Raised Moles: Risks, Diagnosis, and Removal Options - Dermatology

More Info

---

Understanding raised moles, especially those that have changed over time, is crucial for assessing potential health risks. In your case, the mole on your inner thigh, which has been present since childhood and has recently become raised, warrants careful consideration.
Firstly, it's important to recognize that moles, or nevi, can vary widely in appearance and behavior. A mole that has remained stable for many years is generally less concerning than one that has changed significantly in size, shape, color, or texture. However, the fact that your mole has raised and has a soft, "squishy" texture could indicate a change that should be evaluated by a healthcare professional.

The primary concern with any mole that changes is the risk of skin cancer, particularly melanoma. Melanoma can develop from existing moles or appear as new spots on the skin. 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), but melanomas can be smaller.

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

In your case, while the mole has not significantly increased in size over the past several years, the fact that it has raised and feels different is a reason to consult a dermatologist. They can perform a thorough examination and may recommend a biopsy if they suspect any abnormality. A biopsy involves removing a small sample of the mole for laboratory analysis, which can definitively determine whether it is benign or malignant.

If the mole is determined to be benign but you still wish to have it removed for cosmetic reasons or due to discomfort, there are several options available:
1. Surgical Excision: This is the most common method for mole removal. The dermatologist will cut out the mole along with a small margin of surrounding skin. This method is often used if there is a concern about the mole's characteristics.

2. Shave Excision: In this technique, the mole is shaved off at the skin level. This method is typically used for raised moles that are not suspected to be cancerous.

3. Laser Removal: This method uses focused light to remove the mole. It is less invasive and may be suitable for certain types of moles, but it is not typically used for moles that require pathological examination.

4. Cryotherapy: This involves freezing the mole with liquid nitrogen. It is less common for moles that need to be biopsied.

Before proceeding with any removal method, it is essential to have a thorough evaluation by a dermatologist. They will assess the mole's characteristics and your medical history to determine the best course of action.
In summary, while your mole has not shown significant growth, the change in its texture and elevation is a valid reason to seek professional evaluation. Early detection and intervention are key in managing any potential risks associated with skin lesions. Don't hesitate to schedule an appointment with a dermatologist to discuss your concerns and explore your options for monitoring or removing the mole.