How to Compare Mole Removal Methods

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Compare Mole Removal Methods

A mole is a circumscribed malformation of the skin that is hyper-pigmented or highly vascularized. It may be an overgrowth of adnexal, epidermal, melanocytic, mesodermal or vascular tissue. Moles are usually harmless and are removed primarily for cosmetic reasons. However, a mole can become malignant and should be examined if its appearance changes. The following steps compare the more common methods for removing a mole.

Instructions

    • 1

      Remove most moles by shave or tangential excision. The mole is shaved with a scalpel and may be excised below the skin level. A punch excision may be used for smaller moles. The area is then chemically burned to stop the bleeding.

    • 2

      Perform a complete excision with a sutured closure for larger or deeper moles, even if it is benign. Moles larger than 1 cm are frequently not good candidates for shave excision. The area is anesthetized and the mole is cut out with a scalpel. The size of the border depends on the likelihood that the mole is malignant.

    • 3

      Take a conservative excisional biopsy when a diagnosis is desired. This will allow the pathologist to use gross attributes such as circumscription, size and symmetry to make a diagnosis.

    • 4

      Use a laser to remove shallow moles. Lasers are not used for deeper moles because they cannot penetrate deeply.

    • 5

      Consider alternative methods for mole removal. Freezing with liquid nitrogen also may be done but it carries a greater risk of scarring. Cauterize the mole by burning it with an electric instrument.

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