Common Concerns About Moles: What You Need to Know

Q: Common Concerns About Moles: What You Need to Know

Hello： 1. <br>It is most likely that your skin was broken by picking, leading to some inflammation. <br>2. <br>If two or more dermatologists have already advised you this way, proceeding with surgery would merely be for psychological reassurance. <br>Please note that if you are c

Regarding moles?

Hello, I would like to ask a few questions about moles.
Yesterday, I accidentally scratched one of my moles and it broke.
Initially, there was a black spot with a white center, and the surrounding area was red and swollen.
After one day, the swelling is still present but has decreased in size.
Compared to other areas, it feels a bit raised and hard.
What could this mean?
Additionally, I recently read some articles suggesting that moles on the soles of the feet and hands are concerning.
However, I consulted two doctors who said, "The likelihood is very low, removing it is too troublesome, it looks normal, and if there are no changes, just leave it alone." Still, I feel a bit anxious and would like to know if I should have it removed.
(The mole is located on my right finger and the sole of my left foot; the one on my foot feels deep and is a light brown color, while the one on my hand has a pattern, resembling skin that has been darkened, and is not very round.
Is this a mole?)
Lastly, I have a red spot near my waist that is slightly raised.
I have previously scratched it until it bled.
What could this be? Will it have any impact? Thank you.

19, 10~19 year old female. Ask Date: 2011/06/23

Dr. Huang Ruiyun reply Dermatology

Hello: 1.
It is most likely that your skin was broken by picking, leading to some inflammation.
2.
If two or more dermatologists have already advised you this way, proceeding with surgery would merely be for psychological reassurance.
Please note that if you are concerned about malignancy, you should not opt for a mole removal procedure, as it cannot eliminate malignancy and will only delay diagnosis.
Surgical excision is necessary for pathological evaluation, which will leave a permanent scar for life.
3.
It is against the law to diagnose a condition without personally examining the patient.
If you are truly troubled, please consult a dermatologist in person.
Wishing you peace of mind.

Reply Date: 2011/06/23

More Info

When it comes to concerns about moles, it’s essential to understand the nature of moles (nevi) and how to monitor them for any changes that could indicate a health issue. Moles are generally benign skin growths that can vary in color, size, and shape. However, any changes in a mole's appearance can be a cause for concern, particularly if they exhibit characteristics associated with melanoma, a serious form of skin cancer.

In your case, you mentioned that you accidentally scratched a mole, which resulted in it becoming red and swollen. This reaction is not uncommon after trauma to the skin, including moles. The initial inflammation and redness are typically signs of irritation or a localized inflammatory response. If the swelling has decreased over time and the area is not showing signs of infection (such as increased redness, warmth, or pus), it is likely healing normally. However, it is crucial to monitor the area for any persistent changes, such as increased hardness, changes in color, or any new symptoms like pain or discharge.

Regarding your concerns about moles on the soles of your feet and palms, it is true that while moles can appear in these areas, they are generally less likely to develop into melanoma compared to moles on other parts of the body. However, any mole that changes in appearance, becomes asymmetrical, has irregular borders, or exhibits multiple colors should be evaluated by a dermatologist. The advice you received from the doctors to leave them alone if they appear normal is sound, but it’s always best to err on the side of caution. If you have persistent worries, consider scheduling a dermatological examination for peace of mind.

As for the red, raised spot near your waist that has bled in the past, it could be a variety of things, including a benign skin lesion such as a seborrheic keratosis, a dermatofibroma, or even a scar from previous trauma. If the lesion is not changing and does not cause discomfort, it may not require immediate attention. However, if it continues to bleed, change in appearance, or cause you concern, it would be wise to have it assessed by a healthcare professional.

In summary, while many moles are harmless, it is essential to monitor them for any changes. If you notice any concerning changes, such as increased size, irregular borders, or color changes, consult a dermatologist. Regular skin checks and being aware of your skin's condition are vital components of maintaining skin health. If you have any doubts or concerns, seeking professional advice is always the best course of action. Remember, early detection is key in managing skin health effectively.

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