No, why are you asking? Is this a sign of a venereal disease?

Terrible question. Even though syphilis can mimic almost all lesions, this is not one of them.

No, we were in Spain last summer, but that's it.

Good idea to ask about travel. But this common lesion has no connection to the tropics.

I think I remember it from about 7 years ago. It has gotten darker recently and itches a bit.

The time course is important for all tumors. Remember—for a patient, tumor = cancer, so use the world carefully.

No. My grandmother has lots of red, scaly spots in the face. Is that cancer?

There are melanoma-prone families and multiple epithelial tumors are sometimes markers for internal malignancies. Don't forget to answer the question about the grandmother; she probably has actinic keratoses.

Yes, I have another one on the right calf, but it is less pigmented.

Good question. These lesions are usually solitary or few in number. Some patients may have a tendency to develop such lesions.

Sure, as a child. Now I am pretty careful ,since once reads so much about sun and skin cancer.

This lesion has nothing to do with sun exposure. The usual trigger is an arthropod bite or sting.