Concerns About a 5mm Mole on the Left Chest: Should It Be Removed? - Dermatology

More Info

---

When it comes to concerns about a mole, especially one that has changed in size, shape, or texture, it is always prudent to seek further evaluation. In your case, the mole on your left chest has grown to 5mm and has developed an uneven surface, which raises some red flags. While the initial assessment by the general surgeon indicated that it was not a cause for concern, your description suggests that it may warrant a second opinion or further investigation.

Moles, or nevi, can be benign, but changes in their appearance can sometimes indicate potential issues, including the risk of melanoma, a serious form of skin cancer. The characteristics you described—growth over time, an irregular surface resembling the moon's surface, and the emergence of a coarse hair—are particularly noteworthy. The presence of a hair growing from a mole is not inherently alarming, but when combined with other changes, it can be indicative of underlying changes in the mole itself.

The ABCDE rule is a helpful guideline for assessing moles:
- Asymmetry: If you draw a line through the mole, and the two halves do not match, it may be a concern.

- Border: Irregular, scalloped, or poorly defined edges are a warning sign.

- Color: A variety of colors (brown, black, tan, red, white, or blue) within the same mole can be concerning.

- Diameter: Moles larger than 6mm (about the size of a pencil eraser) are more likely to be problematic.

- Evolving: Any change in size, shape, color, or elevation, or any new symptom such as bleeding, itching, or crusting, should be evaluated.

Given that your mole has grown and changed, it would be advisable to consult a dermatologist, a specialist in skin conditions. A dermatologist can perform a thorough examination and may recommend a biopsy to determine whether the mole is benign or if it requires further treatment. A biopsy involves removing a small sample of the mole for laboratory analysis, which can provide definitive answers regarding its nature.

If the mole is determined to be benign, monitoring it regularly for any changes is essential. Dermatologists often recommend a follow-up every six months to a year for moles that are concerning but not immediately removed. If any new changes occur, you should seek medical advice promptly.

In terms of hair growth on the mole, this can happen and is not uncommon. However, if the hair appears coarse and thick, it may be worth mentioning to your dermatologist during your visit.

In summary, while the initial assessment by your general surgeon was reassuring, your ongoing concerns and the changes in the mole's appearance suggest that a more thorough evaluation by a dermatologist is warranted. They can provide a more comprehensive assessment and determine whether removal or monitoring is the best course of action. Remember, it's always better to err on the side of caution when it comes to changes in your skin.