Melanoma
I just saw a news article online about a woman with a melanoma in her perineum, and it reminded me that I have a black raised spot on the inner thigh, right in the crease between my thigh and intimate area, which has been there for several years.
Is this normal, or should I get it checked out?
Zhou, 30~39 year old female. Ask Date: 2023/06/04
Dr. Hu Ziren reply Oncology
It has not changed for many years, so it should just be a common mole.
You can monitor for the following abnormalities: whether there is any elevation in the center, whether the edges have enlarged or become irregular...
If there are no changes, it is advisable to simply observe.
Reply Date: 2023/06/04
More Info
When it comes to moles or skin lesions, particularly those located in sensitive areas like the inner thigh or genital region, it is essential to be vigilant about changes in their appearance. The mole you described, which has been present for several years, may be benign, but there are specific characteristics and changes that warrant further evaluation.
A mole, or nevus, can be classified into different types, including compound melanocytic nevi, which are generally benign. However, any mole that exhibits changes in size, shape, color, or texture should be assessed by a healthcare professional. The ABCDE rule is a helpful guideline for evaluating moles:
- Asymmetry: If one half of the mole does not match the other half.
- Border: Irregular, scalloped, or poorly defined edges.
- Color: A variety of colors (brown, black, tan, red, white, or blue) within the same mole.
- Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be examined.
- Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting.
If your mole does not exhibit any of these concerning features, it may be considered normal. However, given that it is located in a sensitive area and has been present for several years, it is advisable to consult a dermatologist for a thorough examination. They may perform a dermatoscopic evaluation, which allows for a more detailed view of the mole's structure, or they may recommend a biopsy to rule out melanoma or other skin cancers.
Melanoma 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, so if you have any concerns about your mole, it is better to err on the side of caution and seek medical advice.
In summary, while your mole may be benign, it is essential to monitor it for any changes and consult a healthcare professional for an evaluation, especially given its location and your concerns. Regular skin checks and awareness of any new or changing moles are vital components of skin cancer prevention and early detection. If you have a family history of skin cancer or other risk factors, you should discuss these with your doctor, as they may recommend more frequent screenings.
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