When to Initiate Referral

• If a patient has had a dysplastic nevus, a history of melanoma, or if there is a positive family history of either in 1st degree relative
• Sudden or worrisome mole changes
  • Size, shape, or color
• Development of persistent symptoms
  • Itching, pain or bleeding
• If a lesion has been biopsied or removed and needs further evaluation (please include a copy of the pathology report with referral)

Treatment Basics

• It is normal to develop new moles in childhood and early adolescence. Moles may enlarge around puberty.
• It is normal to see uniform growth or thickening of moles with overall growth of a child.
• Congenital moles (moles presenting at birth or during infancy) are typically larger than acquired moles and may thicken and/or develop hair over time.