Mole on the sole of my foot. Melanoma? (Photo)

Question

I noticed this mole on the sole of my foot. I don't remember it being there before, is it most likely melanoma since the edges are ridged/asymmetrical border? My dermatologist appointment isn't for another 12 days and I'm extremely anxious!

Jason Emer, MD · Answer

If you are concerned about a mole, or it has symptoms like itching, burning, pain or bleeding, please do not hesitate and have it removed.  Please go to a cosmetic dermatologist with experience in mole removal and lasers so you can limit the scarring.  Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

I would suggest surgical removal and pathologic examination to determine the malignancy risk profile of the mole. A dermatoscope can give you some information prior to the surgery. I perform these surgical excisions in the office. Best, Dr. Karamanoukian Los Angeles

Arnold R. Oppenheim, MD (retired) · Answer

I would highly recommend a biopsy of this lesion. There are two reasons for this recommendation. One is in case this is melanoma, it would be important to have it treated as early as possible. If this is a melanoma, it  would likely be an acral lentiginous melanoma. This is a particularly aggressive form of melanoma. The great reggae singer, Bob Marley died from this type of melanoma. Afro-Caribbeans are particularly prone to acral lentiginous  melanoma and Marley was half black ( on his mother's side...Jewish on his father's side).   The other reason to have this pigmented lesion removed is in case this is not melanoma, for prevention.    These type of nevi can often look suspicious but usually prove benign. A dermatoscope can improve accuracy over the naked eye, but for the above reasons, I would advise an excisional biopsy even in light of benign dermatoscope features.   I would express your concern, and your level anxiety. A  good and concerned  dermatologist will advance your appointment. If the secretary presents a roadblock, ask to speak to your dermatologist directly.

Mole on the sole of my foot. Melanoma? (Photo)

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