and Managing Raised Moles in the Armpit - Dermatology

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When it comes to raised moles, particularly those located in areas prone to friction such as the armpit, there are several important considerations to keep in mind regarding their management and potential removal.

1. Observation vs. Removal: The first question you raised is whether to actively manage the mole or simply observe it. Given that your mole has been stable for several years, measuring about 1mm and showing no signs of change, it is generally advisable to monitor it rather than rush into removal. However, you should be vigilant for any changes in size, color, or shape, as well as any symptoms such as itching, bleeding, or pain. If any of these changes occur, it would be prudent to consult a dermatologist for further evaluation. Regular self-examinations can help you keep track of any changes.

2. Methods of Removal: If you decide to proceed with removal, there are several common methods that medical professionals might use, depending on the characteristics of the mole and the clinical judgment of the provider:
- Excisional Surgery: This is a common method where the mole is cut out along with a small margin of surrounding skin. This is often done under local anesthesia and is typically recommended for moles that have atypical features or if there is a concern for skin cancer.

- Shave Excision: In this technique, the mole is shaved off at the level of the surrounding skin. This method is less invasive and may be suitable for raised moles that are not suspected to be malignant.

- Laser Removal: Laser therapy can be used for certain types of moles, particularly if they are pigmented. This method is less invasive and can minimize scarring, but it may not be suitable for all moles, especially if there is a concern for skin cancer.

- Cryotherapy: This involves freezing the mole with liquid nitrogen. It is less commonly used for moles but can be effective for certain benign skin lesions.

3. Consultation with a Dermatologist: Regardless of the method chosen, it is essential to consult with a dermatologist who can assess the mole in person. They will consider factors such as the mole's appearance, your medical history, and any risk factors for skin cancer. They may also perform a biopsy if there is any suspicion of malignancy.

4. Post-Removal Care: If you do decide to have the mole removed, follow-up care is crucial. This includes keeping the area clean, monitoring for signs of infection, and attending any follow-up appointments to ensure proper healing.

5. Skin Cancer Awareness: It's important to be aware of the signs of skin cancer, especially if you have a history of sun exposure or other risk factors. The ABCDE rule can help you remember what to look for:
- Asymmetry: One half of the mole doesn't match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color.

In conclusion, while your mole appears stable and benign, regular monitoring is essential. If you have any concerns or notice changes, do not hesitate to seek medical advice. A dermatologist can provide the best guidance on whether removal is necessary and the most appropriate method for your specific situation.