Should You Worry About a Changing Mole? Melanoma Concerns Explained - Oncology

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Questions about melanoma?


I have a mole on my hand that was originally very small, but I recently noticed it seems to have grown to about 1mm.
However, I have memory issues due to a brain injury from a car accident, so I'm starting to doubt my recollection.
After comparing it to pictures online, it looks quite normal.
Should I have a biopsy, or is it sufficient to just monitor it?

e, 30~39 year old female. Ask Date: 2022/04/22

Dr. Chen Sirong reply Oncology


e / 34 years old / Male is advised to see a dermatologist.
After a personal examination, the doctor will provide recommendations.
Wishing you peace and health.
Dr.
Chen Sih-Rong, Taoyuan Hospital.

Reply Date: 2022/04/22

More Info


When it comes to changes in moles, particularly in relation to melanoma, it is important to approach the situation with caution and awareness. Melanoma is a serious form of skin cancer that can develop from existing moles or appear as new growths on the skin. The key factors to consider when assessing a mole include its size, shape, color, and any changes over time.

In your case, you mentioned that the mole on your hand has changed in size, growing to approximately 1mm. While 1mm is relatively small, any noticeable change in a mole's characteristics should be taken seriously. The ABCDE rule is a helpful guideline for evaluating moles:
- Asymmetry: If one half of the mole does not match the other half in shape.

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

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

- Diameter: A mole that is larger than 6mm (about the size of a pencil eraser) is more concerning, but smaller moles can also be problematic.

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

Given that you have experienced a change in the mole, it is advisable to consult a dermatologist for a professional evaluation. A dermatologist can perform a thorough examination and may recommend a biopsy if they find the mole suspicious. A biopsy involves removing a small sample of the mole for laboratory analysis, which can determine whether it is benign or malignant.

It is also important to note that while many moles are harmless, changes in moles can sometimes indicate the development of melanoma. Early detection is crucial for successful treatment, so it is better to err on the side of caution. If you have any doubts or concerns about your mole, it is always best to seek medical advice rather than relying solely on online images or self-assessment.

In addition to monitoring the mole, consider the following tips for skin health:
1. Regular Skin Checks: Perform self-examinations of your skin monthly to identify any new or changing moles. Keep track of any changes and report them to your healthcare provider.

2. Sun Protection: Protect your skin from harmful UV rays by using sunscreen with an SPF of 30 or higher, wearing protective clothing, and avoiding tanning beds.

3. Healthy Lifestyle: Maintain a balanced diet rich in antioxidants, stay hydrated, and avoid smoking, as these factors can contribute to overall skin health.

4. Follow-Up Appointments: If you have a history of skin issues or family history of melanoma, regular check-ups with a dermatologist are essential.

In conclusion, while a mole that has changed in size may not always indicate a serious issue, it is crucial to take any changes seriously. Consulting a dermatologist for a professional evaluation is the best course of action to ensure your health and peace of mind. Early detection and intervention can make a significant difference in outcomes related to skin cancer.

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