Changes in Moles: When to Seek Further Dermatological Advice

The mole has become slightly raised?

Hello doctor, I have a lesion on my elbow that measures approximately 3mm by 2.5mm.
This week, I noticed that part of it has changed from flat to slightly raised, whereas last week it was flat.
I have already visited a dermatology clinic and had it examined with a dermatoscope.
The doctor there did not find anything unusual but did not provide an explanation for the change, which still leaves me a bit concerned.
I would like to ask what I should do next.

Niming, 20~29 year old female. Ask Date: 2023/06/10

Dr. Wu Yuxin reply Dermatology

The reason for a flat area becoming convex can only be determined through a physical examination; I am unable to provide you with the cause here.

Reply Date: 2023/06/10

More Info

When it comes to changes in moles, especially when you notice alterations in size, shape, color, or texture, it’s essential to approach the situation with caution. Your concern regarding the mole on your elbow, which has transitioned from flat to slightly raised, is valid and warrants further attention. While the dermatologist you visited did not find any abnormalities during the dermatoscopic examination, it is crucial to understand that not all changes in moles are indicative of serious conditions, but they can sometimes signal the need for further evaluation.

Firstly, it’s important to recognize that moles, or nevi, can change over time due to various factors, including hormonal changes, sun exposure, and natural aging processes. However, any sudden change in a mole's appearance, such as becoming raised or developing irregular borders, should be monitored closely. The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: If one half of the mole does not match the other.

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

- Color: Varied colors (brown, black, tan, red, white, or blue).

- Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated.

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

In your case, since the mole has changed from flat to slightly raised, it may be prudent to keep a close watch on it. If you notice any further changes or if it begins to itch, bleed, or become painful, you should seek a follow-up appointment with your dermatologist.
Additionally, if you continue to feel anxious about the mole despite the initial examination, consider requesting a second opinion from another dermatologist. Sometimes, a fresh set of eyes can provide reassurance or identify something that may have been overlooked.
In terms of preventive measures, protecting your skin from sun exposure is crucial. Regularly applying sunscreen with a high SPF, wearing protective clothing, and avoiding tanning beds can help reduce the risk of skin changes and potential skin cancers.
Lastly, if you have a family history of skin cancer or if you have many moles, it is advisable to have regular skin checks with a dermatologist. They can monitor your moles over time and provide guidance on any necessary interventions.

In summary, while the initial examination did not reveal any abnormalities, your concerns are valid. Continue to monitor the mole for any changes, practice sun safety, and don’t hesitate to seek further dermatological advice if you feel it’s necessary. Your health and peace of mind are paramount, and proactive skin health management is always the best approach.

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