I've had several skin lesions removed from my back. In the past I've burned very easily despite sunscreen and clothing. I do not attempt to get a tan or lay in the sun for long periods. I was foolhardy as a teen and did not bother with more than one application of sunscreen while at a water park one summer day. I burned my back, esp my shoulders, so severely that my back blistered and peeled both 3 times in a row from the same burn. It was painful for a couple weeks and underneath was a bright red raw surface that hurt to be touched with even a slight breeze.
Now I have many moles. I check them myself and my Dr checks on them yearly. I recently found a new one and if it gets much larger or begins to look uneven I will have that biopsied as well.
A biopsy will turn up as a minor skin lesion unless the Dr cuts deeply enough to remove the whole 'mole' instead of just shaving off the surface. It is considered malignant if it has grown roots and especially if it is connected beneath the skin to any more 'moles' in the same area. Mine had not birthed any lesions of it's own but had begun to grow roots. I do not have skin cancer, I had to undergo no other treatment with medication or anything. BUT I have a walnut sized scar on my back where the lesion was removed completely. I need to keep a watch on things but for now I'm fine.
Things to look for:
irregular edges
mottled coloring or more than one color in the patch
a size that is larger than a pencil eraser
flat or slightly raised (moles can be quite raised and really be considered skin tags sometimes - they are usually harmless)
any significant changes in size, shape or color
Irritation (unless it's right where your collar might bother it they should not itch or be sore unless they're a risk
any bleeding or oozing
I don't think you have a lot to worry about. If you had not noticed a lot of large dark patches in the same area then it's possible it could be just the beginnings as I had. In which case it is fairly easily treated and watched for. Good Luck - don't worry.
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