Brief Answer:
Are black spots associated with any other symptom?

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

The black colored spots on the scrotum appear to be hyperpigmented marks more prominent at the base of hair.
Are the black spots associated with itching, pain or any other sensation?
Kindly, let me know the answers to these questions.

Thanks
Dr Shailja P Wahal

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Brief Answer:
Biopsy required to know the character of lesion.

Detailed Answer:
Hello and welcome again.
Clinically the black spots do not look like melanoma.
However, the black spots appear to be pigmented lesion.
Naevus is the first possibility.
Naevus is benign lesion caused by proliferation of benign naevus cells in the dermis.
The important thing is to rule out any dysplastic or neoplastic change in the naevus.
Consultation with a dermatologist and biopsy from the site will help to know the correct diagnosis of the lesion.
melanoma is a malignant lesion which is characterised by increase in size of the lesion, change in color, bleeding or appearance of altered sensations in the lesion.
The lesion on your case appears to be a benign lesion, however, examination is required.

Thanks and take care
Dr Shailja P Wahal

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