Is Your Mole Growing and Painful? Signs of Potential Skin Issues - Dermatology

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When it comes to moles or skin lesions that change in size, shape, or sensation, it is essential to approach the situation with caution. The symptoms you describe—pain upon pressure and a noticeable increase in size—can be concerning and warrant further evaluation by a healthcare professional, particularly a dermatologist.

Moles, or nevi, are common skin growths that can vary in color, size, and shape. Most moles are benign, but certain changes can indicate potential skin issues, including the possibility of skin cancer, such as melanoma. The ABCDE rule is a helpful guideline for evaluating moles:
- Asymmetry: One half of the mole does not match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, tan, red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser), although some melanomas can be smaller.

- Evolving: The mole is changing in size, shape, or color.

In your case, the fact that the mole has become painful and appears to be growing is particularly noteworthy. Pain is not a typical characteristic of benign moles, and any new or unusual symptoms should be taken seriously. Other signs that may accompany a concerning mole include itching, bleeding, or oozing.

There are several potential explanations for the changes you are experiencing:
1. Inflammation or Infection: Sometimes, a mole can become inflamed or infected, leading to pain and swelling. This could be due to irritation from friction, such as from clothing or grooming.

2. Benign Changes: Moles can undergo benign changes as we age, which may include growth or changes in texture. However, these changes should still be monitored closely.

3. Dysplastic Nevi: These are atypical moles that may have irregular features and can be a risk factor for melanoma. They require careful monitoring and sometimes removal.

4. Melanoma: This is a serious form of skin cancer that can develop from existing moles or appear as new spots on the skin. Early detection is crucial for successful treatment.

Given your symptoms, I strongly recommend scheduling an appointment with a dermatologist as soon as possible. They can perform a thorough examination and may recommend a biopsy if they suspect any malignancy. A biopsy involves removing a small sample of the mole for laboratory analysis, which can provide definitive information about its nature.

In the meantime, avoid picking at or irritating the mole further, as this could exacerbate any underlying issues. Keep the area clean and protected, and monitor for any additional changes.

In conclusion, while not all changes in moles indicate a serious problem, the combination of pain and growth in your case is significant. Prompt evaluation by a healthcare professional is the best course of action to ensure your health and peace of mind.