Should You Be Concerned About Changes in Your Mole? - Dermatology

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When it comes to changes in moles, it is essential to be vigilant and proactive about your skin health. Moles, or nevi, are common skin growths that can vary in color, size, and shape. However, any noticeable changes in a mole can be a cause for concern, particularly if these changes occur suddenly or if the mole exhibits characteristics that deviate from its original appearance.

In your case, you mentioned that a mole on your body turned brown and shrank after you accidentally scratched it, which led to scarring. While it is not uncommon for moles to change in response to trauma, such as scratching or injury, it is crucial to monitor these changes closely. The fact that the mole has changed color and size warrants a medical evaluation, especially since these alterations can sometimes indicate underlying issues.

The ABCDE rule is a helpful guideline for assessing moles and identifying potential signs of melanoma, a serious form of skin cancer. Here’s a breakdown of the ABCDE criteria:
- A for Asymmetry: If you draw a line through the mole, and the two halves do not match, it may be a cause for concern.

- B for Border: Moles with irregular, scalloped, or poorly defined edges should be examined.

- C for Color: A mole that has multiple colors (brown, black, tan, red, white, or blue) or has changed color should be evaluated.

- D for Diameter: Moles larger than 6mm (about the size of a pencil eraser) are more likely to be problematic.

- E for Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting, is a warning sign.

Given that your mole has changed color and size, it is advisable to consult a dermatologist. A healthcare professional can perform a thorough examination, which may include a dermatoscopic evaluation, to assess the mole's characteristics more closely. If there are any concerns, they may recommend a biopsy to rule out melanoma or other skin conditions.

In addition to the ABCDE rule, it’s important to consider your personal and family history of skin cancer. If you have a history of skin cancer or if any family members have had melanoma, you should be even more vigilant about changes in your skin.

Furthermore, it is essential to practice sun safety to reduce the risk of skin cancer. This includes using sunscreen with a high SPF, wearing protective clothing, and avoiding tanning beds. Regular skin checks, both self-examinations and professional evaluations, can help catch any concerning changes early.

In summary, while changes in a mole can sometimes be benign, your description suggests that it would be prudent to seek medical advice. A dermatologist can provide a comprehensive evaluation and peace of mind regarding your skin health. Remember, it’s always better to err on the side of caution when it comes to changes in your skin.