When to Get a Mole Checked at a Dermatology Clinic

Moles, otherwise known as nevi, while common and usually harmless, could have an impact on our skin’s health if not properly checked, as these small pigmented spots can sometimes signal underlying issues that require attention. Understanding what moles are, recognizing changes and knowing when to seek professional evaluation are key steps in safeguarding against serious conditions like skin cancer. In this guide, we’ll explore everything you need to know about moles, from their characteristics and skin self-exam techniques to the importance of regular dermatology visits.

What Are Moles?

Moles are common skin growths that appear when pigment cells, known as melanocytes, grow in clusters. Most people have moles on the skin, and they can develop anywhere on the body. Moles are typically brown or black, but they can also be tan, red or pink. While most moles are harmless, some can be indicators of skin cancer, especially when they change in appearance over time.

Common characteristics of moles on skin include:

• Flat or Raised: Moles can be either flat or raised.
• Color: Typically tan, brown or black.
• Size: Can vary, but most are smaller than a pencil eraser.

The ABCDE of Moles for Cancer

One of the most effective methods for determining if a mole needs to be evaluated is by using the ABCDE rule. This tool helps you track any changes in your moles, as well as recognize the warning signs of melanoma. Here’s how it works:

A: Asymmetry

If you draw a line through the center of a mole, the two halves should look symmetrical. If one half of the mole is different from the other, it’s time to get it checked. Asymmetry can be one of the first signs that the mole may be atypical or malignant.

B: Border

A benign mole typically has smooth, even borders. Moles with irregular, scalloped or jagged edges may signal the early stages of melanoma and should be examined.

C: Color

Moles are usually one color throughout, ranging from brown to tan or black. Moles that have multiple shades, including white, red, blue or an uneven distribution of color, are concerning and require medical attention.

D: Diameter

A mole larger than six millimeters (about the size of a pencil eraser) is more likely to be problematic. However, size alone doesn’t determine whether a mole is cancerous, so even smaller moles can sometimes be dangerous if they exhibit other warning signs.

E: Evolving

Perhaps the most important sign to watch for is any change in the mole’s appearance over time. Moles that evolve in size, shape, color or texture, or that begin to itch, bleed or crust over, are particularly concerning and should be checked as soon as possible.

When to See a Dermatology Provider for Moles

While the ABCDE rule is an excellent starting point, other potential warning signs may indicate a more in-depth check with a dermatologist.

• Itching or tenderness: If a mole becomes itchy, painful or sensitive to the touch, it could signal a problem.
• Bleeding or oozing: Any mole that starts to bleed, ooze fluid or develops a crust should be evaluated immediately.
• New moles after age 30: Most people stop developing new moles by the time they reach adulthood. If you notice new moles appearing after the age of 30, especially ones with an unusual appearance, you should get them checked.
• Rapid growth: A mole that appears to grow rapidly over a short period is a red flag and warrants a skin cancer screening.
• A mole that looks different from the others: Sometimes called the “ugly duckling” sign, this refers to a mole that looks distinctly different from your other moles. Even if it doesn’t meet the ABCDE criteria, if it stands out or behaves unusually, it’s a good idea to get it evaluated.

Depending on the outcome of that initial check, there may be additional follow-up visits that could require a more comprehensive skin cancer screening, so it’s always good to see a dermatologist if you have concerns.

What to Expect During a Mole Check

During your appointment, your dermatologist will likely perform a comprehensive skin cancer examination. This process may involve the following steps:

1. Targeted examination: Your dermatologist will inspect specific areas of concern or visible moles on your skin using the ABCDE assessment process.
2. Use of specialized tools: The doctor may use a dermatoscope, a handheld device that magnifies and illuminates the skin, allowing for a more detailed view of moles and other skin lesions.
3. Documentation: Suspicious moles or lesions may be photographed or mapped for future reference and comparison.
4. Discussion of findings: The dermatologist will explain their observations and discuss any areas of concern.
5. Biopsy, if necessary: If a suspicious mole is identified, the doctor may recommend a biopsy for further analysis.
6. Education and prevention: Your dermatologist will likely provide advice on sun protection and how to perform self-examinations at home.
7. Follow-up planning: Based on the examination results, the doctor will recommend a schedule for future check-ups.

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Mole Checks at Schweiger Dermatology Group

At Schweiger Dermatology Group, our team of highly skilled and experienced dermatology providers is dedicated to providing comprehensive skin care services, including mole evaluations, mole removal and skin cancer screenings. To schedule a skin cancer check, contact us today. Our friendly and knowledgeable staff will be happy to assist you and answer any questions you may have.