Regarding protruding moles in the armpit?
Dear Dr.
Ke,
I have a raised mole approximately 2mm in size under my right armpit.
It is flesh-colored with some black pigmentation and has remained unchanged for several years.
Since this mole is located in an area that experiences frequent friction, I would like to ask Dr.
Ke the following questions:
1.
Should this raised mole be actively treated (such as removal) or is it sufficient to monitor it periodically for changes?
2.
If I decide to remove the mole, what methods do medical facilities typically use for a raised mole of this size (e.g., cryotherapy, laser ablation, or surgical excision)?
Thank you for your guidance.
A-Xiang, 30~39 year old female. Ask Date: 2018/09/18
Dr. Ke Fangxu reply Surgery
1.
If there has been no change, then continuous observation is sufficient.
2.
If the size is only 2mm, it can be excised or cauterized under local anesthesia.
Vaporization with laser is also an option, although it is not covered by insurance.
Cryotherapy is not recommended for individuals.
Reply Date: 2018/09/18
More Info
When it comes to raised moles, especially those located in areas prone to friction like the armpit, it is essential to approach the situation with caution and informed decision-making. Here are some insights based on your questions:
1. Should You Remove the Raised Mole?
The decision to remove a mole, particularly one that has been stable for several years and shows no signs of change, often depends on several factors. If the mole is causing discomfort due to friction from clothing or movement, removal may be advisable to prevent irritation or potential complications. Additionally, while a stable mole is generally not a cause for concern, any changes in color, size, shape, or texture should prompt immediate evaluation by a healthcare professional. Regular monitoring is also a good practice; however, if the mole is in a location that makes it prone to irritation, proactive removal might be the best course of action.
2. Methods of Mole Removal:
If you decide to proceed with the removal of the mole, there are several common methods that medical facilities may use, depending on the mole's characteristics and the healthcare provider's recommendation:
- Excision: This is a surgical procedure where the mole is cut out along with a small margin of surrounding skin. This method is often used for moles that may have atypical features or if there is a concern about skin cancer.
- Shave Removal: 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 effective for certain types of moles, particularly those that are pigmented. This method uses focused light to break down the pigment in the mole.
- Cryotherapy: This involves freezing the mole with liquid nitrogen, causing it to fall off over time. This method is typically used for superficial lesions.
Regardless of the method chosen, it is crucial to have the procedure performed by a qualified dermatologist or healthcare provider. They can assess the mole's characteristics and recommend the most appropriate removal technique based on your specific situation.
Additional Considerations:
- Post-Removal Care: After mole removal, follow-up care is essential to ensure proper healing and to monitor for any signs of infection or complications. Your healthcare provider will give you specific instructions on how to care for the area.
- Skin Cancer Awareness: While most moles are benign, it is important to be aware of the ABCDEs of melanoma (Asymmetry, Border, Color, Diameter, Evolving). If your mole exhibits any of these concerning features, seek medical advice promptly.
- Consultation with a Dermatologist: Before making any decisions, it is advisable to consult with a dermatologist. They can provide a thorough examination and discuss the risks and benefits of removal versus observation.
In summary, while your raised mole may not pose an immediate risk, its location and the potential for irritation warrant consideration for removal. Consulting with a healthcare professional will help you make an informed decision tailored to your specific needs.
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