Skin excision biopsy ankle - recovery question

Hi I'm 26 and noticed an unusual freckle appear on the side of my foot between my ankle bone and sole. I checked photos and it was never there previously so thought it was best to contact my GP. Stupidly as a teenager when I thought appearance was the be all and end all I was a frequent sunbed user and also used to use carrot oil with 0 spf and burn regularly. GP said it had some unusual characteristics so best to get it check by the dermatologist. I had my dermatologist appointment yesterday and they wanted to remove it there and then. So they carried out the procedure under local anesthetic but today because of the location I can't put any weight on my foot at all as I can feel the stitches stretching and its very painful. The dermatgist said to be very careful not to split the stitches due to the location. I'm just wondering has anyone undergone this in a similar area? How long did you need to take off work. My job involves being on my feet for up to 8.hours in a busy restaurant so really doubting if I'm going to be fit to return by next week as my stitches need to stay in for 14 days. If it was anywhere else on my body it wouldn't be so bad.

 

I'm trying to take it one step at a time as have 2 very young children feeling very angry at myself because I now know how reeckless and foolish I was when younger regarding my skin. They said up to 6 weeks for the results of my biopsy. 

  • Hi,

    I had a mole excised from the sole of my foot a few years ago. I had to stay off my feet for the first 48 hours and keep the foot elevated as it bled a lot. I then hobbled around for another 10 days to ensure the stitches didn't open (some patients are given crutches). I suggest that you get a sick note for 2 weeks off work if your job is on your feet. You can't risk the wound opening, especially as it could get infected. Good luck with your results and please let us know how you get on.

    Angie (melanoma patient)

  • Hi,

    I find this really interesting and particularly to hear another case.

    So, for years I had one mole on my foot, literally cannot remember when it arrived. A couple of years ago a new one cropped up on the arch of my foot (about half the size of a grain of rice) but I thought nothing of it as I have a number in weird and wonderful places, all small, flat and similar. 

    Anyway, after losing my mum (not cancer related) and having my son, along with the moles cropping up here and there I took the decision in November to get them regularly observed and professionally assessed.

    Anyway, off to the dermatologist and he did not seem overly concerned but wanted to monitor for changes. I go back in a couple of weeks but to my knowledge it has not changed. Other very faint ones have appeared on my ankle on the other foot and toe but again, these don't concern me. 

    My question is, what made your Dermatologists decide to remove. I just find that mine is deciding not to but others I have spoken to have had their removed and then others not. Just seems inconsistent and I do not want something left which could put me at risk. 

    Thanks

  • Hi my dermatologist said yesterday because it was a new mole and given my history of sunbed use etc she thought the best course of action was to remove and then send off for testing. I was very suprised when she said she would arrange for the procedure to happen the same day. It does have an irregular boarder but my gp said that could be due to my skin being different on the sole of my foot. Does your mole have any irregular features or does it look like others on your body? 

  • Thanks very much this was very helpful. I actually purchased some crutches today to help me get around the house because atm its still bleeding even from small movements. So I can't even imagine bearing any weight on it at the moment. Will keep you updated. Thanks again!! 

  • I guess mine is slightly irregular but as you say, my dermatologist said it's likely just the skin of the foot and he was quite happy with the colouring. I do have some that are not necessarily "round" but they are all very in common, small and flat. I literally have 4-5 larger raised but even these aren't that big.

    From what I gather some dermatologists are more risk averse than others - some choose not to monitor and remove or like mine, observe and keep unless suspicious. 

    Just a weird place. I've never used sunbeds and while could have been more responsible in the sun, I almost always had suncream on. 

    I guess you just have to trust them. 

  • Hi Matt,

    Moles on the sole of the foot (and palm of the hand) are usually carefully considered as the skin there is different to the rest of the body. The reason mine was removed is because I'd never noticed it before so didn't know if it was new or not. It was found by the surgeon while I was on the op table having a mole removed from my back. As I was already a melanoma patient and I was in my 40's it was decided it needed removing. If I wasn't already a patient and I was younger they would have just monitored it (it's natural for new moles to appear up to your 40's but those that appear later in age are treated with more caution). A mole removal from the sole is quite traumatic. The local anaesthetic is very painful and the recovery period is longer due to weight bearing and more blood loss so all this is considered when deciding if a mole in that area needs to be excised. If you feel unhappy that yours hasn't been removed you can always ask for a second opinion from another dermatologist at the hospital. If you haven't seen the head of Dermatology, perhaps ask for them. 

    Angie

  • Thank you Angie, I have actually been hoping I would hear from you as have seen some of your other posts.

    I will be seeing the dermatologist and as is my nature, I will push him for an explanation as to why he is happy to leave it. 

    The pain / complexities might be one thing but at 30 I do not want to be worried about something which not even the specialist might be 100% comfortable with. 

    I consider myself very aware of my moles and know when a new one springs up. I am only concerned about it because it's just an odd place, but as I have said I've always had one on the sole of my foot too. 

    I'll just make the best use of my time with him and see what he says. 

    I hope you are well and had no further scares? I lost my auntie to melanoma when she was only in her 40s so like to be very cautious. 

    Thank you again. 

  • Hi Matt, I just wondered if you were seen through the 2 week pathway? I too have a large foot mole and was sent a referral supposedly through the pathway but my appointment isn't until 1st June and (was referred on 29th March) the waiting anxiety is taking a huge toll on my mental health :-(

  • Hey,

    No I did not go through a 2 week pathway. I enquired in September and it took the best part of a couple of months to be seen but this is why I think that was the case...

    For one I said I had known of the mole for some time so it was not new. I didn't say it had changed but just looked peculiar in shape - to the GP this did not infer any red flags as atypical moles do happen. I was having none of the concerning symptoms and mine is quite small. I am also under 40 which is a bit of a threshold too. However they did say to call right back if anything concerned me.

    I monitored it and eventually my referral arrived.

    Now, of you were to say something was concerning you and the doctor felt it was of a worrying nature then I think you'll get pushed through quite quickly. 

    My main aim was to get it assessed and having shared and seen other stories the one massive thing I would take away and I am glad I pushed for this...get them to take photos. They need a reference point if they choose not to remove at the time (as is my case). Just looking at it and going "I wouldn't worry go home" then you getting in a mess about it still isn't helpful to anyone.

    Try not to worry though. I found that even though I get apprehensive about it I am losing previous "enjoyment" time worrying about something that may be fine but, if it isn't, there is nothing I can do. All I can say is, if anything really is concerning you then raise it with your doctor, otherwise just hold tight and the day will come. 

  • Thanks for that Matt. Mine was a concern due to an increase in size and irregular, ragged border, etc So my GP had referred under the 2 week pathway for suspected cancer but my appointment with the Skin Specialist isn't until 1st June... When I asked my GP surgery about why the appointment is so far away they just explained "services are very behind because of COVID" but I thought by doing it through the pathway there was an obligation to see me within 14 days? Just seems very confusing and upsetting to go this long worrying :-(