Benign Moles on Feet: Myths and Facts Explained - Dermatology

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Regarding benign moles on the foot?


Hello, doctor: I had a mole on my foot examined with a dermatoscope, and it was found to be benign.
However, I found online that benign moles on the soles of the feet can become malignant due to long-term friction and pressure.
Some people also say that the chances of benign moles turning malignant are equal across different parts of the body and that the probability is very low, regardless of their location, and that the claim about friction leading to malignancy is unfounded.
I am quite confused.
Could you please clarify which statement is correct? Thank you.

Winnie, 20~29 year old female. Ask Date: 2010/06/07

Dr. Huang Ruiyun reply Dermatology


Hello: There is no evidence that friction leads to malignancy.
Wishing you not to overthink.

Reply Date: 2010/06/07

More Info


When it comes to understanding benign moles, particularly those located on the feet, there are several myths and facts that need to be clarified. First and foremost, it’s essential to understand what benign moles are. Benign moles, also known as nevi, are typically harmless skin growths that can appear anywhere on the body, including the feet. They are usually brown or black and can vary in size and shape.
The concern about benign moles turning malignant (cancerous) is valid, but it is essential to differentiate between fact and myth. One common myth is that benign moles on the feet are more likely to become malignant due to friction and pressure. While it is true that excessive friction or trauma to a mole can lead to changes in its appearance, this does not necessarily mean that it will turn cancerous. The risk of a benign mole becoming malignant is generally low, regardless of its location on the body.
Research indicates that the transformation of benign moles into malignant melanoma is relatively rare. The majority of moles remain benign throughout a person's life. The factors that contribute to the risk of melanoma include genetic predisposition, skin type, and exposure to ultraviolet (UV) radiation, rather than the location of the mole or the amount of friction it experiences.
Another myth is that all moles, regardless of their location, have an equal chance of becoming malignant. While it is true that the overall risk of any mole becoming malignant is low, certain characteristics can increase the risk. For instance, moles that are asymmetrical, have irregular borders, have multiple colors, or are larger than a pencil eraser should be monitored closely and evaluated by a dermatologist.
It is also important to note that while benign moles are generally harmless, any changes in their appearance, such as changes in color, size, or shape, should prompt a visit to a healthcare professional. This is particularly true for moles that become itchy, bleed, or develop crusting. These changes can be indicators of potential malignancy and should not be ignored.

In summary, the notion that benign moles on the feet are more likely to become malignant due to friction is largely unfounded. While it is essential to monitor moles for any changes, the overall risk of malignancy is low. It is crucial to maintain regular skin checks and consult with a dermatologist if there are any concerns about the appearance or behavior of moles.
For individuals with benign moles, especially those on the feet, it is advisable to practice good foot hygiene, avoid excessive friction (such as from ill-fitting shoes), and protect the skin from excessive sun exposure. Regular skin examinations by a healthcare professional can also help ensure that any potential issues are caught early.
In conclusion, while benign moles can be a source of concern, understanding the facts surrounding them can alleviate unnecessary anxiety. It is always best to consult with a healthcare provider for personalized advice and to address any specific concerns regarding skin health.

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