Changes in a Mole: When to Worry About Skin Health

I touched a mole on my face, and that mole has changed?

Hello Dr.
Wu! Recently, I have been frequently touching a mole on my face.
This mole has started to ooze, itch, hurt, peel, develop a sore, form a depression, and become hard and rough, measuring between 0.3 to 0.4 millimeters.
Is this normal?

Claire, 10~19 year old female. Ask Date: 2023/11/18

Dr. Wu Yuxin reply Dermatology

It is important to note that there is no way to assess the nature of a mole based solely on a written description.

Reply Date: 2023/11/18

More Info

When it comes to changes in moles or any skin lesions, it is essential to be vigilant and proactive about skin health. The symptoms you describe regarding your mole—such as oozing, itching, pain, flaking, and changes in texture—are concerning and warrant further evaluation by a healthcare professional, preferably a dermatologist.

Moles, or nevi, are common skin growths that can vary in size, shape, and color. While most moles are benign, certain changes can indicate potential skin issues, including skin cancer. The characteristics you mentioned—oozing, itching, pain, and changes in texture—are not typical for a benign mole and could suggest a condition that requires medical attention.

The "ABCDE" rule is a helpful guideline for assessing moles and determining when to seek medical advice:
1. Asymmetry: If one half of the mole does not match the other half.

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

3. Color: Varied colors (brown, black, tan, red, white, or blue) within the same mole.

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

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

Given that your mole has changed in size and texture, and you are experiencing symptoms such as oozing and pain, it is crucial to schedule an appointment with a dermatologist as soon as possible. They can perform a thorough examination and may recommend a biopsy to determine if the mole is benign or if it requires further treatment.

In addition to the physical examination, the dermatologist may ask about your medical history, family history of skin cancer, and any previous skin issues. This information can help them assess your risk factors and decide on the best course of action.

It is also important to practice sun safety to protect your skin from UV damage, which can contribute to skin cancer. This includes using sunscreen with a high SPF, wearing protective clothing, and avoiding tanning beds.

In summary, the changes you are experiencing in your mole are not typical and should not be ignored. It is essential to seek medical advice promptly to ensure your skin health is properly assessed and managed. Early detection and intervention are key in addressing potential skin issues effectively.

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