Should You Remove a Mole on the Scrotum? Expert Dermatologist Advice - Dermatology

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Issues related to moles and melanocytes?


Hello, Doctor.
Due to a family history of melanoma, I recently noticed a mole on my scrotum while showering.
It doesn't hurt or itch, but it feels a bit larger than before.
I apologize for bothering you, but should I have a dermatologist remove it with a laser, or can I leave it alone? Thank you for your assistance, and I wish you well! I've attached a picture for your reference: https://ibb.co/gzfVdHC.
Thank you, and best wishes!

Nìmíng, 20~29 year old female. Ask Date: 2021/06/21

Dr. Wu Yuxin reply Dermatology


I apologize, but current medical regulations prohibit online diagnoses in this manner.
If it is inconvenient to visit a hospital or clinic due to the pandemic, you may consult a dermatology clinic that offers telemedicine services, which can provide care in accordance with regulations.

Reply Date: 2021/06/21

More Info


When it comes to the question of whether to remove a mole on the scrotum, especially in the context of a family history of melanoma or skin cancer, it is crucial to approach this matter with caution and professional guidance. Moles, or nevi, can vary significantly in appearance, and while many are benign, changes in size, color, or texture can indicate potential issues that warrant further investigation.

Given your family history of melanoma, it is advisable to consult a dermatologist for a thorough examination of the mole. Dermatologists are trained to assess skin lesions and can determine whether a mole is benign or if it requires further evaluation or removal. The fact that the mole is not painful or itchy is a positive sign, but it does not eliminate the need for professional assessment, especially considering your genetic predisposition.

In general, dermatologists may recommend the following steps regarding moles:
1. Observation: If the mole appears stable and does not exhibit any changes over time, the dermatologist may suggest regular monitoring. This involves checking for any changes in size, shape, or color.

2. Biopsy: If there are any concerns about the mole's appearance or if it has changed, a dermatologist may perform a biopsy. This involves removing a small sample of the mole for laboratory analysis to determine if there are any cancerous cells present.

3. Removal: If the mole is found to be atypical or if there is a significant concern about its potential to develop into skin cancer, the dermatologist may recommend surgical removal. This can often be done in an outpatient setting, and the procedure is typically quick and straightforward.

4. Follow-Up: After removal, the mole will be sent for histopathological examination to confirm the diagnosis. Depending on the results, further treatment or monitoring may be necessary.

In terms of whether laser treatment is appropriate, it is essential to note that laser therapy is typically used for cosmetic purposes, such as reducing pigmentation or improving skin texture, rather than for the removal of potentially cancerous moles. Surgical excision is the standard approach for moles that may pose a risk of malignancy.

In addition to seeking professional advice, it is also beneficial to practice sun safety measures, as UV exposure can increase the risk of skin cancer. This includes using broad-spectrum sunscreen, wearing protective clothing, and avoiding tanning beds.

In conclusion, while the presence of a mole on the scrotum may not seem alarming at first glance, your family history of melanoma necessitates a proactive approach. Consulting a dermatologist for a comprehensive evaluation is the best course of action. They can provide personalized recommendations based on your specific situation and ensure that any potential risks are addressed appropriately. Remember, early detection and intervention are key factors in successfully managing skin health.

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