the Causes of Red Moles on the Chest and Upper Body - Dermatology

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Red mole


Dear Doctor: As the years go by, I have noticed an increasing number of small red spots on my chest and upper torso.
Although they are not painful or itchy, I am very curious about how these small red spots are formed.
Could you please take the time to enlighten me? Thank you!

Yun, 30~39 year old female. Ask Date: 2006/08/11

Dr. Huang Ruiyun reply Dermatology


The marks of time come in many forms, and this is beyond human control; let it be.

Reply Date: 2006/08/11

More Info


The appearance of red moles or spots on the chest and upper body, often referred to as cherry angiomas or senile angiomas, is a common occurrence as people age. These benign growths are typically small, round, and red or purple in color. They can vary in size and may appear anywhere on the body, although they are most commonly found on the trunk, arms, and scalp.


Causes of Red Moles
1. Aging: One of the primary reasons for the development of cherry angiomas is aging. As we grow older, the skin undergoes various changes, including the formation of these small vascular lesions. The exact mechanism is not fully understood, but it is believed that the proliferation of blood vessels in the skin contributes to their formation.

2. Genetics: There is a hereditary component to the development of cherry angiomas. If your family members have a history of these growths, you may be more likely to develop them as well.

3. Hormonal Changes: Hormonal fluctuations, particularly during pregnancy, can lead to an increase in the number of cherry angiomas. Some studies suggest that estrogen may play a role in their development.

4. Environmental Factors: Exposure to certain environmental factors, such as sunlight and chemicals, may also contribute to the formation of these lesions. However, the evidence is not conclusive.

5. Underlying Health Conditions: In some cases, an increase in cherry angiomas may be associated with certain health conditions, such as liver disease or other systemic illnesses. However, this is relatively rare, and most cherry angiomas are harmless.


Characteristics of Cherry Angiomas
- Appearance: Cherry angiomas are typically bright red, but they can also appear purple or blue. They are usually small, ranging from the size of a pinhead to a few millimeters in diameter.

- Texture: They are generally smooth and can be flat or slightly raised.

- Symptoms: Most cherry angiomas are asymptomatic, meaning they do not cause pain or itching. However, they can bleed if they are scratched or injured.


When to Seek Medical Advice
While cherry angiomas are usually harmless, it is important to monitor any changes in your skin. You should consult a healthcare professional if you notice:
- Rapid growth of the moles
- Changes in color or shape
- Bleeding or oozing from the mole
- New moles appearing after the age of 30
These changes could indicate a more serious condition, such as melanoma or other skin cancers, and should be evaluated by a dermatologist.


Treatment Options
In most cases, treatment for cherry angiomas is not necessary unless they become bothersome or for cosmetic reasons. If removal is desired, several options are available:
1. Laser Therapy: This is a common method for removing cherry angiomas. Laser treatment targets the blood vessels, causing the mole to fade or disappear.

2. Electrosurgery: This technique uses a high-frequency electrical current to remove the angioma.

3. Cryotherapy: Freezing the mole with liquid nitrogen can also effectively remove cherry angiomas.

4. Shave Excision: A dermatologist may use a scalpel to shave off the mole.


Conclusion
In summary, the appearance of red moles on the chest and upper body is a common and usually benign condition associated with aging, genetics, and hormonal changes. While they are typically harmless, it is essential to monitor any changes and consult a healthcare professional if you have concerns. If removal is desired for cosmetic reasons, various effective treatment options are available. Always prioritize skin health and seek professional advice when in doubt.

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