed if you are concerned. EVERY new, fast growing mole should be looked at and/or one that has changed appearance. I am of the opinion that all large moles should be removed, especially on thighs, backs, and calves. Melanoma can be black, brown, tan, white and red....so color alone isn't suspect but it is when they appear in the same mole. Also I read somewhere that women with breast cancer history are a wee bit more prone to skin cancers. Great. Another stat.

  • TheNancyGirl
    TheNancyGirl Member Posts: 40
    edited October 2013


    Quote peggy_i I agree. First, your MO should have an opinion when he looks at it and may know how to get you an earlier appt with the dermatologist. I'm assuming you already explained your concern to the receptionist? What was his/her response? Did they at least put you on the waiting list in case there's a cancellation? FWIW, I have an annual skin cancer screening and they schedule it for...5 minutes (!) so it's possible they can squeeze you in, esp. if the referral is coming from your MO. BTW, isn't your MO referring you to another MO?


    _______________


    I told them that I was a breast cancer patient and that it was on my breast AND that it was new. They said "sorry but there is nothing we can do. We have a 60 patient waiting list" Honestly, I doubt that I'd like the doctor anyway if she can't see her way through to prioritize a breast cancer patient's concern over acne or botox.


    I'll show it to my MO on Tuesday. My regularly scheduled appointment is then. He hasn't referred me to another MO, maybe he will at my appointment?

  • peggy_j
    peggy_j Member Posts: 1,700
    edited October 2013


    Nancy, that's frustrating that they can't fit you in. FWIW, I've never heard that there is any connection between BC and melanoma (though, now that I think of it, I wonder if there's a correlation between radiation? That might be a good follow up question for your RO, if you had it). I had a mole on my breast removed 9 years prior to my BC Dx and it turned out to be hyperplasia (pre-cancer). Since my BC was in the same breast I asked many cancer docs and everyone said, unequivocally, that it's not related. But yeah, I'm with you, that after BC I don't want to take any chances.


    I wonder if there are any other dermatologists in that town an hour away or ? Or, maybe your MO will have ideas. Or maybe, after he sees you, their office can call on your behalf to get an appointment. FWIW, when I've gone in to have one mole checked out, that's all they looked at. So, if you're driving that far, you may want to ask for a skin cancer screening and, of course, point out that area. In my experience, they sometimes want to "wait and see." Since I am squarely in the "better safe and sorry" camp I've asked to have anything suspicious removed. (since my BC Dx, I had two suspicous spots removed. Both were completely normal, not even hyperplasia). They are able to do it on the spot and it takes just a couple minutes. (I think the longest part is waiting for the area to numb up). Not sure if these comments are any help, but I'll be sending your good thoughts next week.

  • bluepearl
    bluepearl Member Posts: 961
    edited October 2013


    "Breast Cancer and Melanoma: A New Warning" article.

  • peggy_j
    peggy_j Member Posts: 1,700
    edited October 2013


    Arg! I hate cancer.


    But thanks, bluepearl, for the heads-up. Here's the link


    http://www.skincancer.org/skin-cancer-information/melanoma/melanoma-causes-and-risk-factors/melanoma-and-breast-cancer-a-new-warning


    Another reason to stay on top of the annual skin cancer screening.

  • TheNancyGirl
    TheNancyGirl Member Posts: 40
    edited October 2013


    bluepearl and piggy_i, that's a scary article. I shared it on FB with my breast cancer friends.

  • jessica13
    jessica13 Member Posts: 22
    edited November 2013


    I had a melanoma that looked exactly like a black pen prick, as did my sister. It followed NONE of the ABCDE logic so doctors were keen to ignore it since it was only 1mm but I fought them, knowing it was exactly like my sister's. I got it removed 6 months after noticing it and it was still stage 0 (in situ) so I wouldn't worry too much about the 2014 appointment. But I would worry if they cite the ABCDE bullsh*t and say biopsy-ing it isn't necessary. I can't repeat enough how much the ABCDE means nothing.


