Moles on Palms: When to Worry and Seek Treatment

Q: Moles on Palms: When to Worry and Seek Treatment

Hello： The moles on the palms and soles have a higher likelihood of transforming into melanoma in individuals of East Asian descent. <br>Irregular size and shape are certainly poor indicators. <br>If possible, it is advisable to have them removed as early as possible.

Moles on the palm?

Recently, upon the recommendation of a surgeon, I visited a dermatologist to have some moles on my body examined.
After reviewing the moles on my hands and face, the doctor concluded that they did not appear malignant.
However, the doctor provided me with information indicating that moles located on the palms of the hands and soles of the feet should be monitored closely.
Upon returning home, I discovered that I also had a mole on my palm.
The mole is less than 0.1 cm in diameter and resembles a small dot made by a ballpoint pen.
Upon closer inspection, it does not exhibit asymmetry, irregular borders, or uneven coloration.
Therefore, I would like to inquire whether moles on the palms and soles are likely to undergo malignant transformation.
Given my situation, do I need to undergo surgical removal at the hospital? Thank you.

Q, 20~29 year old female. Ask Date: 2009/06/18

Dr. Zhang Zhibo reply Dermatology

Hello: The moles on the palms and soles have a higher likelihood of transforming into melanoma in individuals of East Asian descent.
Irregular size and shape are certainly poor indicators.
If possible, it is advisable to have them removed as early as possible.

Reply Date: 2009/06/18

More Info

When it comes to moles on the palms of your hands or the soles of your feet, it’s essential to understand the potential implications and when to seek further evaluation or treatment. Moles, or nevi, are common skin growths that can appear anywhere on the body, including the palms and soles. While most moles are benign, certain characteristics and locations can warrant closer observation.

The fact that your dermatologist has indicated that moles on the palms and soles should be monitored is significant. This is because these areas are less common for moles to develop, and any changes in these moles can sometimes be more concerning. The characteristics of the mole you described—small size (less than 0.1 cm), symmetrical shape, even color, and regular borders—are generally reassuring signs. These features suggest that the mole is likely benign. However, it’s crucial to remain vigilant.

Here are some key points to consider regarding moles on the palms and soles:
1. Location Matters: Moles on the palms and soles can be more prone to changes due to friction, pressure, and trauma. This can sometimes lead to irritation or changes in the mole that may require further evaluation.

2. ABCDE Rule: While you mentioned that your mole does not exhibit asymmetry, irregular borders, uneven color, or a diameter larger than 6 mm, it’s still important to monitor for any changes over time. The ABCDE rule (Asymmetry, Border, Color, Diameter, Evolving) is a helpful guideline for assessing moles.

3. Changes to Watch For: If you notice any changes in the mole's size, shape, color, or if it begins to itch, bleed, or become painful, it’s essential to seek medical advice promptly. These changes could indicate a need for further investigation.

4. Consultation with a Dermatologist: Since your dermatologist has already evaluated your moles and deemed them non-cancerous, it may not be necessary to remove the mole at this time. However, if you have concerns or if the mole changes, a follow-up appointment would be advisable. Dermatologists can perform a biopsy if there is any suspicion of malignancy.

5. Regular Skin Checks: It’s a good practice to perform regular self-examinations of your skin, including the palms and soles, to monitor for any new moles or changes to existing ones. Keeping a record of your moles can help you notice any changes over time.

6. Genetic Factors: Some individuals may have a genetic predisposition to developing moles or skin cancer. If you have a family history of skin cancer or atypical moles, it’s wise to discuss this with your dermatologist.

In summary, while the characteristics of your mole appear benign, it’s vital to remain observant and proactive about your skin health. If you have any doubts or if the mole changes, do not hesitate to consult your dermatologist for further evaluation. Regular skin checks and being aware of changes in your moles are key components of skin health management. Remember, early detection is crucial in addressing any potential skin issues effectively.

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