Changes in Moles and Skin Growths: When to Seek Help - Dermatology

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When it comes to changes in moles and skin growths, it's essential to approach the situation with caution and awareness. Moles, or nevi, can change in appearance for various reasons, and any significant changes should be evaluated by a healthcare professional. In your wife's case, the development of a horn-like structure in the center of a previously smooth mole is concerning and warrants further investigation. This change could potentially indicate a benign growth, but it could also be a sign of something more serious, such as melanoma, especially if there are changes in color, size, or texture.

For the growths on her neck, which you described as small, protruding lesions, these could be skin tags, seborrheic keratosis, or possibly warts caused by the human papillomavirus (HPV). Skin tags are generally harmless and often do not require treatment unless they become irritated or bothersome. However, if there is uncertainty about the nature of these growths, it is advisable to consult a dermatologist. Dermatologists specialize in skin conditions and can provide a thorough examination, diagnosis, and appropriate treatment options.

In general, here are some guidelines on when to seek medical advice regarding moles and skin growths:
1. Change in Size or Shape: If a mole changes in size, shape, or color, it is crucial to have it evaluated. The "ABCDE" rule can help identify potential issues:
- 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, or other colors.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in any way, including size, shape, color, or elevation.

2. Itching or Bleeding: If a mole becomes itchy, painful, or starts to bleed, it should be examined by a healthcare professional.

3. New Growths: Any new growths on the skin, especially in adults, should be evaluated, particularly if they appear suddenly or change rapidly.

4. Family History: If there is a family history of skin cancer, it is wise to have regular skin checks with a dermatologist.

5. Skin Changes: Any unusual skin changes, such as persistent redness, scaling, or oozing, should prompt a visit to a dermatologist.

In summary, it is always better to err on the side of caution when it comes to changes in moles and skin growths. Consulting a dermatologist is the best course of action for your wife, as they can provide a comprehensive assessment and determine whether any treatment is necessary. Regular skin checks and being vigilant about changes can help in early detection of potential skin issues, leading to better outcomes.