Cherry Angiomas: Risks and Treatment Options Explained - Dermatology

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Regarding cherry angiomas (red moles)?


Dear Dr.
Wu,
Hello.
After turning 40, I have noticed several red spots (cherry angiomas) on my body.
I would like to ask you the following questions:
Q1.
I have a cherry angioma located on my left flank, which is often covered by the waistband of my pants.
Dr.
Wu, could the constant pressure or friction from the waistband cause this cherry angioma to undergo malignant transformation? Have there been any cases of this occurring?
Q2.
Dr.
Wu, is it possible to puncture a cherry angioma with a needle to drain the blood? If the blood is drained, will the cherry angioma recur at the same site?
Thank you for your clarification on these matters.

Axiang, 40~49 year old female. Ask Date: 2023/07/05

Dr. Wu Yuxin reply Dermatology


It does not undergo pathological changes, and it will not disappear after being punctured; it requires laser treatment or surgery for removal.

Reply Date: 2023/07/05

More Info


Cherry angiomas, also known as "senile angiomas," are benign growths of small blood vessels that appear as red or purple spots on the skin. They are quite common, especially in individuals over the age of 40, and can vary in size from a pinpoint to several millimeters in diameter. While they are generally harmless, understanding their risks and treatment options is essential for anyone who notices these growths on their skin.


Q1: Risks of Cherry Angiomas from Friction
Regarding your concern about the cherry angioma located on your left waist area, it is unlikely that regular friction from clothing, such as the waistband of your pants, would cause the angioma to undergo malignant transformation. Cherry angiomas are benign and do not typically develop into cancerous lesions. There have been no documented cases of cherry angiomas becoming malignant due to pressure or friction. However, constant irritation or trauma to the area can lead to bleeding or discomfort, and in some cases, it may cause the angioma to become inflamed or change in appearance. If you notice any significant changes in the size, color, or shape of the angioma, or if it becomes painful, it is advisable to consult a dermatologist for further evaluation.


Q2: Self-Removal of Cherry Angiomas
As for the question of whether you can puncture a cherry angioma with a needle to drain blood, this is not recommended. Attempting to self-treat or remove a cherry angioma can lead to complications such as infection, excessive bleeding, or scarring. Cherry angiomas are vascular lesions, and puncturing them could cause them to bleed profusely, as they are rich in blood vessels.
If you are concerned about the appearance of the cherry angioma or if it is causing discomfort, it is best to seek professional treatment. Dermatologists can offer various options for removal, including:
1. Electrosurgery: This technique uses electrical currents to remove the angioma.

2. Cryotherapy: Freezing the angioma with liquid nitrogen can effectively eliminate it.

3. Laser Therapy: Certain lasers can target the blood vessels in the angioma, causing it to fade or disappear.

4. Surgical Excision: In some cases, a dermatologist may recommend surgically removing the angioma, especially if it is large or bothersome.


Conclusion
In summary, cherry angiomas are benign and typically do not pose a health risk. While friction from clothing is unlikely to cause any harm, self-removal methods are not advisable. If you have concerns about your cherry angiomas, it is best to consult with a dermatologist who can provide appropriate treatment options tailored to your needs. Regular skin checks and monitoring any changes in your skin are also good practices as you age. Remember, while cherry angiomas are common and generally harmless, any new or changing skin lesions should be evaluated by a healthcare professional to rule out other conditions.

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