Black Growths on Inner Thigh: When to Seek Dermatological Help - Dermatology

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Black protrusions on the inner thigh?


Hello Dr.
Li, I read an article yesterday about a 27-year-old young mother who lost her life due to neglecting a mole that had been on her body for years.
This made me suddenly remember that I have a large mole on the back of my thigh that has been there for many years.
The situation is as follows: 1.
The area around the mole itches but does not hurt.
2.
I am not sure about its original size, but when I observed it while showering, it seems like it hasn't grown larger.
I have taken a photo for you to review: https://photos.app.goo.gl/enUmh6vVME4tD1sd6 (⬆ Google Photos link, safe and secure, please feel free to check).
I initially wanted to go to the hospital for an examination right away, but due to the impact of the pandemic, I would prefer to avoid the hospital if it’s not a serious issue.
Could you please help me assess whether it is serious? If it is a tumor, should I consult an oncologist or a dermatologist for further examination? Thank you!

A-Zhi, 20~29 year old female. Ask Date: 2021/09/24

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to melanoma, you can refer to the articles on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=45 and http://www.drskincare.com.tw/Qa/Detail.aspx?ID=44.
Due to limitations in the resolution of online photos, the images may appear relatively regular in shape, but there is a phenomenon of uneven pigmentation.
If you have concerns, it is advisable to consult a nearby dermatologist for diagnosis and treatment at http://www.derma.org.tw/user_finddoctor.php.
Thank you!

Reply Date: 2021/09/24

More Info


When it comes to understanding black growths on the skin, particularly on the inner thigh, it is crucial to approach the situation with caution and awareness. The concerns you have regarding the black mole on your thigh are valid, especially given the alarming story you encountered about a young mother. Skin lesions, including moles, can sometimes indicate underlying health issues, and it is essential to monitor any changes closely.

Based on your description, the mole has been present for several years and has not significantly changed in size, which is a positive sign. However, the fact that the surrounding area itches can be a cause for concern. Itching can sometimes indicate irritation or inflammation, but it can also be associated with more serious conditions. Here are some key points to consider regarding your situation:
1. Characteristics of Moles: Moles (nevi) are common skin growths that can vary in color, size, and shape. While many moles are benign, certain characteristics can raise suspicion. These include asymmetry, irregular borders, multiple colors, a diameter larger than a pencil eraser, and any changes in size, shape, or color over time. Itching alone is not a definitive sign of malignancy, but it should not be ignored.

2. When to Seek Help: It is advisable to seek dermatological help if you notice any of the following:
- Changes in the size, shape, or color of the mole.

- The mole becomes painful or bleeds.

- The surrounding skin becomes red, swollen, or develops a rash.

- You experience persistent itching or discomfort.

3. Consulting a Dermatologist: Given your concerns, it would be prudent to consult a dermatologist. They specialize in skin conditions and can perform a thorough examination. If necessary, they may recommend a biopsy to determine if the mole is benign or malignant. If the mole is suspected to be a tumor, the dermatologist can guide you on the next steps, which may include referral to an oncologist if needed.

4. Telemedicine Options: If you are hesitant to visit a hospital due to the pandemic, consider telemedicine options. Many dermatologists offer virtual consultations, where you can discuss your concerns and share photos of the mole. This can provide you with initial guidance and help determine if an in-person visit is necessary.

5. Self-Examination: Regular self-examination of your skin is essential. Take note of any new growths or changes in existing moles. Keeping a photographic record can help you track changes over time, which can be valuable information for your healthcare provider.

6. Prevention and Awareness: While it is essential to monitor existing moles, practicing sun safety is also crucial. Protecting your skin from UV exposure can help prevent the development of new moles and reduce the risk of skin cancer. Use sunscreen, wear protective clothing, and avoid tanning beds.

In conclusion, while the presence of a black mole on your inner thigh may not be an immediate cause for alarm, it is essential to remain vigilant and proactive about your skin health. Consulting a dermatologist is the best course of action to ensure that any potential issues are addressed promptly and appropriately. Remember, early detection is key in managing skin conditions effectively.

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