Should I See a Dermatologist or Surgeon for a Black Spot on My Thigh? - Dermatology

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I would like to ask about a growth on the upper part of my thigh that was initially colorless but has since turned black.
It has been present for a while.
Should I see a dermatologist or a surgeon?

Miss Chen, 20~29 year old female. Ask Date: 2013/02/27

Dr. Wu Yuxin reply Dermatology


If you only want to have a preliminary evaluation, you should see a dermatologist.
If you want to proceed with an excision, then you should consult a surgeon.

Reply Date: 2013/02/27

More Info


If you have developed a black spot on your thigh that has changed color over time, it is advisable to see a dermatologist. Dermatologists specialize in skin conditions, including moles, spots, and other skin lesions. They are trained to evaluate changes in the skin and can provide a thorough examination to determine whether the black spot is benign or requires further investigation.

When it comes to skin lesions, changes in color, size, or shape can be significant indicators of potential issues. The fact that your spot was originally colorless and has since turned black is a reason for concern. Dermatologists often use the ABCDE criteria to assess moles and spots for signs of melanoma, which is a serious form of skin cancer. The criteria include:
- Asymmetry: One half of the mole does not match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color.

Even if your black spot does not meet all these criteria, any change in a skin lesion warrants a professional evaluation. Early detection is crucial in managing skin cancer effectively, and dermatologists are equipped with the tools and knowledge to perform necessary biopsies or other diagnostic tests if needed.

In addition to seeing a dermatologist, it is important to monitor your skin regularly for any new spots or changes in existing ones. If you notice any additional symptoms such as itching, bleeding, or crusting, these could also be signs that you should seek medical attention sooner rather than later.

While you may also consider consulting a surgeon, especially if the spot appears to be a cyst or another type of growth that may require removal, the initial step should be to have a dermatologist assess the lesion. They can determine whether surgical intervention is necessary and can refer you to a surgeon if that is the case.

In summary, for a black spot on your thigh that has changed color, the best course of action is to schedule an appointment with a dermatologist. They will be able to provide a thorough examination, offer a diagnosis, and discuss potential treatment options if necessary. Remember, it is always better to err on the side of caution when it comes to changes in your skin.

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