    I hope it's nothing, but if it is significantly darker than your normal moles/freckles, get it removed.

  • TheNancyGirl
    TheNancyGirl Member Posts: 40
    edited November 2013


    Thank you Jessica! I got in last week and yes, they cited the ABCDE thing. They measured it and told me to come back in a year and they'd keep an eye on it. She's the ONLY dermatologist within a hundred miles from here. I really wish she would have removed it (and the "pimple" that's been on the same breast for almost 2 years!, that she's also going to "watch") and that she'd biopsied it. For piece of mind, I may try to get back in to see her and ask if she'd PLEASE remove those and biopsy them.

  • SelenaWolf
    SelenaWolf Member Posts: 1,724
    edited November 2013

    It was my understanding that melanoma is one of the cancers that BRCA1/2 puts one more at risk for.  Does this article mean to say that anyone who has had breast cancer is now at increased risk for melanoma (and vice versa) or just those with the genetic mutation?

    I've had a number of "questionable" moles removed over the last thirty years; ones that various dermatologists have said weren't cancerous or even pre-cancerous, but - given enough time - had a high probability of becoming cancerous.  They never had an issue removing them and no-one ever suggested a "watch and wait".  If you're concerned, go back to see her.

  • lekker
    lekker Member Posts: 594
    edited November 2013


    Jessica13 is right - melanoma doesn't always follow the alphabet. I mentioned the "ugly duckling" mole in a previous post - if a mole looks different than all of your other moles, you might want to have someone look at it. Even the best dermatologists cannot tell 100% what a given lesion is until it's under a microscope - and sometimes not even then, but they have specific markers to asses risk. It's like getting a BIRADs 3 (in the radiologist's opinion, less than 2% risk of malignancy) on a lump, insisting on a biopsy anyway and then finding out it's cancer - it's extremely rare but does happen. Your derm feels that there's not enough risk of your mole being malignant to tolerate the risk of removal I guess. But risk is a funny thing - everyone's tolerance is different. If you would feel better with the mole and pimple removed, and can live with the (however remote) risk of infection and scarring, you might want to consider insisting on a biopsy. Or at least insist on a good explanation why your derm thinks it would do more harm than good if she refuses. We all have lumps and bumps (and moles and pimples) and it's not reasonable to have everything removed and biopsied, but I've had several moles tested and it was very simple, I don't care about the little scar one left me, and the peace of mind was priceless. I hope you get some peace soon!

  • peggy_j
    peggy_j Member Posts: 1,700
    edited November 2013


    Nancy, FWIW, I've twice insisted on having a funny spot removed and biopsied. They've turned out to be nothing but it's been great peace of mind. Sometimes the conversation feels like a bit of a negotiation, but I hold the trump card: it's my body! Plus I've had BC, I know people with melanoma, and I subscribe to the "better safe than sorry" philosophy of medicine. Unless the docs know for sure that's it's not cancer, It's hard for them to argue with that. As lekker said, the procedure is quick and easy. Good luck!

  • beckstar18
    beckstar18 Member Posts: 253
    edited November 2013


    Nancy, I had melanoma on my back at the age of 20. I noticed a large mole on my back (about size of pencil tip eraser) after a shower one morning, and had never seen it before. I mentioned it to my dermatologist at a regular checkup and he excised it right then and there, covered it with a band-aid and sent it off for testing. About a week later I got a call from him that it was cancer and went back for surgery to excise a larger area of tissue for clean margins. My recommendation is to keep an eye on it and if it changes in any way request the doctor to remove it before your follow up a year from now. I'm honestly surprised they didn't remove it at your first visit with your history. Feel free to message me if you have any questions about it.


    And yes, as Selena mentioned, melanoma is also related to the BRCA gene. My oncologist had me tested for BRCA after I was diagnosed with BC since I'd previously had melanoma, and I was BRCA negative. She did mention that there are probably other genetic links we just don't know about yet.

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