Concerns About a Growing Mole on My 19-Month-Old's Palm

The baby is 1 year and 9 months old, and the mole on the palm is growing?

Hello, doctor! My baby is currently 1 year and 9 months old, and there is a black mole on the palm of their hand.
It is flat and we have been monitoring it regularly.
Over the past six months, it has noticeably grown, and it is now about 4mm in size.
It started as a round shape and has now become oval.
I am wondering if we should take them to a major hospital for examination and treatment.
Should we see a dermatologist or a surgeon? Thank you!

Silver Hu, 30~39 year old female. Ask Date: 2020/05/06

Dr. Wu Yuxin reply Dermatology

First, consult a dermatologist for evaluation.

Reply Date: 2020/05/06

More Info

When it comes to concerns about a growing mole on your 19-month-old child's palm, it's understandable to feel anxious, especially since you have observed it changing in size and shape. Moles, or nevi, are common skin growths that can appear in children, and while many are benign, any changes in size, shape, or color warrant a closer look.

Given that the mole has grown to about 4mm and has changed from a round shape to an elongated one, it is advisable to seek a professional evaluation. The best course of action would be to consult a dermatologist, as they specialize in skin conditions and can provide a thorough examination. Dermatologists are trained to differentiate between benign moles and those that may require further investigation or intervention.

In general, when assessing moles, dermatologists often follow the ABCDE rule, which stands for Asymmetry, Border, Color, Diameter, and Evolving. Here’s a brief overview of what each criterion means:
1. Asymmetry: If one half of the mole does not match the other half, it could be a cause for concern.

2. Border: Irregular, scalloped, or poorly defined edges may indicate a problem.

3. Color: A variety of colors (brown, black, tan, red, white, or blue) within the same mole can be a warning sign.

4. Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated, although smaller moles can also be concerning if they show other warning signs.

5. Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting, should prompt a visit to a healthcare provider.

In your case, since the mole has been observed to grow and change shape, it would be prudent to have it examined. The dermatologist may perform a visual inspection and, if necessary, a biopsy to rule out any serious conditions.
While it is common for children to have moles that change as they grow, it is always better to err on the side of caution, especially when it comes to the health of your child. If the dermatologist finds that the mole is benign, they may recommend regular monitoring. However, if there are any signs of atypical characteristics, they may suggest removal or further testing.

In summary, I recommend scheduling an appointment with a dermatologist as soon as possible to have the mole evaluated. Early detection and intervention are key in managing skin conditions effectively. Additionally, keep monitoring the mole for any further changes, and do not hesitate to seek medical advice if you notice anything unusual. Your child's health and well-being are of utmost importance, and addressing your concerns promptly is the best approach.

Similar Q&A

Concerns About a Birthmark on My 1-Year-Old's Foot: What to Know

Hello Dr. Wu, my son developed a mole on the sole of his foot when he was 6 to 7 months old. Now, at 1 year and 1 month, the mole measures approximately 0.2 by 0.1 cm and is rectangular in shape. It feels smooth to the touch and is a dark brown color. I have read online articles ...

Dr. Wu Yuxin reply Dermatology
Without actually seeing the lesion, it is impossible to determine. If it is very concerning, please seek medical attention as soon as possible.

Understanding Skin Issues: What to Do About a Growing Wood Chip-Like Lesion

When the baby was six months old, there were small wood-like particles on the index finger. The doctors advised not to remove them. Now, at one year and four months, the particles have grown larger. Yesterday, a dermatologist said they are not wood particles and could possibly be...

Dr. Wu Yuxin reply Dermatology
A literal description without actually seeing the lesion cannot confirm the diagnosis. It is recommended to consult a dermatologist or a surgeon as soon as possible for proper evaluation.

Concerns About New Moles on Palms: When to Seek Medical Advice

Hello Doctor: Recently, I discovered a nearly 1mm black mole on my palm. A few years ago, I also had two moles over 1mm on the same palm. I have read reports indicating that new moles appearing suddenly on the palms and soles should be monitored closely, so I had the previous mol...

Dr. Wu Yuxin reply Dermatology
It is important to observe closely, but not every mole necessarily indicates a problem. Each lesion should be monitored and discussed separately; having a higher number of moles does not automatically mean a higher risk. If any lesion suddenly shows significant changes, it is adv...

Understanding Moles on the Back of Your Hand: When to Worry?

I have a mole on the back of my hand that I have noticed has not changed for at least two years. A dermatologist examined it with a dermatoscope and said to continue monitoring it. I understand that moles on the extremities are more likely to be problematic, but I would like to a...

Dr. Wu Yuxin reply Dermatology
Benign conditions are still the majority.