Should You Worry About a Growing Mole? Expert Advice on Skin Concerns

Mole growth issues?

Hello, Doctor.
The attached image shows a mole on my face: https://ppt.cc/fLUvjx.
This mole has been present for about ten years and has been growing, although not rapidly.
Two years ago, its diameter was 0.6 cm, and I just measured it at 0.7 cm.
The surface is not completely smooth, with a slight elevation in the center.
Yesterday, I noticed a transparent small growth in the area outlined in pink.
It is not itchy or painful.
I would like to ask if you recommend excision or laser treatment for this mole that continues to grow, and whether there is an urgent need to seek medical attention due to concerns about potential malignancy.
Currently, it is inconvenient to visit the hospital due to pandemic precautions, so I would appreciate your advice.
Thank you!

C, 20~29 year old female. Ask Date: 2021/05/18

Dr. Wu Yuxin reply Dermatology

Medical regulations state that "a physician must personally examine a patient before providing treatment or prescribing medication..." Therefore, online diagnosis is also not permissible.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2021/05/18

More Info

When it comes to skin concerns, particularly regarding moles, it is essential to approach the situation with caution and awareness. Moles, or nevi, are common skin growths that can appear anywhere on the body. While many moles are benign, changes in their appearance can sometimes indicate underlying issues, including the potential for skin cancer.

In your case, you mentioned that the mole has been present for about ten years and has shown a slight increase in size from 0.6 cm to 0.7 cm over the past two years. The fact that the surface is not completely smooth and that you have noticed a new transparent growth in the area is worth noting. These changes can be significant, and while they may not necessarily indicate malignancy, they do warrant further investigation.

The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: If you draw a line through the mole, the two halves do not match.

- Border: Irregular, scalloped, or poorly defined edges.

- Color: A variety of colors (brown, black, tan, red, white, or blue) within the same mole.

- Diameter: Moles larger than 6 mm (about the size of a pencil eraser) are more concerning.

- Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting.

Based on your description, the mole's gradual growth and the presence of a new transparent structure could suggest that it is evolving. While it may not be urgent to seek immediate medical attention, it is advisable to consult a dermatologist as soon as possible. They can perform a thorough examination and may recommend a biopsy if they suspect any malignancy.

In the context of the ongoing pandemic, if visiting a healthcare facility is challenging, consider telemedicine options. Many dermatologists offer virtual consultations where you can discuss your concerns and receive professional advice without needing to visit in person. They may guide you on whether an in-person visit is necessary based on your symptoms and the characteristics of the mole.

If the mole is determined to be benign but you are still concerned about its appearance, dermatologists can offer various treatment options, including excision or laser therapy. Excision involves surgically removing the mole, which can provide peace of mind and a definitive diagnosis. Laser therapy may be used for cosmetic reasons, particularly if the mole is not cancerous.

In summary, while not all moles that change in size or appearance are cancerous, it is crucial to monitor them closely. Given the changes you've observed, it would be prudent to seek professional advice. Early detection and treatment are key in managing skin health, especially when it comes to potential malignancies. Remember to practice sun safety by using sunscreen and protective clothing, as UV exposure can contribute to skin changes over time.

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