Do I Need Surgery for My Sentinel Moles? Expert Insights - Surgery

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Does a sentinel mole need to be surgically removed?


Doctor: I would like to ask about my sentinel moles, one on the top and one on the bottom, each about the size of a soybean.
They are not painful at all; I just dislike the way they feel when touched.
Do I need to have surgery? Will they grow larger over time? Is surgery the only way to remove them? If I do have surgery, will the recovery be similar to that of hemorrhoid surgery, taking about a month to fully heal? Is there a chance of recurrence after surgery? Are there any potential side effects? I appreciate your response! Thank you!

sammi, 20~29 year old female. Ask Date: 2013/08/13

Dr. Yu Mingchang reply Surgery


Hello^^ If there are no symptoms, then surgery is not necessary!! Thank you!!

Reply Date: 2013/08/13

More Info


When it comes to sentinel moles, also known as atypical moles or dysplastic nevi, the decision to undergo surgery largely depends on several factors, including the characteristics of the moles, any changes observed over time, and the recommendations of your healthcare provider.
Sentinel moles can sometimes indicate a higher risk for melanoma, a type of skin cancer. If your moles have atypical features, such as irregular borders, uneven color, or changes in size, it is crucial to consult a dermatologist or a healthcare professional specializing in skin conditions. They may recommend a biopsy to determine whether the moles are benign or if they show any signs of malignancy.
In your case, since you mentioned that the moles are not painful and are about the size of a soybean, it is possible that they are benign. However, the fact that you are uncomfortable with their presence is a valid reason to consider removal. Surgical excision is often the most definitive way to address concerns about moles. During this procedure, the mole and a small margin of surrounding skin are removed, which allows for thorough examination by a pathologist.
Regarding your concerns about recovery and potential recurrence, surgical excision typically involves a healing period that can vary from a few days to several weeks, depending on the size and location of the mole. Most patients can return to their normal activities relatively quickly, but complete healing may take longer. It is essential to follow your surgeon's post-operative care instructions to minimize the risk of complications, such as infection or scarring.

As for recurrence, while it is possible for new moles to develop in the same area or elsewhere on the skin, the excised mole itself should not return if the procedure is performed correctly. Regular skin checks and monitoring for any new changes in your skin are vital, especially if you have a history of atypical moles.

In terms of potential side effects or complications, as with any surgical procedure, there are risks involved. These can include scarring, changes in skin sensation, or allergic reactions to anesthesia. However, most patients experience minimal complications when the procedure is performed by a qualified professional.

In summary, while surgery for sentinel moles may not be strictly necessary if they are stable and benign, it is often the best option for those who are uncomfortable with their appearance or have concerns about potential malignancy. Consulting with a dermatologist will provide you with tailored advice based on your specific situation, helping you make an informed decision about whether to proceed with surgery. Regular follow-ups and skin examinations are also crucial for monitoring your skin health moving forward.

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