Unusual Moles: When to Seek Dermatological Advice - Dermatology

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Mole!!


Hello Doctor: My skin is very unusual; I have a lot of moles, and many of them are not congenital.
Some have appeared for no apparent reason, while others have developed due to sun exposure.
I would like to ask if this situation is normal?

a.w., 20~29 year old female. Ask Date: 2001/06/26

Dr. Zheng Lizhen reply Dermatology


Some moles are not present at birth but develop gradually over time; some spots that appear after sun exposure may be sunspots rather than moles.

Reply Date: 2001/06/26

More Info


When it comes to unusual moles or skin lesions, it is essential to understand the characteristics of these growths and when to seek dermatological advice. The presence of multiple moles, especially those that appear suddenly or change in appearance, can be concerning and warrants a closer examination by a healthcare professional.

Firstly, it is important to recognize that moles, or nevi, are common skin growths that can vary in color, size, and shape. Most people have between 10 to 40 moles on their bodies, and they can develop at any age. Some moles are congenital, meaning they are present at birth, while others can develop over time due to factors such as sun exposure, hormonal changes, or genetic predisposition.

However, there are specific characteristics of moles that should raise concern, often summarized by the ABCDE rule:
1. Asymmetry: If one half of the mole does not match the other half in shape or color, it may be a sign of a problem.

2. Border: Moles with irregular, scalloped, or poorly defined edges are more likely to be concerning.

3. Color: A mole that has multiple colors or an uneven distribution of color can be a warning sign.

4. Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated, especially if they are new or changing.

5. Evolving: Any mole that changes in size, shape, color, or elevation, or that starts to itch, bleed, or crust over should be examined by a dermatologist.

In your case, the fact that you have many moles, some of which are new and possibly related to sun exposure, is not uncommon. However, it is crucial to monitor these moles for any changes. If you notice any of the ABCDE characteristics in your moles, it is advisable to seek dermatological advice promptly.

Additionally, individuals with a family history of skin cancer or those who have had significant sun exposure should be particularly vigilant. Regular skin checks by a dermatologist can help in early detection of any potential skin cancers, including melanoma, which is the most serious form of skin cancer.

In terms of prevention, protecting your skin from excessive sun exposure is vital. This includes using broad-spectrum sunscreen with an SPF of 30 or higher, wearing protective clothing, and avoiding tanning beds. Regular self-examinations of your skin can also help you keep track of any changes in your moles.

If you are concerned about the number of moles or their appearance, it is best to consult with a dermatologist. They can perform a thorough examination, possibly including a dermatoscopic evaluation, and determine if any moles require biopsy or further investigation. Early detection and treatment are key in managing skin health, especially when it comes to unusual moles.
In summary, while having multiple moles can be normal, it is essential to remain vigilant and proactive about your skin health. If you notice any changes or have concerns about your moles, do not hesitate to seek professional advice. Regular check-ups with a dermatologist can provide peace of mind and ensure that any potential issues are addressed promptly.

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