The mole looks unusual?
Hello Dr.
Lee! I have a mole that is prone to friction, and recently it has been shedding hair, crusting, and oozing.
There is also a red area in the center (it feels like an ulcer about 0.3 cm in size and has not increased in size).
Could this be a sign of malignancy? Thank you!
?, 10~19 year old female. Ask Date: 2024/03/04
Dr. Li Yufen reply Dermatology
Hello: For detailed information about moles and melanoma, you can refer to http://www.skin-cosda.com/edcontent_d.php?lang=tw&tb=2&cid=4&id=1146.
If you notice any changes in your moles, it is advisable to consult a nearby dermatologist.
Thank you!
Reply Date: 2024/03/04
More Info
When it comes to skin concerns, particularly changes in moles or lesions, it is crucial to approach the situation with caution and awareness. The symptoms you describe regarding your mole—such as hair loss, crusting, oozing, and redness—are indeed concerning and warrant further evaluation by a healthcare professional, preferably a dermatologist.
Moles, or nevi, are common skin growths that can vary in color, size, and shape. While many moles are benign, changes in their appearance can sometimes indicate potential malignancy, particularly if they exhibit characteristics associated with melanoma, a serious form of skin cancer. The ABCDE rule is a helpful guideline for assessing 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 mole.
- Diameter: A mole larger than 6mm (about the size of a pencil eraser) is more concerning.
- Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting.
Based on your description, the fact that your mole has become crusty, is oozing, and has developed redness could suggest an inflammatory process or a possible infection. However, it is essential to note that these symptoms can also occur in benign conditions, such as a seborrheic keratosis or a benign mole that has become irritated.
Regardless, the best course of action is to schedule an appointment with a dermatologist as soon as possible. They will perform a thorough examination and may recommend a biopsy to determine the nature of the mole. A biopsy involves removing a small sample of the mole for laboratory analysis, which can provide definitive information about whether it is benign or malignant.
In the meantime, avoid picking at or irritating the mole further, as this could lead to infection or additional complications. Keeping the area clean and protected is essential. If you notice any additional changes, such as increased pain, swelling, or discharge, seek medical attention promptly.
In summary, while not all changes in moles indicate malignancy, the symptoms you describe are concerning enough to warrant professional evaluation. Early detection and intervention are key in managing skin concerns effectively, especially when it comes to potential skin cancers. Please prioritize seeing a dermatologist to address your concerns and ensure your skin health is monitored appropriately.
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