Should You Worry About New Moles on Your Scrotum? Expert Advice

If there are seven to nine moles on the scrotum, should I seek medical attention?

Hello, Dr.
Hsu.
I would like to consult you about a recent issue.
I have discovered some flat moles of varying sizes on my scrotum.
I hadn't paid much attention to them before, and it feels like they suddenly appeared.
I have never engaged in sexual intercourse, but after finding these moles today, I searched online and found the following information:
Question: Hello, Dr.
Qian! I recently came across a news article online describing skin cancer.
It mentioned a young man who developed seven or eight moles on the base of his penis and the foreskin over a six-month period, which grew larger.
A pathological examination revealed that he was infected with human papillomavirus (HPV), and the black moles were classified as precancerous lesions.
The patient was terrified when he discovered it was cancer.
What about me? I was alarmed after reading this article because the description closely resembles my situation.
I am only 36 years old.
Is this a precursor to skin cancer? Or is it skin cancer? Is there still hope if I seek medical attention now? I hope to receive your response.
Thank you! (A very frightened man)
Answer: Early symptoms of genital cancer at the base of the penis and on the foreskin primarily present as seborrheic keratosis and small black moles, which tend to increase in number.
In the past, some conscripts were exempted from military service due to the appearance of black moles and seborrheic keratosis on their genitals, as histologically, this can indeed be classified as stage zero cancer.
This type of genital cancer is known as "Bowen's disease," which is primarily transmitted through sexual contact.
Since condoms do not protect the base of the penis, if a partner's genital area harbors HPV types 16 or 18, intimate contact can lead to transmission of the virus.

If the reader suspects they may have "Bowen's disease," it is crucial to seek medical attention immediately and refrain from sexual activity, regardless of whether it is with a same-sex or opposite-sex partner, as genital contact or intimate touching can lead to transmission.
"Bowen's disease" is typically painless and asymptomatic, but the appearance of lesions resembling seborrheic keratosis or small black moles can lead many to believe there is no issue.
However, these can be precursors to skin cancer.
Fortunately, most patients have strong enough immune systems to allow these lesions to resolve on their own.
However, a small percentage may not be so fortunate, and without proper management, stage zero cancer can progress to invasive cancer, which can have severe consequences.

If you notice similar symptoms, it is best to seek medical attention promptly and not delay treatment due to embarrassment.
After a biopsy, if it is confirmed as stage zero cancer, treatments such as cryotherapy, electrosurgery, or surgical excision can be used to remove the moles and seborrheic keratosis.
Although recurrence is still possible, it is better than delaying treatment.

However, I have also found information stating that most moles are benign.
Dr.
Hsu, is my situation considered normal?

Wei En Tong Xue, 10~19 year old female. Ask Date: 2011/04/21

Dr. Xu Weikai reply Urology

Dear Wei-En,
If you are concerned, you can undergo a biopsy for examination.
After all, Bowen's disease requires professional evaluation.
At this stage, it is merely self-assessment.
If there are any unclear points, feel free to ask again, and we can discuss and research further together.

Sincerely,
Department of Urology, Taitung Hospital, Ministry of Health and Welfare
Director Hsu Wei-Kai

Reply Date: 2011/04/21

More Info

When it comes to new moles or changes in existing moles on the scrotum or any other part of the body, it is completely understandable to feel anxious, especially after reading alarming information online. The key to addressing these concerns is to approach them with a balanced perspective and to seek professional medical advice when necessary.

First and foremost, it is important to recognize that not all new moles or skin changes are indicative of skin cancer or other serious conditions. Many moles are benign and can be a normal part of skin development. However, certain characteristics of moles can raise red flags. For instance, if a mole changes in size, shape, color, or texture, or if it becomes itchy, painful, or bleeds, these could be signs that warrant further investigation.

In your case, you mentioned that the moles on your scrotum are flat and of varying sizes, and you have not previously noticed them. While this could be a normal occurrence, it is crucial to monitor them closely. The fact that you have not engaged in sexual activity does not eliminate the possibility of developing skin conditions, but it may reduce the risk of sexually transmitted infections that can lead to certain types of skin changes.

The information you found regarding skin cancer, particularly in relation to HPV (human papillomavirus), is valid. HPV is known to be associated with certain types of skin cancers, including genital warts and, in some cases, squamous cell carcinoma. However, it is essential to understand that not all moles or skin changes are cancerous, and many individuals have benign moles without any underlying health issues.

Given your concerns and the anxiety they have caused, it is advisable to consult a dermatologist or a healthcare professional who specializes in skin conditions. They can perform a thorough examination and, if necessary, conduct a biopsy to determine the nature of the moles. This step is crucial for peace of mind and to rule out any serious conditions.

In the meantime, here are some strategies to help manage your anxiety regarding health concerns:
1. Limit Online Research: While it is good to be informed, excessive reading about health issues online can lead to increased anxiety. Stick to reputable sources and consider discussing your findings with a healthcare professional instead.

2. Practice Mindfulness: Techniques such as mindfulness meditation can help reduce anxiety. Focus on the present moment and try to acknowledge your worries without letting them overwhelm you.

3. Journaling: Writing down your thoughts and feelings can help you process your emotions. It can also serve as a way to track any changes in your moles or skin condition over time.

4. Seek Support: Talk to friends or family members about your concerns. Sometimes, sharing your worries can alleviate some of the burden.

5. Professional Help: If your anxiety becomes overwhelming, consider speaking to a mental health professional. They can provide coping strategies and support tailored to your needs.

In conclusion, while it is natural to worry about new moles or changes in your skin, it is essential to approach the situation with a level-headed mindset. Consulting a healthcare professional is the best course of action to address your concerns and ensure your health is monitored appropriately. Remember, early detection and intervention are key in managing any potential health issues effectively.

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