What is a Mole?
Just What are Moles?
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Moles are small dark marks on the skin. These dark marks are caused by cells in the skin that produce pigment (color). Moles which are usually brownish, although some may be darker or skin-colored. Moles of all types can be flat or raised, smooth or rough, and some have hair growing from them. Moles are usually consistently circular or oval in shape with a smooth edge. Some moles may be present at birth, which are called Congenital Melanonaevi.
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Most moles can start to look different over time and sometimes respond to hormonal changes, such as during pregnancy, adolescence and the menopause. Seborrhoeic Keratoses which are moles that are common in older people who have spent a lot of time in the sun. edges of moles is quite faint and they’re usually raised from the surface of the skin.
Most moles are normal and harmless, but in a few cases they develop into melanoma, a type of skin cancer. Malignant melanoma is a serious type of skin cancer and is usually caused by short periods of strong sunlight such as on a two-week holiday. Malignant melanoma can appear anywhere on the body at any time in your life. These melanoma may be a dark, fast-growing spot where there wasn’t already a mole, or a mole you already have that changes size, shape or color, and bleeds, itches or reddens. You should see your regular doctor if a mole looks unusual so it can be checked out. Your Physician will ask you about recent changes that have happened to the mole and when the changes started.
If the mole shows signs of turning malignant ( cancerous ) your Physician may recommend cutting out a sample (biopsy) of all or part of the mole. If the mole is a suspected melanoma, you may be referred to a plastic surgeon or dermatologist to treat this deadly type of mole.
Moles that may be skin cancer
- Tumors vary from brown or black to blue or orange.
- The tumors are usually characterized by having ragged edges and uneven colors.
- Surrounding the mole may be Off-shots, sores, crusts, and reddening may be seen.
- Sometimes the tumor may resemble a ‘blood blister’ under a nail.
- The mole may really itch.
- Moles will be anywhere on the body, but are usually located on the back, the shoulders, or the back of the legs.
How do we protect ourselves from any cancerous moles? Our society today has become more aware of the growing problem “skin cancer” defined as a malignant tumor that grows in the skin cells.
The following are some warning signs to look for if you think it may be cancer.
- You have a mole that changes in color or shape, or begins to bleed or ooze.
- Any sores that heal very slowly may appear on the mole.
- A moles which have become unusually large.
- ‘Blood blisters’ that appear under toenails, which are not the result of a blow.
- If you notice the appearance of a new irregular mole (it is quite normal for people to develop new moles from time to time until they reach their 40s. Usually there is no need to worry unless the color of the new mole is uneven, or its edges are ragged). If you are in any doubt, ask your Physician to check.
- Any unusual sore, lump or blemish which last more than a few weeks.
- An areas of skin that really become scaly, itchy, tender or red, or areas that ooze, bleed or become crusty.
Moles can be surgically removed using one of the following method s:
The physician may use excision (cutting out the mole) , sometimes with stitches, or Excision with cauterization (a tool is used to burn away the mole) . You will have stitches or not depends on how big and deep the mole is, and how much of a scar it will leave. Before the mole is removed, the area of skin is cleaned, and numbed with a local anesthetic then the physician removes the mole. For removal without stitches, the surgeon will use a scalpel to scrape off the mole so that its level with or slightly below the skin. Some moles will need stitches after they are removed are usually large, darker and/or flat. The surgeon/physician will cut away the mole and some of the surrounding skin, depending on the risk of cancer and if any abnormal cells could have spread.
Some people have their moles removed for cosmetic reasons even if they are harmless, for example if a person has a mole they think is large and unsightly and is affecting their self-esteem and confidence.
Everyone should check their moles every couple of months for any changes. Make sure you look for the following:
• Moles that have gotten bigger, most moles are no bigger than the width of a pencil.
• Moles that have uneven coloring, most moles only have one or two colors, but melanomas have lots of different shades.
• Moles that have an uneven or ragged edge, moles are usually circular or oval with a smooth border.
• Moles that start bleeding, itching, red, inflamed or crusty moles (that haven’t been picked or caught on something) that don’t get better in a couple of weeks.
• A new mole that looks irregular or unusual. It is normal to develop new moles as you get older, but you should get them checked out by your Physician if the colors patchy or the edges are uneven.
You need to know that one in ten of us have a mole that’s abnormal (dysplastic nevi), and more likely to turn into a melanoma than a normal mole . All abnormal moles are usually flat, fairly large moles. These moles tend to have irregular borders and uneven color, sometimes showing lots of different shades. Most abnormal moles are sometimes wrongly diagnosed as melanoma because they can look very similar. The true diagnosis of a melanoma is a biopsy performed by a physician.
Everyone risk of melanoma is also increased if you have a lot of moles more than about 25. You should be very careful in the sun and check your moles regularly for any sign of change.
Differentiation from melanoma is very important
Most of the time it requires a dermatologist to fully evaluate moles. A small blue or bluish black spot, often called a blue nevus, is usually benign but often mistaken for melanoma. Conversely, a junctional nevus, which develops at the junction of the dermis and epidermis, is potentially cancerous most of the time. According to the American Academy of Dermatology, if a mole starts changing in size, color, shape or, if the border of a mole develops ragged edges or becomes larger than a pencil eraser, it would be an appropriate time to consult with a dermatologist. Some other warning signs include a mole, even if smaller than a pencil eraser, that is different than the others and begins to crust over, bleed, itch, or becomes inflamed. These changes may indicate developing melanomas. This matter can become clinically complicated because mole removal depends on which types of cancer, if any, comes into suspicion.
Sunlight and Moles
Some scientists think that overexposure to ultraviolet light (UV), including excessive sunlight, may play a role in the formation of acquired moles. However, a lot more research is needed to determine the complicated relationship between one’s heredity and overall exposure to ultraviolet light. Some people with a strong indication that this is so (but falling short of proof), is the relative lack of moles on the buttocks of people with dysplastic nevi. Another reason is that freckles (spots of melanin on the skin, and distinct from moles) are known to be influenced by sunlight. Some studies have found that sunburns and too much time in the sun can increase the risk factors for melanoma . This is in addition to those people who have dysplastic nevi being at higher risk of this cancer. (The uncertainty in people is in regard to acquiring benign moles .) The American Academy of Dermatology recommends staying out of the sun between 10 a.m. and 3 p.m. standard time (or whenever your shadow is shorter than your height) for all people.
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melanoma is a bit rare compared with other forms of cancer but it is just as deadly as lung cancer*–
melanoma as just as deadly as the common forms of cancer;;”
melanoma can really kill people in such a very short time specially if the immune system is compromised .,.