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This question was answered on Sat 07, Nov 2009 12:45pm by bobby s, md

Scab on scalp won't heal (18 months) and two newer bumps on shin.


    
Asked by cyndi713 (Female; 36; Chronic Bronchitus, smoked for nearly 20 years (no longer), cluster headaches, dx pre-cancerous cervical tissue (removed through LEEP procedure 6 yrs ago, overdue for pap due to lack of insurance). ; Relevant drugs:None ) on Thu 05, Nov 2009 12:06am

I am a 36 yo old female of Western European ethnicity who doesn't spend much time in the sun. When I do, I wear at least 35 SPF as I would burn easily otherwise. 18 months ago, I developed a bump on the back of my head (wear no sun has shined) that scabbed over. It never healed. It is a small pink bump, about the diameter of a pencil eraser and raised like your normal scalp bumps (??). It constantly develops a white scab. I've been told it looks a pimple or wart, though it never "comes to a head" and I've never had a wart in my life. About 9 months ago, I developed a small, round, slightly raised blister-like bump on my shin. It felt so much like a blister that I "scratched it open." It has not healed either. It is usually just a blister-like pink bump, but occasionally does get flaky. Now today, I noticed a darker pink bump, not raised (yet) about an inch away from it. I haven't been to the doctor as I haven't had insurance since I was laid off over a year ago, and even if I went to my GP, I couldn't afford any diagnostic testing or specialists. Still, I need to know: how worried should I be about basal cell carcinoma? The only known cancer in my family is my sister, who had cervical cancer at age 29. I'm getting worried. I have a disabled husband (broken back) and nine-year-old son depending on me, so I need to know if this is something to be concerned about. Thank you in advance for your response.
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Answer by bobby s, md  on Sat 07, Nov 2009 12:45pm:

Hi, It is of course not possible to diagnose your condition without a physical examination and additional tests, but from your description, I think that it is unlikely to be basal cell carcinoma (BCC) of the skin. BCC usually occurs in sun-exposed skin, and preferentially occurs on or around the nose. Men, those with history of frequent sunburn, and those above 50 years of age are more likely to develop BCC. I would, however, urge you to get a general medical examination (including blood sugars) and a skin examination done. All the best, and God Bless!

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