HomeAnswersDermatologymoleWhat could be the chance of a mole with no pain or itch turn malignant?

Why mole in my son's hand is growing with no pain or itch?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 8, 2020
Reviewed AtApril 25, 2024

Patient's Query

Hi doctor,

My son is 6 years old. He has one black mole on the left hand measuring about 5 mm in diameter with some elevated surface. It is from the last about one year and looking growing but can not sure about the growth. He has no complaint of itching and pain but when asked yesterday about this, today he is complaining of some itching and pain. I have one photograph of this for your review. Please advice.

Hi,

Welcome to icliniq.com.

I have seen the pictures. (attachment removed to protect patient identity). This is a mole in medical terms it is called melanocytic nevus. Majority of them are benign and go through growth cycle of inapparent to getting dark and with age slowly losing the color. But in some rare cases, they do have inflammation and can have itching or pain. In some patients there are numerous melanocytic nevi over the body in those there is a risk factor of melanoma. Moles which is present with itching and inflammation are not necessarily melanoma, but to be on a safer side they need to be removed and sent for histopathological examination to rule out any malignant changes in them. If your child has only one nevus and it is having inflammation but no sudden increase in growth it can be safely treated with anti-inflammatory cream. But if inflammation or increase in size or different color on different parts of the mole appears you should immediately remove it and send for pathological examination. You should share the histopathology report examination with me because some melanocytic nevi they do present histopathologically as malignant but actually are not so that has to be reviewed clinically. Histopathology report will be of malignant changes but only with clinical consultation and growth parameters, we decide whether it was melanoma or not. For the time being you can apply Hydrocortisone cream twice daily and Fusidate cream twice daily for five days. Give syrup Citizen one teaspoon once daily if there is itching. I advise not to irritate it or fiddle with it that will lead to more irritation. Kindly review after five days, if inflammation persists or there is an increase in size, it needs to be removed and sent for histological examination. By the time lockdown will also be over so you can always do that it will be a minor procedure and will be done under local anesthesia can be completed within half an hour.

The Probable causes

The probable diagnosis is genetic.

Investigations to be done

Do excision biopsy.

Treatment plan

Do excision.

Preventive measures

No fiddling.

Regarding follow up

Have a follow-up after five days.

Patient's Query

Hi doctor,

Due to the lockdown, we cannot move. I am also worried about any chances of melanoma and what about the seriousness of this to take expert advice in person? Due to Covid-19, we would not want to take any virus infection by visiting physically the doctor's clinic. If you think any serious about this, please advise. I have explored the ABCDE rule but could not conclude.

Hi,

Welcome back to icliniq.com.

No need to worry about melanoma. Keep in touch for further doubts.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Subhash Kashyap
Dr. Subhash Kashyap

Dermatology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

molenevus

Ask your health query to a doctor online

Dermatology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy