Patient's Query
Hello doctor,
I have a mole that seems to have gotten bigger over a period of three years. It is about 0.19 inches in size, located in front of my ear in the hairline.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern. It appears to be dysplastic nevi grade 3. No need to worry at present as margins appear normal. The chances of malignancy are 40 percent. Self-observation of lesions is needed to look for changes in borders or margins. Keep a check on the concerned lesion. If irregular margins or borders are found then the chances of malignancy becomes 80 percent. Answer the below questions to arrive at a definitive diagnosis:
Is there any change in color, size, border, or margins?
Is there any family history of skin cancer or melanoma?
Do you have prolonged exposure to sun or UV (ultraviolet) radiation?
What is your occupation?
Do you have a fair skin tone?
Do you use tanning beds?
Did you have chemotherapy in the past?
Do you have a history of photosensitivity or burning on exposure to the sun?
Please revert back with the answers.
Thank you.
Regards.
Patient's Query
Hello doctor,
Thank you for your reply. The answers to your questions are as follows: I have no family history of skin cancer, and I work as a maintenance engineer in a laundry factory, but I have only been in this job for one year. My skin tone is olive, and I tend to tan quite well. I rarely experience severe sunburn, and if I do, it typically resolves within a day or two. I have never used a sunbed, nor have I undergone chemotherapy. I would like to understand what is meant when you mention 'dysplastic grade 3'. Should I be concerned about the rate of growth?
Thank you.
Hello,
Welcome back to icliniq.com.
I can understand your concern. It appears to be melanocytic nevus. Dysplastic or atypical nevus is a controversial term that has eluded a precise definition. Other differential diagnoses are precancerous mole or atypical melanocytic hyperplasia. Skin cancer or melanoma occurs in areas exposed to sunlight. Lesions can be benign, premalignant, or malignant. If it is detected early, it can be treated quickly with less scarring. Signs and symptoms of skin cancer or melanoma are a non-healing sore that started as a patch or rash, a growth that bleeds easily and crusts over, changes in shape or size of existing marks or discoloration, formation of ulcers, rough and scaly areas, lesions that are painful or tender or itchy, red bumps shiny or pearly, a raised area with a central lump. The causes and risk factors are long-term sun exposure, severe sunburn at an early age, repeated exposure to radiation, unusual scars on the skin, weak immune system, frequent exposure to certain chemicals or use of tanning beds, being fair skin, exposure to harmful UV radiation, certain skin conditions, a family history, elderly population, many moles or atypical dysplastic nevi on the body are possible risk factors.
For the prevention measures, I would suggest you avoid mid-day sun, use sun-screen lotion even on cloudy days, wear protective clothing that covers your arms and legs, and avoid tanning booths. Do an examination of the skin to look for changes and detect them early if possible. Undergo a skin biopsy to confirm diagnosis where a sample tissue is removed from the site and sent to a laboratory for examination under a microscope (suspicious-looking sore or mole on skin).
I hope this helps you.
Thank you.
Regards.
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Answered byDr. Dhepe Snehal Madhav
Medically reviewed byiCliniq medical review team
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