Should You See a Doctor for a Suspicious Spot on Your Skin? - Dermatology

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Mole? Dirt? Should I see a doctor?


Doctor, I am 14 years old.
For a while now (I’m not sure how long), I have noticed a small, dark, oval-shaped spot that resembles a mole (or maybe dirt?) on the "neck" of my penis (just below the glans, on the inner side, which is the part that touches the foreskin).
I have had a circumcision.
Recently, I came across some information about mole-related diseases, which made me quite worried.
Upon closer inspection, I noticed that this sesame-sized spot or dirt has started to protrude from the skin (there seems to be a small natural opening in the skin allowing it to stick out).
Could this be something congenital or a result of having had a circumcision, allowing dirt to enter that small opening? It seems like it could be squeezed out, but I am hesitant to touch it.
Please advise me, doctor.

peter, 10~19 year old female. Ask Date: 2006/06/26

Dr. Huang Ruiyun reply Dermatology


Hello: I'm sorry, but online diagnoses are not permitted.
If you are truly troubled, please visit a urologist in person.

Reply Date: 2006/06/26

More Info


When it comes to skin concerns, particularly those that involve unusual spots or changes in the skin, it is always advisable to consult a healthcare professional. In your case, you have noticed a small, dark, oval-shaped spot on the skin of your penis, specifically on the area just below the glans (the head of the penis). This is understandably concerning, especially given your recent exposure to information about skin lesions and potential diseases.

Firstly, it is important to understand that not all skin spots are indicative of serious conditions. Many skin lesions can be benign, such as moles, seborrheic keratosis, or even harmless cysts. However, any new or changing spot, especially in sensitive areas like the genital region, warrants a closer examination by a qualified medical professional, such as a dermatologist or a urologist.

The fact that you have a history of circumcision (you mentioned having a circumcision) may also play a role in the appearance of this spot. Sometimes, post-surgical changes can lead to the formation of skin tags or other benign growths. However, the description of the spot being dark and protruding could also suggest a need for further evaluation to rule out any potential issues, including the possibility of a dermatological condition or, in rare cases, a malignancy.

It is crucial not to attempt to squeeze or manipulate the spot on your own. Doing so could lead to irritation, infection, or further complications. Instead, you should schedule an appointment with a healthcare provider who can perform a thorough examination. They may use a dermatoscope, a specialized tool that allows for a closer look at skin lesions, to assess the spot more accurately.

During your visit, be prepared to discuss the following:
1. Duration: How long have you noticed this spot?
2. Changes: Has it changed in size, color, or shape over time?
3. Symptoms: Are there any associated symptoms, such as itching, pain, or bleeding?
4. Medical History: Any relevant medical history, including skin conditions or family history of skin cancer.

In terms of medical knowledge, it is essential to be aware of the ABCDEs of melanoma, which are Asymmetry, Border irregularity, Color variation, Diameter greater than 6mm, and Evolving size or shape. While these criteria are primarily used for assessing moles, they can be helpful in evaluating any suspicious skin lesions.

In summary, while it is natural to feel anxious about changes in your skin, especially in sensitive areas, the best course of action is to consult a healthcare professional. They can provide a proper diagnosis and, if necessary, recommend treatment options. Remember, early detection and intervention are key in managing any potential skin issues effectively. Don't hesitate to seek help; your health and peace of mind are worth it.

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