Nevi - Moles

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Nevi - Moles

Nevi, commonly known as moles, are the clinical manifestation of benign proliferation of cells that are normally found on our skin.

Nevi – Moles

Types of Removal

A nevus should be removed if it is suspected to change into malignancy or because it is in a location that is frequently injured and causes problems in everyday life, or because it causes aesthetic problems for the patient.

The laser method of removing a mole is only suitable if it is absolutely certain that it is a benign lesion (nevus without risk of outbreeding, papillomas, papules, seborrhoeic warts, etc.). The method of removing a mole by laser is only suitable if it is absolutely certain that it is a benign lesion (nevus without risk of outbreeding, papillomas, papules, seborrhoeic warts, etc.). We always aim to removing a lesion without causing scars.

The appropriate way of removing a nevus should be decided after discussion with the dermatologist. In general, the ways of removing moles are as follows:

Shave Excision
A simple and quick way of removing a mole, where the protruding part of the mole is cut with a blade under xylocaine local anesthesia. Hemostasis and additional removal of any residual part can be achieved by CO2 laser or diathermy.

Surgical removal of a mole
When the nevus is flat or when malignancy is suspected, preventive surgical excision of the nevus as well as the borders around it by a Plastic Surgeon is recommended so that the fragment can be sent for biopsy. The scar that will remain after the removal of the nevus depends on its size, the way it was removed and the healing capacity of the body.

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Nevi – Moles

What are the types of nevi?

Nevi – skin moles – are extremely common, and there is no adult human being without a mole on their skin. Some people even develop them in quite large numbers.

Individuals with moles should consult their dermatologist. Many seek their removal for both aesthetic and medical reasons.

Monitoring them is of great importance as they are sometimes the substrate on which malignant melanoma, the most aggressive malignant skin tumor, develops.

Melanocytes in nevi become cancerous mainly due to the effect of solar radiation which causes mutations and damage to the DNA of the cells resulting in uncontrolled proliferation.

Nevi – Moles

Check-up

The dermatologist is responsible to decide whether a nevus is benign or suspicious, taking into account the following criteria:

  • A

    Αsymmetry

  • B

    Border

  • C

    Color

  • D

    Diameter

  • E

    Evolution/Elevation

Nevi – Moles

Skin cancer – Melanoma

A less common, but extremely aggressive type of skin cancer is melanoma. Melanoma is caused by melanin cells, the cells that produce melanin, the pigment that gives the skin its characteristic color. In advanced stages, melanoma can cause metastases and can even be fatal.

The person should be informed and consult a dermatologist, in case a new nevus (mole) with an irregular shape appears or in case he/she notices that an existing nevus has altered (based on the aforementioned criteria). Characteristics of the alteration can be a change in size, shape or colour, as well as ulceration or bleeding of the mole. The most common sites of occurrence are mainly the back, arms, legs or face, as well as the genitals. In men it occurs mainly on the trunk, while in women it occurs on the lower limbs.

As a type of skin cancer, it has the lowest incidence rate, but is responsible for 80% of skin cancer deaths.

  • Age

    Apart from adults, it can occur on the skin of young people, unlike other forms of cancer

  • Alteration

    Changes in size, shape, colour and/or bleeding are warning signs

  • Immediate Action

    A visit to a dermatology specialist is recommended in case of appearance of a new nevi or alteration of an existing nevi

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