Annual Skin Examination in a 19-Year-Old Female with a Family History of Melanoma
by: Ashley Baldree
At Village Dermatology, serving Katy, Texas and Houston, Texas, we know the importance of early detection in preventing serious skin conditions. This case highlights a 19-year-old female patient who visited our clinic for her annual full-body skin examination due to a family history of malignant melanoma.
Patient Background
The patient’s grandmother was diagnosed with melanoma, placing her in a higher-risk category. While she reported no symptoms, she wanted to ensure her skin remained healthy through regular monitoring.
She also requested a thorough mole check, which is especially important for individuals with a first-degree relative diagnosed with melanoma.
Clinical Examination
A complete dermatologic exam was performed, including the scalp, face, neck, chest, abdomen, back, arms, legs, groin, buttocks, nails, and digits. The patient was healthy, alert, and in no distress. A dermatoscope was used to examine any pigmented lesions in greater detail.
Key findings included:
Benign Nevi – Regular, symmetrical, evenly colored moles scattered across the body.
Lentigines – Light tan macules in sun-exposed areas, consistent with sun damage.
No suspicious lesions requiring biopsy were detected during this visit.
Risk Factors for Melanoma
The patient’s family history is the most significant risk factor. Individuals with a parent, sibling, or child who has had melanoma have a higher likelihood of developing it themselves. UV exposure and a high number of moles are additional contributing factors.
Counseling & Prevention Plan
During the visit, we provided comprehensive counseling on sun protection and self-skin examinations, including:
Applying broad-spectrum sunscreen SPF 30+ daily, even on cloudy days.
Wearing sun-protective clothing and wide-brimmed hats when outdoors.
Performing monthly self-skin checks to monitor for moles that change in size, shape, or color, or that itch, burn, or bleed.
Seeking prompt evaluation for any new or changing skin lesions.
We also discussed cosmetic options for lentigines, such as topical lightening creams, chemical peels, and laser treatments for patients seeking aesthetic improvement.
Follow-Up
The patient was advised to return in 12 months for her next annual skin examination, or sooner if she notices any concerning changes.
Why Annual Skin Exams Matter
In Katy and Houston, our sunny climate increases the risk of sun-induced skin damage and skin cancer. Annual dermatology visits are one of the most effective ways to catch skin cancers early—when they are most treatable.
If you have a family history of melanoma, or simply want peace of mind, Village Dermatology is here to provide expert skin checks and personalized care.
