Concerns About Skin Moles: When to See a Breast Specialist?

Issues persist despite examination?

Hello, Doctor! ^_^ I previously visited a dermatologist, and the doctor said that the moles on my body did not show any abnormalities.
However, I feel that the shape of my moles is strange, with irregular borders and uneven color, which seems to indicate a potential for malignancy.
Yet, the doctor only took a quick look and said that as long as there is no persistent bleeding or other abnormal signs, it is not a malignant tumor.
I also feel that the mole on my chest seems unusual; it feels like there is a lump, although it is not very obvious.
Should I see a dermatologist again, or should I consult a breast surgeon instead? I heard that individuals who are 30 years old can receive a free comprehensive health check-up once.
I wonder what the free health check-up includes? Does it cover breast cancer screening as well (such as breast examination, mammography, MRI, breast ultrasound, etc.)? Is it true that once I turn 30, I can just bring my ID and health insurance card to the hospital to register for the free comprehensive health check-up? Thank you in advance for your response! I appreciate your help.
^^

Ying, 20~29 year old female. Ask Date: 2007/01/05

Dr. Wu Jingtang reply Breast and Thyroid

Dear Miss,
The dermatologist on January 29th mentioned that the moles on your body do not show any abnormalities, so you should feel reassured! However, if you still find the shape of your moles strange, with irregular borders and uneven color, the most definitive method is to undergo a biopsy.

For individuals over 40, there is a free health check-up every three years, which includes general examination items but does not cover special breast cancer screenings.
If you need it, please visit a breast surgeon, and the doctor will arrange the necessary examinations based on your condition.

Wishing you good health,
Dr.
Wu

Reply Date: 2007/01/05

More Info

When it comes to skin moles, especially those located on the breast, it is crucial to monitor any changes in their appearance, texture, or sensation. Your concerns about the irregular shape, uneven color, and the presence of hard lumps beneath the mole are valid and warrant further investigation. While your dermatologist may have assessed the moles as benign, it is always within your rights as a patient to seek a second opinion or request further evaluation, particularly if you feel uncomfortable or uncertain about the findings.

Breast specialists, or breast surgeons, are trained to evaluate breast tissue, including moles and any associated changes. If you notice any of the following concerning signs, it is advisable to consult a breast specialist:
1. Changes in Size or Shape: If the mole has grown or changed shape, it could indicate a need for further evaluation.

2. Color Changes: Moles that become darker, lighter, or develop uneven pigmentation should be assessed.

3. Texture Changes: If the mole feels different, such as becoming hard or raised, this could be a sign of a problem.

4. Bleeding or Itching: Any bleeding, oozing, or persistent itching should be evaluated by a specialist.

5. Family History: If you have a family history of skin cancer or breast cancer, it is prudent to be more vigilant.

Regarding your question about free health checks for individuals aged 30 and over, many health systems offer preventive health screenings, which may include a variety of tests. In the United States, for example, the Affordable Care Act mandates that certain preventive services be covered without cost-sharing. These services can include:
- Clinical Breast Exam: A healthcare provider checks for lumps or abnormalities.

- Mammograms: Typically recommended starting at age 40, but may be earlier based on risk factors.

- Skin Checks: While not always included, some programs may offer skin examinations as part of a comprehensive check-up.

To take advantage of these services, you would generally need to present your identification and insurance information at the time of your appointment. It is advisable to contact your local health department or healthcare provider to confirm what specific services are included in the free health check and whether a referral to a breast specialist is necessary based on your concerns.

In summary, if you have lingering doubts about the moles on your breast, it is prudent to consult a breast specialist for a thorough evaluation. Early detection and intervention are key in managing any potential issues, including skin cancer. Additionally, take advantage of preventive health screenings available to you, as they can provide peace of mind and help maintain your overall health.

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