Moles: When to Worry and Removal Costs Explained

Mole

Hello doctor, I have had a mole since childhood.
It has grown larger over time and its shape is irregular, but there are no signs of ulceration and it has hair growing from it.
Could this mole undergo any pathological changes? If I want to have this mole removed, how much would it typically cost? Thank you.

wei, 20~29 year old female. Ask Date: 2005/10/14

Dr. Hong Zhengsheng reply Dermatology

Hello Wei,
Based on your description, it is currently difficult to ascertain your specific medical condition.
The most significant characteristic of skin diseases is that they are "not easily verified by sight and touch." It is indeed challenging to convey a complete picture through written descriptions alone.
Therefore, I recommend that when you notice the symptoms you described, you should promptly consult a dermatologist at a public hospital in your city or county under the Department of Health.
All of our physicians are more than willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions; we care about your health.
P.S.: The cost for mole removal is considered an "out-of-pocket" expense, and each hospital has different regulations.
It is advisable to call and inquire.

Best regards,
Hong Zhengsheng

Reply Date: 2005/10/14

More Info

When it comes to moles, understanding their characteristics and knowing when to seek medical advice is crucial for your health. Moles, or nevi, are common skin growths that can vary in color, size, and shape. While most moles are benign, certain changes in their appearance can indicate potential health concerns, particularly the risk of skin cancer.

From your description, it sounds like you have a mole that has changed in size and shape over time. The fact that it has become larger and has an irregular shape is noteworthy. According to the ABCDE rule, which is a guideline for identifying potentially malignant moles, you should look for the following characteristics:
- Asymmetry: If you draw a line through the mole, the two halves do not match.

- 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), although some melanomas can be smaller.

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

Given that your mole has changed in size and has an irregular shape, it is advisable to consult a dermatologist for a thorough evaluation. They may perform a dermatoscopic examination or a biopsy to determine if the mole is benign or if it shows signs of malignancy.

Regarding the removal of the mole, the cost can vary significantly based on several factors, including:
1. Location: The cost of medical services can differ based on geographic location and the healthcare facility.

2. Type of Procedure: Moles can be removed through various methods, including excisional surgery, shave removal, or laser treatment. The method chosen will affect the cost.

3. Insurance Coverage: If the mole is deemed suspicious and requires a biopsy, your insurance may cover part of the costs. However, if it is removed for cosmetic reasons, it may not be covered.

On average, the cost of mole removal can range from $150 to $500 or more, depending on the factors mentioned above. If a biopsy is performed, additional costs may apply for laboratory analysis.

In summary, it is essential to monitor any changes in your moles and consult a healthcare professional if you notice any concerning signs. Early detection and intervention are key in managing skin health. If you decide to proceed with removal, discuss the options and costs with your dermatologist to make an informed decision that suits your needs.

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