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Dermatology/moles on the pennis



underside of foreskin
underside of foreskin  
Dear Doctor,
First please excuse my English as itís not my mother tongue.
I recently know about melanoma and I am concerned by two spots. The bigger one on the glans is 5 or 6mm in diameter and has been there for many years. The smaller one on the underside of the foreskin began to appear weeks ago. At first it was not easy to spot but in the past few weeks it has turned darker in color and is now obvious to see. Both spots are smooth and do not rise above the skin.
My questions are:
1. As they often get rubbed during sex or masturbation, do I have to worry about them?
2. Also there are over a dozen moles on the skin of my penis area, is it normal?
Thank you very much.

There are several skin lesions that are very common and benign (non-cancerous). These conditions include moles, freckles, skin tags, benign lentigines, and seborrheic keratoses.

Moles and Your Skin

Moles are growths on the skin that are usually brown or black. Moles can appear anywhere on the skin, alone or in groups.

Most moles appear in early childhood and during the first 30 years of a person's life. It is normal to have between 10-40 moles by adulthood.

As the years pass, moles usually change slowly, becoming raised and/or changing color. Often, hairs develop on the mole. Some moles may not change at all, while others may slowly disappear over time.

What Causes a Mole?

Moles occur when cells in the skin grow in a cluster instead of being spread throughout the skin. These cells are called melanocytes, and they make the pigment that gives skin its natural color. Moles may darken after exposure to the sun, during the teen years, and during pregnancy.

Types of Moles

Congenital nevi are moles that appear at birth. Congenital nevi occur in about one in 100 people. These moles may be more likely to develop into melanoma (cancer) than are moles that appear after birth. A mole or freckle should be checked if it has a diameter of more than a pencil eraser or any characteristics of the ABCDEs of melanoma (see below).

Dysplastic nevi are moles that are larger than average (larger than a pencil eraser) and irregular in shape. They tend to have uneven color with dark brown centers and lighter, uneven edges. People with dysplastic nevi may have more than 100 moles and have a greater chance of developing melanoma, a serious form of skin cancer. Any changes in a mole should be checked by a dermatologist to evaluate for skin cancer.

How Do I Know if a Mole Is Cancer?

The vast majority of moles are not dangerous. The only moles that are of medical concern are those that look different than other existing moles or those that first appear after age 30. If you notice changes in a mole's color, height, size, or shape, you should have a dermatologist (skin doctor) evaluate it. You also should have moles checked if they bleed, ooze, itch, or become tender or painful.

Examine your skin with a mirror or ask someone to help you. Pay special attention to areas of the skin that are often exposed to the sun, such as the hands, arms, chest, neck, face, and ears.

If a mole does not change over time, there is little reason for concern. If you see any signs of change in an existing mole, if you have a new mole, or if you want a mole to be removed for cosmetic reasons, talk to your dermatologist.

The mole on your glans appears to be dysplastic. I would recommend a biopsy. The other mole appears normal.


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Michael S. Fisher, <B>Ph.D., M.D.</B>


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