Mole Evaluation and Treatment

at Mosaic Dermatology in West Fargo

Moles are noncancerous skin growths caused by clusters of pigment-producing cells (melanocytes). They can vary in color, shape, and size and may appear flat or raised. While most moles are harmless, some may be atypical and require medical evaluation. Certain atypical moles may develop into skin cancer, making early detection and expert assessment essential. At Mosaic Dermatology, we provide comprehensive mole evaluations using dermoscopy, a technique that employs a lighted handheld microscope for precise diagnosis.

What are Moles?

Moles, also known as nevi, are common skin growths that can appear anywhere on the body. Most people have between 10 and 40 moles, which typically develop during childhood and adolescence. Moles can change in appearance over time, and while most changes are benign, some may signal skin cancer.

Types of Moles

  • Common Moles: Small, uniform in shape and color, and generally harmless.
  • Atypical (Dysplastic) Moles: Irregular in shape, larger than common moles, and may have multiple colors. These moles may resemble melanoma and require closer monitoring.
  • Congenital Moles: Present at birth and may have an increased risk of developing into melanoma.
  • Spitz Nevus: Often raised, pink, and dome-shaped, these moles can look similar to melanoma and may need further examination.

Causes and Risk Factors for Moles

Moles develop due to genetic factors and sun exposure, which influences the number and appearance of moles. Key risk factors include:

  • Family history of atypical moles or melanoma.
  • Fair skin, light hair, and light eyes.
  • Frequent sunburns or excessive UV exposure.
  • Having numerous or large moles.
  • Changes in hormonal levels, such as during pregnancy or adolescence.

Symptoms and Warning Signs of Atypical Moles

Early detection of atypical moles is vital in preventing melanoma. The ABCDE rule is a helpful guide for identifying concerning moles:

  • A – Asymmetry: One half of the mole doesn’t match the other.
  • B – Border: Irregular, scalloped, or poorly defined edges.
  • C – Color: Varied shades of brown, black, tan, or other colors.
  • D – Diameter: Larger than 6mm (about the size of a pencil eraser), though some melanomas can be smaller.
  • E – Evolving: Any change in size, shape, color, or elevation, or new symptoms such as bleeding, itching, or crusting.

Mole Evaluation and Treatment Options

At Mosaic Dermatology, we use dermoscopy for in-depth mole evaluations. This technique allows for a detailed examination of skin structures not visible to the naked eye, improving diagnostic accuracy.

Non-Surgical Approaches
  • Regular monitoring: For benign but atypical moles that don’t require immediate removal.
  • Photography and digital tracking: To monitor moles over time for any changes.
Surgical Approaches
  • Shave removal or excisional biopsy: Removal of the entire mole for microscopic examination, often used for suspicious moles.
  • Wide excision: For confirmed melanoma or severely atypical moles to ensure complete removal and prevent recurrence.

Managing and Preventing Mole Changes

You can reduce the risk of mole-related complications by:

  • Performing monthly self-examinations using the ABCDE rule.
  • Scheduling annual skin exams with a dermatologist, especially if you have risk factors.
  • Practicing sun safety: Wearing sunscreen daily (SPF 30+), protective clothing, and avoiding tanning beds.
  • Monitoring existing moles for any changes in appearance.

When to See a Dermatologist

It’s essential to seek a professional evaluation if you notice:

  • A mole that changes in size, shape, or color.
  • New moles appearing after age 30.
  • A mole that itches, bleeds, or becomes painful.
  • Multiple atypical moles or a family history of melanoma.

Expert Mole Evaluation and Care in West Fargo

At Mosaic Dermatology, we combine years of experience, a trained eye, and advanced dermoscopy techniques to accurately evaluate and treat moles. Our personalized care approach ensures proper management of both common and atypical moles, helping you maintain healthy skin. Schedule an appointment today for a comprehensive skin examination and personalized treatment plan.