Understanding Skin Moles

A Comprehensive Guide to Common Skin Growths

Dermatology

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Last updated: Mar 24, 2025

What Are Moles?

Moles (nevi) are common skin growths that develop when melanocytes (pigment-producing cells) grow in clusters. They typically appear as small, dark brown spots, though they can come in various colors, sizes, and shapes.

Types of Moles

  • Congenital Nevi: Present at birth
  • Acquired Nevi: Develop over time
  • Atypical Nevi (Dysplastic): Irregular moles that may have unusual characteristics

Common Characteristics

  • Color: Usually brown, but can be pink, tan, or black
  • Shape: Round or oval
  • Size: Generally under 6mm (pencil eraser size)
  • Texture: Can be flat or raised

The ABCDE Rule for Monitoring Moles

  • Asymmetry: One half doesn't match the other
  • Border irregularity: Edges are ragged or blurred
  • Color variation: Multiple colors within the same mole
  • Diameter: Larger than 6mm
  • Evolving: Changes in size, shape, or color

When to See a Doctor

  • New moles appearing in adulthood
  • Changes in existing moles
  • Moles that itch, bleed, or cause discomfort
  • Any moles meeting ABCDE criteria

Treatment Options

  1. Monitoring (regular self-checks and professional examinations)
  2. Photography tracking
  3. Surgical removal (if necessary)
  4. Biopsy for suspicious moles

Prevention

  • Use broad-spectrum sunscreen
  • Avoid peak sun hours
  • Wear protective clothing
  • Regular skin self-examinations
  • Annual professional skin checks

Risk Factors

  • Family history of melanoma
  • Fair skin
  • Excessive sun exposure
  • History of severe sunburns
  • Multiple atypical moles

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