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Assessment of mole/pigment change

Dear doctor,

I have a small mole or similar on my right nipple, unfortunately in a precarious spot (diameter at the widest/longest point about 0.4 cm). I do not know since when I have had this. I first noticed it about 4 months ago while showering. Since I was pregnant and the pregnancy was not unproblematic, I did not pay much attention to it. Now I have looked at it critically again. It is not raised or has any bumps, it is evenly colored (even though it may look different in the photo); however, it has irregular borders and an asymmetrical shape. I have not noticed any changes recently. When you "stretch out" the nipple, you can see that the discoloration is not from one mole, but rather consists of 9 different-sized brown dots that are very close to each other. The dots are all essentially the same pigment. It is not a complete mole (there is no lighter discoloration between the individual points, etc.), but rather looks as if someone has painted over the existing skin structure on the nipple with a brush full of brown paint. Therefore, the mentioned points are also intersected by the normal "skin lines" of the nipple.

Please excuse this strange explanation - I wanted to make it as clear as possible?!? My question now is whether you would consider this pigmented mole as very concerning (especially because of the irregular borders or rather: distribution of the brown dots) or if you know of similar changes - especially during or after pregnancy - in other patients. I know, of course, that this does not replace a visit to the dermatologist.

Thank you very much in advance for your efforts!

Christian Welsch

Dear questioner, the various hormonal changes in a pregnancy can also cause skin changes. Unfortunately, the photos you provided are not of particularly good quality. Based on the description of the spots and the photos, I would not assume a malignant diagnosis, but you should have a dermatologist examine the diagnosis with a microscope.

Best regards

C.Welsch

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Christian Welsch

Christian Welsch

Veitsbronn

niedergelassener HNO-Arzt und Notfallmediziner, seit 15 Jahren regelmäßige Mitarbeit im allgemeinmedizinischen Notdienst

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