- What is I?
The skin is the largest organ in our body and has many functions. By forming a barrier between our body and the outside world, the skin protects us from cold, heat and minor traumas, prevents fluid loss, prevents microorganisms from entering our body, synthesizes vitamins and acts as a sense organ. Many suitable or malignant lesions can be encountered related to our skin, which has such a valuable function and covers our entire body. This article is intended to provide you with general information about them.
Moles (nevus, moles) are small, often brown lesions that can be seen in anyone, especially in the first 10 to 20 years of age. They may be flat or raised on the skin surface. It is often rounded and systematically finite. It can arise from more than one sun exposure. Depending on the location of the moles on the skin, they are called intradermal, junctional or compound nevi. They can be found anywhere in the body and can occur at any age. Junctional nevi enlarge in adulthood and turn into compound nevi. Intradermal nevi are called moles. They can be found anywhere on the body and can be flat ridges, brown, pink, round or oval, and are often less than 6 mm.
- Do moles need to be taken?
Moles can often be taken for cosmetic purposes. Apart from this, they can be removed surgically in order to prevent trauma caused by external factors such as rubbing on clothes, laundry, and irritation during shaving. Depending on the condition of the moles, they can be removed by laser or surgically.
- Which moles should be taken?
Atypical moles (dysplastic nevi) are benign moles that often appear later, resembling a skin cancer called melanoma. They are lesions ranging in color from black to pink, often with a smooth surface, unsystematic endings, and a size of 5-10 mm in the middle. Although they are benign, the risk of melanoma is high in these individuals, and the risk of melanoma increases as the number of atypical moles increases. These individuals are difficult to follow. Because atypical moles appear like melanoma, it is difficult to distinguish. Therefore, close follow-up and surgical removal of suspected lesions are required. Different paths can be followed in the follow-up. The person can follow the moles in the visible places by himself. It can be followed by an experienced plastic surgeon or dermatologist. For this purpose, follow-up with a technique called dermatoscopy is very helpful. In necessary cases, lesions that change and cause suspicion may need to be determined, surgically removed, and pathologically examined.
Congenital melanocytic nevi (giant hairy nevus) are congenital dark moles. Although they are seen at birth, they can appear around the age of one. Although they appear at birth, those that appear later are actually present in the body at the time of birth, but due to the release of pigment, they are skin-colored and cannot be noticed. Later, it is stated that it becomes noticeable with color change as a result of increased melanin, that is, pigment release. It is claimed that embryonic life develops in the middle of weeks 5-24. They often emerge randomly, independent of the family. Available in familial transmission. They can be blue in color together with their color changing from light brown to dark brown. It is mostly oval, round in shape with regular borders and can be in different sizes. The majority are less than 1.5 cm and are classified as small congenital hairy nevi, while those larger than 20 cm in diameter are called giant hairy nevi. While the risk of conversion to malignancy, that is, malignant disease, varies between 0% and 5% for small nevi, this rate varies between 5% and 10% for giant hairy nevi. These rates vary in different sources.
Therefore, surgical removal of giant hairy nevi is essential, while small nevi need to be removed or followed closely. However, due to their large size, they require surgical and dermatoscopic follow-up. Follow up is valuable.
- Is there any cancer that can develop from moles?
Malignant melanoma is the most dangerous of skin cancers. They arise as a result of unlimited proliferation of these cells due to genetic damage to skin cells as a result of uncontrolled sun exposure, tanning and sunburn, and form tumors. These tumors originate from cells (melanocytes) that produce the pigments that give color to the skin. Melanoma may resemble moles, and sometimes melanoma can develop from moles. Although most melanomas are black and brown, they can be pink, red, skin-colored, purple, blue or even white. Malignant melanoma is a tumor that should definitely be treated surgically.
- How should moles be tracked? What changes should be taken in moles?
During the follow-up of moles and if the following changes are observed, you should definitely consult with an aesthetic plastic surgeon or dermatologist. The acronym formed by the initials of the English equivalents of these changes is called ABCDE. ABCDE is very valuable in the follow-up of moles.
Asymmetry: Draw a line from the middle of the existing mole, both sides are equal. Doubt if the two sides are not equal.
Border: In the early stage of melanoma, the borders are irregular. There are notches and protrusions.
Color: Moles are often one color. Melanoma has more than one color tone. Black, dark brown can be encountered in its different tones. However, there may be red or even blue melanomas.
Diameter: Melanomas are often larger than a pencil eraser (6mm). Sometimes they can be smaller than that. It is usually less than 6 mm.
Evolving: A random change in size, form, color, or puffiness should raise suspicion. Other findings such as itching, bleeding and crusting should be considered.
- Does removing moles cause cancer?
Surgical removal of moles does not cause cancer. On the contrary, it is a therapeutic and preventive process since a risky tissue is removed from the body when it is surgically removed completely.
- How do I get moles?
The moles that are decided to be removed are marked as lozenges. The area around the mole is anesthetized by injecting local anesthetic. After that, you will not feel any pain or ache. Then the mole is surgically removed together with the root. It is closed with very thin sutures using aesthetic systems. A small dressing is put on. You can return to your work quickly after I hiring.
- Is I intake a painful process?
The mole removal is performed under local anesthesia and a very slight pain may be felt together with the feeling of tension while injecting local anesthetic with very fine-tipped needles. After this process, there is no pain. After the process, there is usually no pain, but the pain that can be caused by easy painkillers is relieved.