Introduction

Moles are small coloured spots on the skinmade up ofcells called melanocytes, which produce the colour (pigment) in your skin.

The scientific name for moles ismelanocytic naevi.

Moles areoften a brownish colour, although some may be darker or skin-coloured. They can be flat or raised, smooth or rough, and some have hair growing from them. Moles are usually circular or oval with a smooth edge.

Moles can change in number and appearance. Some fade away over time, often without you realising. They also sometimes respond to hormonal changes, for example during:

• pregnancywhen they may get slightly darker
• teenage years when they increase in number
• older agewhen they may disappear from 40 to 50 years of age onwards

Types of moles

There are many different types of moles, the most common are:

• junctional melanocytic naevi these are usually brown, round and flat
• dermal melanocytic naevi these are usually raised, pale and sometimes hairy
• compound melanocytic naevi these are usually raised above the skin, light brown and sometimes hairy

Rarer types of moles include:

• halo naevi moles surrounded by a white ring where the skin has lost its colour
• dysplastic or atypical naevi (also known as Clark naevi) unusual looking and slightly larger moles that can be a range of colours and either flat or bumpy
• blue naevi dark blue moles

When and why do moles develop?

Some moles are present at birth, although most develop during the first 30 years of life. People with fair skin often have more moles than people with darker skin.

You are more likely to develop lots of moles, or a certain type of mole, if they are common in your family.

Where you were brought up may also make a difference for example, if you have spent a lot of time in the sun, you may have a lot of small moles.

Harmless moles

Most moles are completely harmless. However, they may be unsightly and affect your confidence. Moles can also be a nuisance, for example if they regularly catch on your clothing or you cut them while shaving. These moles can be surgically treated, although it can be expensive.

You will usually have to pay for cosmetic mole treatment and it is often carried out at a private clinic. Ask your GP for advice about where to get treatment.

If you are having a mole removed because it is a nuisance, your surgeon may just shave the mole off so that it is level with your skin. This is known as a shave excision. The wound may then beclosed with heat during a process called cauterisation.

Checking your skin

You should check yourskin every few months for any new moles that develop (particularly after your teenage years, when new moles become less common)or any changes to existing moles. A mole can change in weeks or months.

Thingsto look for include:

• moles with uneven colouring most moles only have one or two colours, but melanomas have lots of different shades
• moles with an uneven or ragged edge moles are usually circular or oval with a smooth border
• bleeding, itching, red, inflamed (swollen) or crusty moles
• moles that get a lot bigger most moles are no bigger than the width of a pencil

A helpful way to rememberwhat to look foris to use the ABCDE method.

• Aasymmetry
• Bborder irregularity
• Ccolour change
• Ddiameter
• Eelevated (raised) or enlarged

Moles like this can occur anywhere on your body, but most happen on the back, legs, arms and face.

If you notice any changes to your moles or are worried about them, see your GP.Changes to a mole may be an early indication of a type of skin cancer called melanoma.

Cancerous moles

While most moles are benign (non-cancerous), in rare cases they can develop into Skin cancer (melanoma) . Melanoma is a serious and aggressive form of skin cancer.

Melanomas usually appear asa dark, fast-growing spot where there was not one before, or a pre-existing mole that changes size, shape or colour and bleeds, itches or reddens.

The main treatment for melanoma is surgery, although your treatment will depend on your circumstances. If melanoma is diagnosed and treated at an early stage then surgery is usually successful, although you may need follow-up care to prevent melanoma recurring.

Although its not always possible to prevent melanoma, avoiding overexposure to UV light can reduce your chances of developing it.

You can helpprotect yourself from sun damage if you:

• stay in the shade when the sun is at its strongest (between 11am and 3pm)
• cover up with clothes, a wide-brimmed hat and sunglasses
• use a high-factor sunscreen (minimum SPF15) and reapply it regularly, particularly after swimming
• avoid using sunlamps or sunbeds because they give out UV rays

Want to know more?

• Protect your skin and eyes in the sun .
• SunSmart Cancer Research UK.