From the Guidelines
To document a 5mm x 5mm raised brown mole, you should record its exact size, color, shape, and elevation, and track it over time for any changes, as recommended by the most recent guidelines 1. When documenting the mole, consider the following key points:
- Record the exact size (5mm x 5mm) and color (brown) of the mole
- Note the shape (circular) and elevation (raised) of the mole
- Document the precise location on the body using anatomical landmarks
- Check for regular or irregular borders, and any color variations within the mole
- Confirm the absence of bleeding, itching, pain, or recent changes in appearance
- Take clear photographs with a ruler or measurement scale visible for reference, ideally from multiple angles with good lighting
- Include the date of documentation and establish a baseline for future comparison The ABCDE rule (Asymmetry, Border irregularity, Color variation, Diameter, and Evolution/change) guides evaluation of suspicious moles, and while the mole in question is slightly smaller than the typical threshold, regular monitoring is still recommended to identify concerning changes that might indicate skin cancer 1. Consider having any new or changing moles evaluated by a healthcare provider, especially if there are any changes in size, shape, color, or elevation, as early detection and diagnosis are critical for effective treatment and improved outcomes 1.
From the Research
Documentation of a 5mmx5mm Raised Brown Mole
To document a 5mmx5mm raised brown mole with no bleeding and a circular shape, consider the following steps:
- Record the size and shape of the mole, including its diameter and any notable characteristics, such as color or texture.
- Note the location of the mole on the body and any changes in its appearance over time.
- Consider taking photographs of the mole for future reference and to track any changes.
Excision and Margin Evaluation
When it comes to excising a melanocytic lesion like a mole, the evaluation of surgical margins is important, as noted in studies such as 2 and 3.
- The decision to excise a mole and the method of excision (e.g., shave excision or wide local excision) depend on various factors, including the suspected diagnosis and the patient's overall health.
- Studies have shown that the evaluation of margins in melanocytic lesions can vary depending on the type of procedure used and the type of lesion encountered, as discussed in 2.
- In some cases, a shave excision may be sufficient, but this method has a higher rate of recurrence, as noted in 4.
Reporting and Follow-Up
After excising a mole, it is essential to report the findings and recommend follow-up care, as discussed in 5 and 3.
- The pathology report should include information about the type of lesion, its size and shape, and the presence or absence of margins.
- Patients should be informed about the results and any necessary follow-up care, including self-examination and scheduled appointments with a healthcare provider.