I ended up going to plastic surgeons when I find a spot; they send it to pathology. I am blonde and blue eyed and have many spots on my face both basal cell, squamous cell, one on my arm was "melanoma like" - whatever that means.

I found one on my leg and the dermatologist at the VA swore it wasn't anything but acetic keratosis....but I insisted she biopsy it. Yup: squamous cell...

Dermatologists are freeze happy people IMHO and it is so darn painful. My husband thinks it does not hurt. I've had four babies and anything done on my skin without medication to me just hurts so badly. I feel like a wimp, but I had four babies, three natural and it hurt like hell, but I dread pain from skin lesion treatments.