the Risks of Freezing Treatments for Raised Moles - Surgery

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Regarding protruding moles in the armpit?


Hello Dr.
Ke: I am Ah Xiang, the one who previously asked about the treatment options for "protruding moles in the armpit." First of all, I would like to sincerely thank you for your response.
Additionally, I want to apologize for mistakenly rating your previous reply as 1 point; I actually intended to give it 5 points! I hope you can forgive me, as your response has been very helpful to me, and I truly appreciate your effort!
Now, to the main topic: in your previous response, you mentioned that for protruding moles, options for removal include electrosurgery, surgical excision, or vaporization laser, but you do not recommend cryotherapy.
I would like to ask you why you do not recommend cryotherapy for treating protruding moles.
Thank you for your guidance and clarification.

Axiang, 30~39 year old female. Ask Date: 2018/09/19

Dr. Ke Fangxu reply Surgery


Answer: Because cryotherapy has a relatively shallow treatment depth, its therapeutic effects may not be optimal.
Generally, it is not commonly reported that this method is used for treatment.
You may also consult a dermatologist for their opinion, as they have more experience with cryotherapy.

Reply Date: 2018/09/19

More Info


When it comes to the treatment of raised moles, particularly through methods like cryotherapy (freezing treatment), there are several important considerations to keep in mind. Cryotherapy involves applying extreme cold to the mole, which can cause the tissue to freeze and eventually fall off. While this method may seem appealing due to its non-invasive nature, there are several reasons why it may not be the best option for treating raised moles.

Firstly, one of the primary concerns with cryotherapy for raised moles is the risk of incomplete removal. Raised moles, or dermatofibromas, can have deeper roots beneath the skin's surface. Freezing the surface may not adequately address the entire mole, leading to a recurrence. This is particularly important because some moles can be precursors to skin cancer. If the mole is not fully removed, there is a risk that any underlying issues could persist or worsen.

Secondly, cryotherapy can lead to skin damage. The freezing process can cause not only the mole to be affected but also the surrounding healthy skin. This can result in complications such as blistering, scarring, or changes in skin pigmentation. For individuals with darker skin tones, these risks can be more pronounced, as the skin may not heal as well, leading to hyperpigmentation or hypopigmentation.

Moreover, there is a concern regarding the potential for misdiagnosis. If a mole is treated with cryotherapy without proper evaluation, there is a risk that a malignant mole could be mistaken for a benign one. This is why dermatologists often recommend a biopsy or thorough examination before any treatment is undertaken. A biopsy allows for a definitive diagnosis, ensuring that any necessary treatment is appropriate and effective.

In contrast, methods such as surgical excision or laser therapy provide more definitive results. Surgical excision involves cutting out the mole and some surrounding tissue, which allows for complete removal and a clear path for pathological examination. Laser therapy can also be effective, particularly for superficial moles, as it targets the pigment in the mole without affecting the surrounding skin as much as cryotherapy might.

In summary, while cryotherapy may seem like an easy and quick solution for raised moles, it carries significant risks that can lead to incomplete removal, skin damage, and misdiagnosis. It is essential to consult with a qualified dermatologist who can assess the mole properly and recommend the most appropriate treatment option based on its characteristics and your individual health needs. Always prioritize safety and thoroughness in any dermatological treatment to ensure the best outcomes for your skin health.

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