Persistent Painful Mole on Left Chest: Seeking Specialized Care in Northern Taiwan - Dermatology

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A black mole on the left side of the chest?


I have a flat black mole on the left side of my chest.
It hurts when I pinch it, and I feel a sharp pain in my heart when I do so.
I visited a nearby dermatologist, and the doctor took a quick look and said it was likely inflamed, prescribing anti-inflammatory medication.
I followed the instructions and applied it for a while, but it still hurts when I pinch the mole.
My current issue is that I don't know which hospital specializes in mole examinations.
I live in the northern part of Taiwan.

Shandi, 30~39 year old female. Ask Date: 2017/09/11

Dr. Wu Yuxin reply Dermatology


There are no hospitals specifically dedicated to examining moles; however, the dermatology department at any hospital can assist you with this.

Reply Date: 2017/09/11

More Info


Persistent pain in a mole, especially one that is located on the chest, warrants careful evaluation and management. Given your description of the mole being flat and painful to the touch, it is crucial to seek specialized care, particularly since the pain seems to radiate to your heart area. While the initial assessment by a dermatologist suggested inflammation and prescribed anti-inflammatory medication, the ongoing pain indicates that further investigation is necessary.

In Northern Taiwan, you have several options for specialized care. I recommend seeking out a reputable dermatology department at a university hospital or a specialized skin clinic. Hospitals such as National Taiwan University Hospital, Taipei Veterans General Hospital, or Chang Gung Memorial Hospital in Linkou have dermatology departments with experienced specialists who can provide a thorough evaluation of your mole. They can perform a detailed examination, possibly including dermatoscopy, to assess the characteristics of the mole more closely.

If the mole is suspected to be more than just an inflammatory lesion, a biopsy may be warranted. A biopsy involves removing a small sample of the mole for histopathological examination, which can help determine if there are any atypical or malignant cells present. This is particularly important if there are any changes in the mole's appearance, such as changes in color, size, or shape, or if it has become painful.

In addition to dermatology, it may be beneficial to consult with an oncologist if there are concerns about the mole being cancerous. They can provide insights into further diagnostic tests and treatment options if necessary.

Regarding the pain you experience when touching the mole, it is important to communicate this symptom clearly to your healthcare provider. Pain in the area of a mole can sometimes indicate irritation or an underlying issue that needs to be addressed. It is also worth noting that while the heart is located in the chest, pain radiating from a skin lesion is typically not related to cardiac issues. However, if you experience any additional symptoms such as shortness of breath, chest tightness, or significant discomfort, it is crucial to seek immediate medical attention.

In summary, I recommend the following steps:
1. Schedule an appointment with a specialized dermatologist at a reputable hospital in Northern Taiwan. Look for those with a focus on skin lesions and moles.

2. Prepare for your visit by documenting any changes in the mole, the duration of pain, and any other symptoms you may have experienced.

3. Discuss the possibility of a biopsy if the dermatologist deems it necessary based on their examination.

4. Follow up on any prescribed treatments and keep track of any changes in the mole or surrounding area.

Taking these steps can help ensure that you receive the appropriate care and peace of mind regarding your health. Remember, early detection and intervention are key in managing any potential skin issues effectively.

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