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.