Should You Worry About Changes in Your Mole? A Dermatologist's Guide - Dermatology

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When it comes to changes in moles, it's essential to approach the situation with caution and awareness. Moles, or nevi, are common skin growths that can appear anywhere on the body. While most moles are benign, any changes in their appearance can be a cause for concern. In your case, you mentioned that you have a raised mole on the back of your neck that you recently discovered and have been picking at, resulting in a scab and two small dots on its surface.
The act of picking at a mole can lead to irritation and potential injury, which may cause changes in its appearance. However, it is crucial to understand that changes in moles can sometimes indicate underlying issues, including the possibility of skin cancer, particularly melanoma. The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: One half of the mole does not match the other.

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

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

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

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

Given that you have noticed a change in your mole, especially after picking at it, it is advisable to seek a professional evaluation from a dermatologist. They can perform a thorough examination and, if necessary, a biopsy to determine whether the mole is benign or if further action is required.
In terms of whether you should observe the mole or seek immediate attention, it is generally better to err on the side of caution. If you notice any of the ABCDE characteristics, or if the mole continues to change, it is important to consult a dermatologist as soon as possible. Early detection is key in managing skin cancer effectively.

In the meantime, avoid picking at the mole or any other skin lesions, as this can lead to infection and further complications. Keeping the area clean and protected is essential. If you experience any symptoms such as itching, bleeding, or pain, these should also prompt a visit to a healthcare professional.

In conclusion, while not all changes in moles indicate a serious condition, your recent observations warrant a professional assessment. Dermatologists are trained to identify and manage skin conditions, and they can provide you with the best course of action based on your specific situation. Remember, taking proactive steps regarding your skin health is always a wise choice.