instruction: hi doctor my son is years old he has one black mole on the left hand measuring about my in diameter with some elevated surface it is from the last about one year and looking growing but can not sure about the growth he has no complaint of itching and pain but when asked yesterday about this today he is complaining of some itching and pain I have one photograph of this for your review please advice
output: hi I have seen the pictures this is a mole in medical terms it is called melanocytic nexus majority of them are benign and go through growth cycle of inapparent to getting dark and with age slowly losing the color but in some rare cases they do have inflammation and can have itching or pain in some patients there are numerous melanocytic neve over the body in those there is a risk factor of melanoma moles which is present with itching and inflammation are not necessarily melanoma but to be on a safer side they need to be removed and sent for histopathological examination to rule out any malignant changes in them if your child has only one nexus and it is having inflammation but no sudden increase in growth it can be safely treated with anti inflammatory cream but if inflammation or increase in size or different color on different parts of the mole appears you should immediately remove it and send for pathological examination you should share the histopathology report examination with me because some melanocytic neve they do present histopathologically as malignant but actually are not so that has to be reviewed clinically histopathology report will be of malignant changes but only with clinical consultation and growth parameters we decide whether it was melanoma or not for the time being you can apply hydrocortisone cream twice daily and fusidate cream twice daily for five days give syearup citizen one teaspoon once daily if there is itching I advise not to irritate it or fiddle with it that will lead to more irritation kindly review after five days if inflammation persists or there is an increase in size it needs to be removed and sent for histological examination by the time lockdown will also be over so you can always do that it will be a minor procedure and will be done under local anesthesia can be completed within half an hour genetic excision biopsy excision no fiddling five days