Moles & Warts Removal
Moles, or nevi, are frequently removed for a variety of reasons. They can be removed by two surgical methods:
- Excision (cutting), with or without stitches
- Shave removal using a scalpel blade without stitches
Although laser excision has been tried for moles, it is not the method of choice for most deep moles because the laser light doesn't penetrate deeply enough, and there is no tissue remaining to examine pathologically.
Typically, the dermatologist (a skin specialist) may choose excision with or without stitches, depending on the depth of the mole and the type of cosmetic outcome desired.
What is a mole?
Many people refer to a mole as any dark spot or irregularity in the skin. Doctors use different terms. But the following types of skin marks such as these are not treated the same way moles are and are not discussed here:
- Abnormal formations of blood vessels (hemangiomas)
- Keratoses (benign or precancerous spots, which appear after about age 30 years)
What causes moles?
- Some people are born with moles. Other moles appear later in life.
- Sun exposure seems to play a role in the development of moles and may even play a role in the development of atypical, or dysplastic, moles.
- The role of heredity cannot be underemphasized. Many families have a type of mole known as dysplastic (atypical), which can be associated with a higher frequency of melanoma.
WARTS: one of the most common viral infections caused by HPV virus.
Different types of Warts:
- Common Warts/ Verruca Vulgaris: they are greyish white, skin colored or darkly pigmented growth which can have rough surface or stalk like projections (digitate wart) or appear as bunch arising from single base resembling fingers of hand (filiform wart) site: elbows , knees, around or under nails, dorsum of hands and feet, even face and neck, scalp, genitals can be involved.
- Plane Warts/ Verruca Plana: as the name suggest they are flat grouped skin coloured , brownish smooth lesions present most commonly over face, dorsum of hands and feet, forearms , shins.
- Palmo-Plantar Warts: present over palms and soles, painful, gray or brown colored rounded, deep growths. They will be tender to touch if picked up between fingers.
- Genital Warts/ Venereal Warts/ Condyloma Acuminate: they are sexually transmitted and are most commonly seen over genitals. They can be soft pink or greyish blue, soft,moist, and can even bleed on trauma.
Age:Seen in teenagers, young adults, and immunocompromised individuals. Warts are mostly spread by skin to skin contact, sometimes through fomites (sharing of shaving blades). They have tendency to auto inoculate i.e. spreading and multiplying in number with minor injury like scratching, or picking of growth.
Treatment: electro cautery and trichloroacetic acid application Topically immune modulator creams, as prescribed by practitioner.