[24F] Concerned about moles with family history of skin cancer

Patient Description

A 24-year-old female is concerned about two moles on her back that differ in shape and color from other light brown moles on her arms. The moles have not changed in size, shape, or color over time and do not cause itching, bleeding, or pain. The patient has a family history of skin cancer, specifically her grandfather. She has not had significant sun exposure or used tanning beds frequently. The patient was diagnosed with anemia at the age of 14 but has no other pre-existing conditions or chronic illnesses. She has no known drug allergies and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your moles:

  • Benign Moles: Most moles are harmless and can vary in color and shape. It's common to have moles that look different from each other.

    • Typical Treatments: No treatment is necessary for benign moles unless they cause discomfort or you want them removed for cosmetic reasons.
  • Atypical Moles (Dysplastic Nevi): These are moles that look different from common moles. They can be larger, have irregular borders, and vary in color. Having atypical moles can increase your risk of melanoma, especially with a family history of skin cancer.

    • Typical Treatments: Monitoring by a dermatologist, and in some cases, a biopsy may be recommended to rule out skin cancer.
  • Melanoma: This is a type of skin cancer that can develop in or near a mole. Warning signs include asymmetry, irregular borders, multiple colors, a diameter larger than 6mm, and evolving shape or color.

    • Typical Treatments: Early detection is crucial. Treatment may involve surgical removal, and in advanced cases, additional therapies like radiation or chemotherapy.

What you can do

  1. Monitor Your Moles: Keep an eye on the moles for any changes in size, shape, or color. Take pictures to track any changes over time.
  2. Protect Your Skin: Use sunscreen with at least SPF 30, wear protective clothing, and avoid peak sun hours to reduce the risk of skin damage.
  3. Consult a Dermatologist: Given your family history of skin cancer, it's important to have a dermatologist evaluate your moles. They can provide a more accurate assessment and recommend any necessary tests or treatments.
  4. Use MDandMe: You can use MDandMe to journal your symptoms, track the progress of your moles, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you notice any of the following:

  • Changes in the size, shape, or color of the moles
  • New moles appearing
  • Itching, bleeding, or pain in the moles
  • Any other unusual skin changes

Remember, while I can provide information and guidance, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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People Also Ask


What are the signs that a mole might be cancerous?

Signs that a mole might be cancerous include asymmetry, irregular borders, multiple colors, a diameter larger than 6mm, and changes in size, shape, or color over time.


How does a family history of skin cancer affect my risk?

A family history of skin cancer can increase your risk, especially if close relatives have had melanoma. It's important to monitor your skin closely and consult a dermatologist regularly.


What should I do if I notice changes in my moles?

If you notice changes in your moles, such as size, shape, or color, or if they start to itch, bleed, or cause pain, you should consult a dermatologist for an evaluation.


How can I protect my skin from developing more moles or skin cancer?

To protect your skin, use sunscreen with at least SPF 30, wear protective clothing, avoid peak sun hours, and avoid tanning beds. Regular skin checks by a dermatologist are also recommended.


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1 Comments


Billy#3955

7 mo ago

At your age and with no significant sun damage, skin cancer is quite unlikely. However, given that the moles on your back are different than the ones on other parts of your body, if you feel that they are multi-colored, irregular, large (>6 mm across), or growing, you should visit a dermatologist to see if you need a biopsy

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