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Pigmented Moles


Pigmented moles are growths on the skin that usually are flesh-colored, brown or black. Moles occur when cells in the skin grow in a cluster instead of being spread throughout the skin.

The majority of moles appear during the first two decades of a person’s life, while about one in every 100 babies is born with moles. Acquired moles are a form of benign neoplasm, while congenital moles are considered a minor malformation and may be at a higher risk for melanoma, a serious type of skin cancer rarely seen in Indian skin. A mole can be either under the skin or a pigmented growth on the skin. The high concentration of the body’s pigmenting agent, melanin, is responsible for their dark color.

Blue nevus: It is blue in color as its melanocytes are very deep in the skin. The covering epidermis is normal.

Congenital nevus: Small to large nevus present at or near time of birth. Small ones have low potential for forming melanomas; however the risk increases with size, as in the giant pigmented nevus.

Giant pigmented nevus: these are large, pigmented, and often hairy. They are important because melanoma may (10 to 15%) appear in them.

Nevus of Ito and Nevus of Ota: congenital, flat brownish lesions on the face or shoulder.

Mongolian spot: congenital large, deep, bluish discoloration on the back of Indian babies.


Risk

The risk of moles changing to melanoma, a dangerous cancer, of small and medium-sized congenital moles is slightly increased. Many studies are currently underway to determine how much of a risk exists.

It is important to inspect congenital moles on a regular basis at home. It is recommended that a dermatologist examine the patient yearly, with serial photographs being considered for some suspect moles.


Signs of early change to melanoma include:

    • Development of irregular borders
    • Changes in color, size, or shape or becomes larger than a pencil eraser
    • Change in the smooth surface of the mole
    • A mole, even if smaller than a pencil eraser, that is different than the others and begins to crust over, bleed, itch, or become inflamed

Any of these changes should prompt an evaluation by a dermatologist.

A congenital mole may develop hair growth or uniformly darken. These are expected changes and are not of concern.


Treatment

    • Since there is a small risk of congenital moles becoming melanoma, removal is sometimes recommended.
    • If a mole is suspected of being a melanoma, it needs to be sampled by a method called skin biopsy. One can do a complete excision skin biopsy.
    • In properly trained hands, lasers are also used to remove flat moles.
    • Electro cautery is available as an alternative
    • Radio frequency cautery may also be used.

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Bindal clinic is a premier Child, Skin and cosmetology clinic in Gurgaon City.

This clinic, established in 1993, is spread over 5000sq.ft area and was the first clinic to open in Gurgaon for skin & Cosmetology patients.

Contact Info

Clinic Address :
Bindal Clinic
Old Railway Road, Near-
Prem Mandir, Gurgaon

Mobile : +91 9810030327
E-mail : bindalclinic@gmail.com

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