Could you please provide more details regarding the issues related to mole changes?
Hello, Doctor! I have a few questions to ask you.
1.
I heard from a physician that removing moles does not prevent melanoma.
If a mole undergoes changes, simply removing it may not be effective, right?
2.
If I am concerned about the moles on my body undergoing adverse changes, does just removing or excising them not alleviate the worry about potential malignancy?
3.
I also heard that moles that appear as light brown patches on the epidermis have a higher likelihood of becoming malignant.
I have such moles on my body, but a few months ago when I consulted a doctor, they said my moles showed no signs of ulceration or inflammation and should be safe.
However, if a mole has already ulcerated, doesn’t that indicate it may be at an advanced stage and discovered too late?
4.
I feel very scared, as if I have a ticking time bomb on my body, because I don’t know when the moles might undergo changes.
I initially considered removing the moles to prevent future issues, but after hearing the doctor’s explanation, I feel that merely removing them may not stop the potential for malignancy.
Additionally, I heard that if a mole or tumor is not completely excised during surgery, the condition could worsen and spread more rapidly.
This worries me, and I am unsure whether to leave the moles alone or to have them removed.
5.
I would like to ask the doctor, if I want to remove a mole, is it better to use the mole removal method or surgical excision?
6.
If I need to excise moles located on my hands, face, or chest, is local anesthesia sufficient? After the excision, will I need to take anti-inflammatory pain medication? How long should I take it?
Thank you very much for your response, Doctor.
I appreciate your help! ^_^
Xiao Ying, 30~39 year old female. Ask Date: 2007/08/16
Dr. Hong Zhengsheng reply Dermatology
Hello, Xiao Ying: In medical terms, "moles" could fill a thick textbook.
Therefore, it is not possible to determine your specific condition based solely on your written description online.
Additionally, your personal fear of "moles" is more profound than that of the average person, but this fear is actually unnecessary.
The best advice for you is to consult with a trusted dermatologist.
I recommend that when you notice the symptoms described on your skin, you should promptly visit a public hospital in your city or county under the Department of Health and consult with a dermatology specialist.
All of our physicians 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: 2007/08/16
More Info
Understanding mole changes, their risks, removal options, and safety concerns is crucial for maintaining skin health and preventing potential complications, such as melanoma. Let's address your questions one by one.
1. Mole Removal and Melanoma Prevention: It is true that simply removing a mole does not prevent the development of melanoma or other skin cancers. If a mole is already malignant or has the potential to become malignant, removing it may not eliminate the risk of cancer spreading. Regular monitoring of moles for changes in size, shape, color, or texture is essential. If a mole appears suspicious, a dermatologist may recommend a biopsy to determine if it is cancerous.
2. Concerns About Changes in Moles: If you are worried about changes in your moles, it is important to consult a dermatologist. While removing a mole can alleviate concerns, it does not guarantee that other moles will not develop issues. Continuous skin checks and awareness of any changes are vital for early detection of skin cancer.
3. Risk of Malignancy in Certain Moles: Moles that are flat and light brown can have a higher risk of becoming malignant, especially if they exhibit changes. If your doctor has assessed your moles and found no signs of ulceration or inflammation, it is a positive indication. However, if you notice any changes, such as ulceration, it is crucial to seek immediate medical attention, as this could indicate a more serious condition.
4. Fear of Malignant Changes: It is understandable to feel anxious about the possibility of moles becoming cancerous. While it is true that not all moles will turn malignant, being proactive about monitoring your skin and consulting with healthcare professionals can help manage this fear. If you are considering removal, discussing your concerns with a dermatologist can provide clarity and reassurance.
5. Methods of Mole Removal: The decision to remove a mole can depend on various factors, including its size, location, and whether it shows any suspicious characteristics. Mole removal can be done through methods such as laser treatment or surgical excision. Surgical excision is often preferred if there is a concern about the mole being cancerous, as it allows for complete removal and examination of the tissue.
6. Anesthesia and Post-Removal Care: For mole removal procedures on the face, hands, or chest, local anesthesia is typically sufficient. After the procedure, your doctor may prescribe anti-inflammatory or pain relief medications, depending on your individual needs. The duration of medication use can vary, but it is generally recommended to take them for a few days post-surgery to manage any discomfort.
In conclusion, while the fear of moles becoming malignant is valid, proactive monitoring and consultation with a dermatologist can significantly mitigate risks. If you have concerns about specific moles, it is best to have them evaluated by a professional who can provide personalized advice and treatment options. Regular skin checks and awareness of changes are key components in maintaining skin health and preventing serious conditions like melanoma.
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