$Unique_ID{BRK00762} $Pretitle{} $Title{Darkly Pigmented Spots on the Leg} $Subject{melanoma black spot cancers cancerous carcinoma neoplasm neoplasms cancer Skin cancers local anesthetics office melanomas} $Volume{L-20, B-20} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Darkly Pigmented Spots on the Leg ------------------------------------------------------------------------------ QUESTION: I have a darkly pigmented spot on my leg, but am reluctant to visit my physician for fear of what he would find. Are there any creams or lotions that can be used to treat this condition? ------------------------------------------------------------------------------ ANSWER: You are not as uninformed as you would have me believe, for your fear comes from the knowledge that this "darkly pigmented spot" may be a melanoma. A melanoma is a malignant tumor of the pigment producing cells of the skin. And you are playing with fire, for although melanomas account for only 3% of all skin cancers, they cause 2/3 of deaths from skin malignancy. Their numbers are rising at such a dramatic rate that it is estimated that by the year 2000, 1 in every 100 Americans will develop this lesion. But the statistics on early treatment are equally impressive and when these skin tumors are removed in the first stages, five year cure rates reach 85%. Melanomas occur most frequently in people between the ages of 40 and 55, and while they may appear anywhere on the body, are most common on the back in men, and the lower legs and back in women. Not all dark or colored lesions are melanomas, and the delayed visit to your physician may prove that you fears are groundless. However most prudent physicians will advise the removal of any suspicious spots. It is a relatively painless procedure, using local anesthetics and performed in the office setting. All tissue is sent to the laboratory for microscopic examination and diagnosis. To answer your question, there are no creams or lotions to treat this situation, so take a deep breath, and make that doctor's appointment today. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.