Concerns About Changing Moles: What You Need to Know

Q: Concerns About Changing Moles: What You Need to Know

Hello： Generally, moles tend to appear as we age, and existing moles may slightly enlarge or darken over time. <br>If a mole exhibits uneven coloration, becomes red, bleeds, has black spots on the edges, or grows rapidly, it is advisable to consult a dermatologist for evaluation.

What are some issues related to moles?

A long time ago, I discovered a black mole in a certain area of my lower abdomen (a place I usually don't observe).
At that time, I paid some attention to it but didn't examine it closely.
Recently, I happened to look at it again and felt that the mole seemed to have grown a bit (though I'm not sure).
Its shape is somewhat oval and slightly raised, and the size is now about 0.4 to 0.5 centimeters.
There is also a light brown spot nearby, which is also about 0.4 to 0.5 centimeters (I don't remember it being there before).
Recently, I noticed another smaller black mole has appeared, which is more prominent.
These three phenomena are located in the same area, within about 3 centimeters of each other, and sometimes it itches a bit.
Could you please advise what kind of skin condition this might be? Additionally, when it itches, it's inconvenient to scratch; what anti-itch medications can I use? Thank you for your time, and I apologize for the interruption.

Niming, 20~29 year old female. Ask Date: 2006/04/04

Dr. Zheng Lizhen reply Dermatology

Hello: Generally, moles tend to appear as we age, and existing moles may slightly enlarge or darken over time.
If a mole exhibits uneven coloration, becomes red, bleeds, has black spots on the edges, or grows rapidly, it is advisable to consult a dermatologist for evaluation.
Occasionally, moles may itch, possibly due to friction or irritation.
Sincerely, Dr.
Cheng Li-Chen, Dermatologist.

Reply Date: 2006/04/04

More Info

Concerns about changing moles are quite common, and it's important to approach them with caution. The changes you've described in your moles, including growth, changes in shape, and the appearance of new moles, warrant a thorough evaluation by a healthcare professional, particularly a dermatologist.
Moles, or nevi, are generally benign skin growths that can vary in size, shape, and color. However, certain changes in moles can be indicative of skin conditions, including melanoma, which is a type of skin cancer. The characteristics you mentioned—such as the size of the moles (0.4-0.5 cm), the oval shape, and the presence of new moles—are particularly concerning. The fact that the area is itchy may also suggest an inflammatory process, which could be due to a variety of causes, including irritation, infection, or even an allergic reaction.

When assessing moles, dermatologists often use the ABCDE rule to help identify potential warning signs of melanoma:
- Asymmetry: One half of the mole does not match the other half.

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

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

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser), although melanomas can be smaller.

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

Given your description, it would be prudent to schedule an appointment with a dermatologist as soon as possible. They may perform a physical examination and, if necessary, a biopsy to determine whether the moles are benign or if further treatment is required.

As for the itching, it is essential to avoid scratching the area, as this can lead to further irritation or infection. Over-the-counter topical treatments, such as hydrocortisone cream, can help alleviate mild itching and inflammation. However, it is crucial to consult with a healthcare provider before applying any medication, especially on changing moles, to ensure that it does not interfere with a proper diagnosis.

In summary, while not all changes in moles are indicative of a serious condition, the symptoms you've described warrant a professional evaluation. Early detection and treatment are key in managing skin conditions effectively, particularly when it comes to potential skin cancers. Please prioritize your health and seek medical advice promptly.

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