Black Spots Near the Navel: When to Worry?

Black spots near the navel?

Hello doctor, I accidentally discovered a black spot near the upper part of my abdomen.
Upon closer inspection, it has a slight elevation.
I previously visited a dermatologist who said it was a mole and that there was no cause for concern.
However, since it is slightly raised, I am wondering if that makes it more dangerous compared to the flat moles on my hands and arms.
The dermatologist mentioned that it looks very safe and that I only need to check it occasionally, not every day.

I happened to search online about black moles on the abdomen and came across information regarding lumps near the navel.
Although it doesn't look like that, I became a bit worried and am unsure if I am overthinking it or if I need to get it checked at a major hospital.

I would also like to ask, when people develop moles, does it indicate the presence of toxins in the body? It seems that this area doesn't get much sun exposure.
Is it true that developing moles is often unavoidable? The dermatologist mentioned that many times they just appear on their own, and as long as they don't bleed or have an irregular shape or strange color, there is no need to worry.
He also said there is no need to remove it unless necessary.
I would appreciate hearing different doctors' opinions.
Thank you.
Here is the link to my picture for your review: https://ibb.co/0YmBXKP.

sun, 20~29 year old female. Ask Date: 2020/11/17

Dr. Hong Yuanbin reply Internal Medicine

Hello, most moles are related to melanocytes and are not toxins.
They do not necessarily occur only in sun-exposed areas.
Based on the image you provided, it appears to be a typical mole and does not seem to show signs of malignancy.
Therefore, I agree with your dermatologist's recommendation to simply monitor it unless there are specific changes, such as increasing size, irregular shape, or any discharge, which would require further evaluation.
Thank you for your question.

Reply Date: 2020/11/17

More Info

When it comes to understanding black spots near the navel, it’s essential to approach the situation with both caution and knowledge. You mentioned that you have a black spot near your navel that has a slight elevation, and while a dermatologist has assessed it and deemed it safe, it’s natural to have concerns, especially when it comes to changes in our skin.

Firstly, it’s important to understand that moles, or nevi, can appear anywhere on the body, including areas that are not frequently exposed to sunlight. The presence of a mole does not necessarily indicate the presence of toxins in the body. Moles can develop due to a variety of factors, including genetics, hormonal changes, and sun exposure, but they are not directly linked to internal toxins. It’s also worth noting that some moles can be congenital, meaning they are present at birth, while others can develop over time.

The fact that your dermatologist has assessed the spot and found it to be benign is reassuring. Dermatologists are trained to identify characteristics of moles that may indicate potential issues. Generally, moles that are flat, symmetrical, and uniform in color are less likely to be problematic. In contrast, moles that are irregular in shape, have multiple colors, or change in size or shape over time may warrant further investigation.

You mentioned that the spot is slightly raised, which can be a common characteristic of certain types of moles. Raised moles, known as dermatofibromas, are usually harmless and can occur due to minor skin injuries or irritation. However, it’s crucial to monitor any changes in the mole over time. If you notice any of the following changes, it would be wise to seek further evaluation:
1. Change in Size: If the mole grows larger than a pencil eraser.

2. Change in Color: If it becomes darker, has multiple colors, or appears uneven.

3. Irregular Borders: If the edges become jagged or blurred.

4. Bleeding or Oozing: If the mole starts to bleed, ooze, or crust over.

5. Itching or Pain: If you experience discomfort or pain in the area.

In terms of follow-up care, it’s generally recommended to perform regular self-examinations of your skin, including the area around the navel. If you have a family history of skin cancer or if you notice any concerning changes, it’s advisable to consult with a dermatologist for a more thorough examination.

Regarding your concern about needing to visit a larger hospital, it may not be necessary unless you notice significant changes or if you feel uncomfortable with the current assessment. Dermatologists can provide a comprehensive evaluation and, if needed, perform a biopsy to rule out any serious conditions.

In summary, while it’s understandable to feel anxious about changes in your skin, the advice from your dermatologist is a good guideline. Regular monitoring and self-examinations can help you stay informed about your skin health. If you have persistent concerns or if the mole changes, don’t hesitate to seek a second opinion or further evaluation. Your health and peace of mind are paramount, and it’s always better to err on the side of caution when it comes to skin changes.

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