Don’t Get Burned: Melanoma in the Lower Extremity - DCLS S1E4

In this episode of the Dean’s Chat Learning Series, Dr. Johanna Richey welcomes Dr. Bela Pandit for an important discussion on malignant melanoma of the foot and ankle in recognition of Melanoma Awareness Month. Together, they explore why skin cancer deserves far more attention within podiatric medicine and how clinicians can avoid missing potentially life-threatening lesions. While melanoma is often associated with sun-exposed areas like the back or shoulders, the conversation highlights the unique and often overlooked risks involving the feet, soles, nails, and lower extremities—areas podiatrists examine every day.Dr. Pandit shares personal experiences from clinical practice where seemingly routine cases, including chronic wounds and presumed foreign body reactions, ultimately turned out to be melanoma. Join us as we emphasize how critical it is to keep melanoma in the differential diagnosis, especially for wounds or lesions that fail to heal as expected. Tune in, as we discuss the powerful impact of early detection, including moments where timely biopsy and referral likely saved a patient’s life.Listeners are also guided through the major types of melanoma, including superficial spreading melanoma, nodular melanoma, acral lentiginous melanoma, and lentigo maligna, along with the classic ABCDE criteria for identifying suspicious lesions: asymmetry, border irregularity, color variation, diameter changes, and evolution over time. We discuss the importance of taking a thorough history, including prior skin cancer diagnoses, sun exposure, family history, and changes in lesions over time.Throughout the episode, we reinforce that podiatrists are uniquely positioned to detect melanoma early because we routinely evaluate areas patients often cannot see themselves. The conversation serves as both a practical educational review and a reminder that careful observation, thoughtful questioning, and timely biopsy can have life-saving consequences. The episode concludes with a call for clinicians and patients alike to take suspicious skin lesions seriously, practice good sun protection habits, and remember that early detection remains the key to improving outcomes in melanoma care.#podiatry #podiatricmedicine #podiatricdermatology#skincancerawarenessmonth #skincancerawareness #skincancer #melanoma #melanomaawareness#PICA #BakoDx