Concerns About Moles on the Sole: Should You Remove Them?

Q: Concerns About Moles on the Sole: Should You Remove Them?

Hello, Daidai： Based on your written description, it is currently difficult to determine your specific condition. <br>The most significant characteristic of skin diseases is that "seeing is believing, and texture can be felt." It is truly challenging to convey a complete picture

Mole on the sole of the foot?

Hello Doctor, I have two brown moles on the sole of my foot.
One is about 2mm, and the other is very small, less than 1mm.
These two moles are approximately two centimeters apart.
I previously consulted a doctor who said they didn't appear to be harmful and didn't require treatment.
However, I often hear news reports stating that moles on the soles of the feet can be dangerous, and I am worried that if I ignore these two moles, they might turn into something harmful in the future.
Doctor, would it be safer if I underwent surgery to remove these two moles? Thank you for your response.

Dai Dai, 20~29 year old female. Ask Date: 2006/05/27

Dr. Hong Zhengsheng reply Dermatology

Hello, Daidai: Based on your written description, it is currently difficult to determine your specific condition.
The most significant characteristic of skin diseases is that "seeing is believing, and texture can be felt." It is truly challenging to convey a complete picture through text alone.
Therefore, I recommend that when you notice the symptoms described, you should promptly visit a public hospital in your city or county under the Department of Health and consult with a dermatologist.
All the physicians here are very willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your question.
"Taiwan e-Hospital" cares about your health.

Reply Date: 2006/05/27

More Info

When it comes to moles on the soles of your feet, it's understandable to have concerns, especially given the potential for skin cancer, including melanoma, which can occur in unusual locations. The two moles you described—one approximately 2mm and the other smaller than 1mm—are relatively small, and if a healthcare professional has previously assessed them and deemed them benign, that is reassuring. However, your apprehension is valid, especially with the prevalence of media reports highlighting the dangers associated with skin lesions.

Understanding Moles and Their Risks
Moles, or nevi, are common skin growths that can vary in color, size, and shape. Most moles are benign and do not pose any health risks. However, certain characteristics can indicate a higher risk of skin cancer. 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.

In your case, the moles are small and have been previously evaluated as benign, which is a positive sign. However, it’s essential to monitor them for any changes over time.

Should You Remove Them?
The decision to remove moles should be based on several factors:
1. Medical Advice: If a dermatologist has assessed the moles and suggested they are not concerning, it may be unnecessary to remove them solely for peace of mind. However, if you have persistent worries, seeking a second opinion from a dermatologist can provide further reassurance.

2. Changes in Appearance: If you notice any changes in the moles—such as increased size, color changes, or irregular borders—it is crucial to have them re-evaluated.
3. Personal Comfort: If the presence of the moles causes you anxiety, discussing removal options with a dermatologist may be beneficial. Surgical removal is a straightforward procedure, and the tissue can be sent for histopathological examination to confirm its benign nature.

4. Location: Moles on the soles of the feet can sometimes be harder to monitor due to their location. If they are in a spot where they may be irritated by footwear or other activities, removal might be a practical option.

Conclusion
In conclusion, while your moles have been previously assessed as benign, it’s essential to remain vigilant and monitor them for any changes. If you continue to feel anxious about their presence, consulting with a dermatologist for a second opinion or discussing the possibility of removal could provide peace of mind. Remember, proactive skin health is vital, and regular skin checks are recommended, especially if you have a history of skin issues or if you notice any new moles or changes in existing ones.

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