Every holiday, there are especially many patients who require mole removal in the outpatient department.
The problem of moles in outpatient clinics focuses on two aspects: whether to remove them and how to remove them.
There must be [justifiable reasons] for removing moles.
In the clinic, there are many kinds of nevus removal [reasons].
[Doctor, the mole on my nose is a “little person”…]
[Doctor, my mother said this is a “bitter” mole…]
[I have to have a “peach blossom robbery” for this mole, doctor, you have to help me remove it…]
If a patient passes by to put forward these reasons, I usually don’t hear them and only confirm with the patient whether I am willing to remove moles. However, if the patient shows excessive persistence in this [physiognomy], I will resolutely refuse to remove moles. After all, my natural science methods cannot solve your social science problems!
If I cut your [Wangcai mole] by mistake and your stock loses, what should I do if I come to see you?
If I cut your [rotten peach blossom mole], but your boyfriend still ran away, you said I could compensate for the failure of the operation, I could not compensate…
Afraid of mole malignant transformation: need to be vigilant, but don’t be afraid
Many people come to see a doctor because they are worried about the malignant transformation of moles.
Malignant transformation of nevus is indeed a troublesome thing. Therefore, preventive resection is recommended for moles of palm, sole, waist circumference, armpit, groin, shoulder and other easily rubbed parts, as well as blue moles. Preventive resection is also recommended for moles with careless injury, repeated skin infection and cysts under them.
Generally speaking, the vast majority of moles will not malignant transformation. However, when moles have undergone some changes, they should be highly vigilant, such as: local mild pain, small satellite dots at the edge, such as sudden enlargement, color deepening, inflammatory reaction, ulceration or bleeding… In these cases, they must seek medical treatment in time.
Often there are patients who have great worries about the mole on their bodies and even fall into anxiety. Even if the doctor clearly tells that there is no problem with the mole at present, they will repeatedly ask whether it will deteriorate in the future.
I want to say that no doctor can guarantee that your mole will not go wrong 100%. If you pay too much attention to a mole, I suggest simply removing it and doing a pathological test. Don’t worry any more, or you will have mental problems.
Not pleasing to the eye: one’s own mole, one’s own decision
When many girls see a doctor, they will ask me: [Doctor, do you think the mole on my face should be removed? Which one do you want to remove? ] …
To be honest, doctors will only take the initiative to intervene in the factors that affect health. For an ordinary mole, I usually don’t take the initiative to advise the patient to remove it. I am not your boyfriend and am not qualified to gossip, am I?
Many people remove moles for beauty purposes. This is very simple. If you look at which mole is not pleasing to the eye, you will tell me that I will carefully help you remove it.
However, every winter and summer vacation, there will also be such situations: parents push primary school students to me and say, “Doctor, I want to remove this mole on my child’s face.” The child is unhappy.
In this case, I usually carefully check the child’s mole. If there is no obvious problem with this mole, I will take some time to brainwash the parents.
For minor surgery, if it is only for cosmetic purposes, I am very cautious and will generally refuse. This is a mole on the child’s face. If there is no danger of malignant transformation, why do your parents say they should cut it?
Please respect the rights of children and let them decide for themselves when they reach adulthood.
There are these reliable methods for removing nevus.
There are many methods to remove nevus, such as surgery, laser, freezing, electric ions, etc.
Laser and electric ions are suitable for small pigmented nevus with no risk of malignant transformation. For pigmented nevus, cosmetic surgery can basically be adopted.
Many people are afraid of the word [surgery]: will there be scars? Will it hurt? These worries are superfluous.
For nevus, cosmetic surgery has many advantages: it can be completely removed and recurrence can be reduced; Compared with laser and electric ions that only [burn a hole], suture in cosmetic surgery can effectively close the small wound left after nevus removal and is not easy to leave scars.
Also, it is very important that tissue specimens can be taken for pathological tests after surgical resection.
The success of nevus removal depends on two criteria: whether it recurs or not and whether it leaves scars.
Moles have the characteristics of moles, they are afraid of repeated stimulation, and they are afraid of repeated recurrence. If you decide to remove moles, in addition to large areas of moles to be removed in batches, the general principle is to completely remove them once and for all. If repeated removal of moles and recurrence, it is asking for trouble, it is better not to move it.