Moles

There are several types of moles, and some carry greater risks of developing into melanoma than others.

• Congenial Mole: Congenial moles are moles that a person is born with. About 1 in 100 people are born with one or more moles. These range in size, color and shape. Congenial moles that are considered large or giant are larger than 20 centimeters and have been found to carry a greater risk of leading to melanoma.
• Atypical Mole: Known medically as dysplastic nevi, atypical moles are usually larger than average (more than ¼ inch) and irregular in shape. They may contain uneven colors, or colors not typical of moles. Atypical moles tend to run in families, and they carry the greatest risk of developing into melanoma.
• Acquired Mole: An acquired mole is one a person develops after birth. They are generally harmless, but people who acquire more than 50-100 moles are at greater risk for melanoma.

Treatment

Mole removal surgery is very common and usually painless. There are two ways to remove moles, and both can be performed in our office. If our skilled providers test a tissue sample and find it to be cancerous, the entire mole and part of the surrounding tissue will need to be removed. The same procedure can be done if you would like a mole removed for cosmetic purposes.

One method for removing the mole is called “shave excision.” Our skilled providers will numb the area around the mole, using a small blade to cut around and beneath the mole, then removing it. This technique is generally used for smaller moles and does not require stitches.

The other method is called “excisional surgery.” Our skilled providers will cut out the mole and the surrounding area of skin with a scalpel. This technique is usually used to remove potentially cancerous moles and does require stitches to close the skin.

The best way to identify potential problems is to know the pattern and placement of your moles and examine them often. When monitoring your moles, remember the “ABCDE” method of self-examination. That is:

• “A” is for asymmetrical shape. Watch for moles with irregular shape, such as two different looking halves.
• “B” is for border. Look for moles with irregular, ragged or blurred borders. This is one of the characteristics of melanoma.
• “C” is for color. Look for moles that do not have the same color throughout, or those containing shades of brown, black, blue, white, or red.
• “D” is for diameter. Watch for moles that are larger than the eraser of a pencil.
• “E” is for evolution. Look for changes over time, such as a mole that grows or changes shape or color.

If you notice any of the above irregularities in your moles, you should contact one of our skilled providers right away. To further prevent moles from becoming cancerous, you should avoid the sun at peak hours, always wear sunscreen, and cover up moles with clothing when exposed to the sun.