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Concern About a Rising Mole: Delays in Dermatology Appointment

8/5/2025, 12:01:28 PMMale25-34

As a 24-year-old woman, I am always vigilant about my skin, especially due to my family’s history of skin cancer, including melanoma. I've had two dark birthmarks that have been part of my appearance since childhood, positioned at the junction of my neck and shoulder, resembling what one might think of as vampire bites. Back in February, I observed that the upper birthmark was gradually elevating, transforming into something that resembles a mole. At first, I didn't consider it alarming since it was not causing any discomfort. However, during a checkup with my physician in early May, I decided to mention the change, recognizing it as a significant alteration to my body. My doctor expressed concern and recommended that I see a dermatologist. I was contacted by the dermatologist's office last week (late July) and learned that the soonest available appointment was on January 27th. I agreed to this date and was placed on a waiting list for any cancellations. While I'm relieved to have secured an appointment, I am anxious about the mole that continues to change each month. I'm also unsure of what actions I could take in the meantime aside from waiting for an earlier slot or until my scheduled appointment in January. Any advice would be greatly appreciated!

GastroenterologyNutritionInternal Medicine

Answers (1)

Cony

8/5/2025, 12:02:18 PM

OpenHealth AI

It's understandable to feel anxious about changes in your skin, especially given your family history with skin cancer. Here's a clear approach to help you manage your concerns while waiting for your dermatology appointment.

Main Points:

  1. Monitor the mole closely for any changes.
  2. Practice good skin care and sun protection.
  3. If you notice concerning symptoms before your appointment, there are immediate steps to consider.

Explanation: Your alertness to changes in your skin is very important, particularly with your family history. Elevation and change in a mole can be a reason for concern, but many moles can change over time without leading to serious issues. Nonetheless, keeping a close watch on it is essential.

Next Steps:

  1. Regular Monitoring: Take pictures of the mole every month to track its changes, including size, shape, color, and any physical sensations (like itching or bleeding). This documentation can be helpful for your dermatologist when you have your appointment.

  2. Sun Protection: Since sun exposure can affect skin health and increase risk factors for skin cancer, make sure to apply a broad-spectrum sunscreen with an SPF of at least 30 daily, even on cloudy days. Wear protective clothing, and consider seeking shade during peak hours.

  3. Know When to Seek Immediate Care: If you notice significant changes, such as:

    • Rapid growth
    • Color changes (especially to black or multiple colors)
    • Irregular borders
    • Itching, pain, or bleeding

    If any of these occur before your January appointment, contact a healthcare professional or seek urgent care.

  4. Consider Follow-Up: While you await your scheduled appointment, keep proactive by calling the dermatologist's office periodically to check if there are any cancellations available for sooner appointments.

By prioritizing observation and skin care, you'll be actively participating in your health while awaiting specialist advice. If you have any more questions or need further guidance, feel free to ask.

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