Frequent Mole Growth at 23: Should I Be Concerned About Skin Cancer?

I have been developing moles recently?

Recently, I've been developing moles rapidly—small moles on my hands, feet, and face.
I'm only 23 years old, and I've seen doctors, but they all say that it's normal to develop moles and suggested laser removal.
However, I'm very worried because the growth is quite excessive, with 2 to 4 new moles appearing each day.
Am I at risk for melanoma or skin cancer? This has been causing me a lot of stress, and my stomach has become inflamed.
I've even developed a mole on my genital area, and there are many on the skin of my scrotum.
Is something wrong with me?

A-Zheng, 20~29 year old female. Ask Date: 2012/06/27

Dr. Wu Yuxin reply Dermatology

Moles are related to factors such as genetics, sun exposure, and growth hormones.
Having multiple moles does not necessarily increase the risk of malignancy; each mole should be observed individually.
If there are any concerns or doubts, it is important to seek medical evaluation promptly.

Reply Date: 2012/06/27

More Info

Frequent mole growth, especially at a young age like 23, can understandably cause concern about skin cancer, particularly melanoma. However, it’s important to understand that not all moles or skin changes indicate a serious health issue. The appearance of new moles can be influenced by various factors, including genetics, hormonal changes, and sun exposure.
In your case, the fact that you are experiencing a rapid increase in the number of moles is something that should be monitored closely. While many people develop new moles throughout their lives, the sudden appearance of multiple moles can sometimes warrant further investigation. It’s good that you have already consulted with doctors, and their reassurance that this can be normal is a positive sign. However, if you feel that your concerns are not being adequately addressed, seeking a second opinion from a dermatologist who specializes in skin conditions may provide you with more peace of mind.

When evaluating moles, dermatologists often use the ABCDE rule to assess whether a mole may be concerning:
- Asymmetry: One half of the mole does not match the other.

- Border: The edges are irregular, ragged, or blurred.

- Color: The color is not uniform and may include shades of brown, black, or even red, white, or blue.

- Diameter: The mole is larger than 6mm (about the size of a pencil eraser).

- Evolving: The mole is changing in size, shape, or color.

If your new moles do not exhibit these characteristics, they may be benign. However, any mole that itches, bleeds, or changes in appearance should be evaluated by a healthcare professional.

Regarding your other symptoms, such as the growth on your genital area and the inflammation in your stomach, it’s essential to address these with a healthcare provider as well. Skin changes in sensitive areas can be caused by various conditions, including infections, benign growths, or other dermatological issues.
Stress can also exacerbate physical symptoms, leading to gastrointestinal issues like gastritis. It’s crucial to manage stress through relaxation techniques, exercise, or counseling, as stress can impact your overall health.

In summary, while the frequent growth of moles at your age can be concerning, it does not automatically indicate skin cancer. Continuous monitoring and regular check-ups with a dermatologist are advisable. If you notice any changes in your moles or if you have other symptoms that worry you, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and being proactive about your concerns is the best approach.

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