Raised Moles: When to Seek Medical Attention - Dermatology

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Raised moles, or nevi, can sometimes change in appearance, which can understandably cause concern. When a mole suddenly becomes raised, painful, or changes in color, it is important to pay attention to these changes, as they may indicate a potential issue, including the possibility of skin cancer.

From a medical perspective, moles are typically benign growths on the skin that can vary in size, shape, and color. However, certain characteristics can signal that a mole may be undergoing changes that warrant further investigation. The ABCDE rule is a helpful guideline for assessing moles:
1. Asymmetry: If one half of the mole does not match the other half in shape or color, this could be a warning sign.

2. Border: Moles with irregular, scalloped, or poorly defined edges should be examined.

3. Color: A mole that has multiple colors (brown, black, tan, red, white, or blue) is concerning.

4. Diameter: Moles larger than 6mm (about the size of a pencil eraser) should be evaluated.

5. Evolving: Any changes in size, shape, color, or elevation, or new symptoms such as bleeding, itching, or crusting, are significant.

In your case, the sudden elevation of the mole and the sensation of pain could indicate a few possibilities. It might be a benign change, such as irritation or inflammation, possibly due to a condition like acne if it is near the surface. However, it could also be a sign of dysplastic nevus or even melanoma, especially if there are other concerning features present.

When to seek medical attention is crucial. Here are some guidelines:
- Immediate Attention: If the mole is rapidly changing, bleeding, or if you experience significant pain, it is advisable to seek medical attention promptly.

- Regular Monitoring: If the mole has changed in a way that fits the ABCDE criteria, or if you notice any new symptoms, you should schedule an appointment with a dermatologist.

- Routine Check-ups: Even if the changes seem minor, regular skin checks by a healthcare professional are recommended, especially if you have a history of skin cancer or numerous moles.

In summary, while not all changes in moles are indicative of serious conditions, it is always better to err on the side of caution. Consulting with a dermatologist for a thorough examination and possibly a biopsy can provide peace of mind and ensure that any potential issues are addressed early. Remember, early detection is key in the management of skin cancers, and being proactive about changes in your skin health is essential.