Mole removal issues?
Hello, I recently visited a dermatologist because I noticed a small black mole on my hand, about 1mm in size.
The doctor also noticed a previous injury that left a discoloration (which is gradually fading to a light brown color, about 3mm).
The doctor advised that it should definitely be removed or treated with laser, and not to leave it on my hand.
I am 17 years old; is it possible that this could be cancerous cells at my age? (The doctor mentioned that due to my young age, it might not be a concern, but still recommended removal.) If I go for surgical excision at the hospital, will it be more complicated? The doctor suggested I choose one method, but I am worried that if the mole is problematic, laser treatment might not resolve the issue.
Does age really have an impact? Thank you.
moliya, 10~19 year old female. Ask Date: 2007/02/08
Dr. Jiang Yujiao reply Dermatology
Hello: In response to your question, there are five key points to determine whether a mole is malignant: (1) an increase in growth rate; (2) uneven pigmentation, with a mix of black and white; (3) asymmetrical borders of the mole; (4) the presence of small black dots around the mole; (5) abnormal itching and bleeding.
If malignancy is suspected, excision and pathological examination are necessary.
If there are no malignant symptoms, removal is primarily for cosmetic reasons and can be done using laser treatment or excision.
However, not all moles will become malignant, and not all malignant melanomas arise from moles.
Reply Date: 2007/02/08
More Info
When it comes to skin health, particularly regarding moles and other skin lesions, it's essential to approach the topic with care and informed decision-making. As a 17-year-old, it's understandable to have concerns about the nature of your skin lesions and the recommendations from your dermatologist. Let's break down the considerations regarding mole removal and skin health.
Understanding Moles and Skin Lesions
Moles, or nevi, are common skin growths that can vary in size, shape, and color. Most moles are benign, meaning they are not cancerous. However, certain characteristics can indicate that a mole may require further evaluation or removal. These characteristics include asymmetry, irregular borders, multiple colors, a diameter larger than a pencil eraser, and any changes in size, shape, or color over time.
Your dermatologist's recommendation to remove or treat the mole and the pigmented lesion is likely based on a careful assessment of these characteristics. Even though you are young, it is crucial to remember that skin cancer can occur at any age, although it is more common in older individuals. The key is to ensure that any suspicious lesions are evaluated and, if necessary, removed to prevent potential complications.
Why Removal May Be Recommended
1. Preventive Measure: Removing moles that have atypical features can be a preventive measure. Even if the mole appears benign, it may have the potential to develop into something more serious over time.
2. Diagnostic Purposes: If there is any suspicion that a mole may be atypical or potentially cancerous, a biopsy (removal of the mole for examination) is often the best way to confirm its nature. This is crucial for early detection of skin cancer.
3. Aesthetic Concerns: Sometimes, moles can be removed for cosmetic reasons, especially if they are in visible areas and cause concern for the individual.
Options for Removal
Your dermatologist may offer different methods for mole removal, including:
- Surgical Excision: This involves cutting out the mole and some surrounding skin. It is often recommended for moles that may be suspicious. The procedure is typically done under local anesthesia, and while it may leave a scar, it allows for thorough examination of the tissue.
- Laser Removal: This method uses focused light to remove the mole. It is less invasive and may be suitable for certain types of moles, but it may not provide a definitive diagnosis if the mole is atypical.
Age Considerations
While your age does play a role in the likelihood of developing skin cancer, it does not eliminate the possibility. Your dermatologist's recommendation is based on the specific characteristics of your mole rather than your age alone. It is essential to follow their advice, as they have the expertise to assess your skin health accurately.
What to Expect
If you choose to proceed with the removal, here are a few things to keep in mind:
- Consultation: Discuss your concerns with your dermatologist. Ask about the procedure, recovery time, and any potential risks or side effects.
- Follow-Up: After removal, the tissue will be sent for histopathological examination to determine if it is benign or malignant. This is a critical step in ensuring your long-term skin health.
- Skin Care: After the procedure, follow your dermatologist's instructions for wound care to promote healing and minimize scarring.
Conclusion
In summary, while it is natural to have concerns about moles and skin health at a young age, it is crucial to take the advice of your dermatologist seriously. They are trained to identify potential issues and recommend appropriate actions. Removing moles can be a proactive step in maintaining skin health and preventing future complications. Always prioritize open communication with your healthcare provider to address any questions or concerns you may have regarding your skin health.
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