Related concepts:

Acquired moles, Congenital moles, Giant moles, Pigmented nevi, Giant hairy nevus, Bathing-trunk nevus, Coat-sleeve nevus, Stocking nevus, Cape-like nevus.

Introduction to moles:

Parents need to know that most moles are benign, but that at least half of malignant melanomas do appear in moles. With some types of moles, this transformation into cancer often occurs during childhood.

What are moles?

When all the cells in a person do not have the same genetic make up, that person is said to be a "mosaic". At some point in development, one cell mutates. All of its progeny will have the same DNA code -- but that code will be different from the rest of the body. The timing in development when this mutation occurs will determine what proportions of the body have the two different types of DNA. All of us are mosaics to some degree. Mosaicism is the basis for most (if not all) birthmarks. It is the basis for moles and freckles. It is also the basis for tumors.

Moles or pigmented nevi are collections of pigmented cells in the skin. There are many specific types, but they are often divided into congenital (present at birth) and acquired nevi.

Who gets moles?

Congenital nevi are common birthmarks, found in about one percent of newborns. Those smaller than ¾ inch in diameter are called small nevi. Those larger than 7.5 inches in diameter are called giant nevi.

Acquired nevi are far more common. The number of moles gradually increases throughout childhood and rapidly during adolescence. By the end of adolescence, the average person has 20 to 40 moles.

Moles are more common in lighter skinned individuals. Sun exposure increases the number of moles. This is especially true of occasional, intense sun exposure and sunburns.

What are the symptoms of moles?

Moles come in a variety of shapes, sizes, textures, and sizes. They may be flat, bumpy, or dome-shaped. They may be tan, brown, black, or blue. Some are surrounded by pale halos.

Giant nevi are often nicknamed with descriptive terms according to the part of the body they cover (bathing-trunk nevus, coat-sleeve nevus, stocking nevus, cape-like nevus).

People with large or numerous moles have a higher risk of developing melanoma, one of several types of skin cancer. Danger signs that melanoma may be developing in a mole include rapid growth, crusting, bleeding, ulcers, and color changes. Malignant melanoma often has irregular borders and irregular coloring (with different shades of red or blue mixed in haphazardly with black, white, and/or brown).

The ABCDE’s of melanomas is a handy way to remember the warning signs of potentially cancerous evolution of moles.

A = Asymmetry. Moles should be symmetrical and any asymmetry warrants medical attention.

B = Borders. Moles should have even and smooth borders. Uneven, scalloped, or notched borders could signal melanoma.

C = Color. Moles are usually monochromatic. Having a variety of colors or atypical colors may be a sign of melanoma.

D = Diameter. Melanomas tend to be ¼ inch or greater. Large moles or enlarging moles could indicate the development of melanoma.

E = Evolving.