Melanoma: When to Seek Medical Attention for Skin Changes - Dermatology

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When it comes to skin changes, particularly concerning moles or lesions, it is crucial to be vigilant and proactive in seeking medical attention. The symptoms you describe—an existing mole that has become raised, darkened, and tender to the touch—are indeed concerning and warrant a visit to a healthcare professional, preferably a dermatologist.

Melanoma is a type of skin cancer that arises from melanocytes, the cells responsible for producing melanin, which gives skin its color. While not all changes in moles indicate melanoma, certain characteristics can raise red flags. The ABCDE rule is a helpful guideline for assessing moles:
1. Asymmetry: One half of the mole does not match the other.

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

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

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

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

Based on your description, your mole's changes in size, color, and tenderness could indicate a need for further evaluation. Tenderness is not a typical feature of benign moles and could suggest irritation or other underlying issues.

It is essential to consult a dermatologist who can perform a thorough examination and possibly a biopsy to determine whether the mole is benign or malignant. Early detection of melanoma significantly improves treatment outcomes, so it is better to err on the side of caution.

In addition to the ABCDE rule, consider other factors that may influence your risk for melanoma, such as:
- Family History: A family history of melanoma increases your risk.

- Skin Type: Fair skin, light hair, and light eyes are associated with a higher risk.

- Sun Exposure: A history of excessive sun exposure, particularly sunburns, can increase your risk.

- Number of Moles: Having many moles or atypical moles can also elevate your risk.

If you have any additional symptoms such as itching, bleeding, or changes in the surrounding skin, these should also be reported to your healthcare provider.

In summary, given the changes you've observed in your mole, it is advisable to seek medical attention promptly. A dermatologist will provide a comprehensive evaluation and guide you through the necessary steps, whether it involves monitoring the mole or further diagnostic procedures. Remember, early intervention is key in managing skin health and addressing potential issues effectively.