Mole Check

Mole Check at The Cadogan Clinic is the UK’s most comprehensive for the diagnosis and treatment of skin cancer; and is the only mole check approved by the British Skin Foundation. 

Moles are often harmless, but they can be irritating and catch on clothing and jewellery alike. Occasionally, they can be a sign of cancer. The NHS and NICE guidelines recommend having your moles checked by an expert every six months – at a minimum. If you’ve had a mole removed, it’s every three months.  

Below is a helpful checklist you can go through at home, but it’s always recommended to book in with a doctor if you have any changes to your moles or freckles or if you suspect any of them may be cancerous.  

ABCDE Mole Checklist

+ Asymmetrical: Melanomas that are an irregular shape and have two different halves.
+ Border: Melanomas with a ragged boarder.
+ Colours: Melanomas that have a mix of two or more colours.
+ Diameter: Melanomas that are larger than 6mm (1/4 inch) diameter.
+ Evolution: A mole which has changed in size or shape over time.

The good news is that skin cancers from moles that are found and removed early are almost always curable and early diagnosis matters. A person with a melanoma of less than 0.75mm thick can expect to have a 95% cure rate. 52% of the melanoma we find are discovered by monitoring and identifying the tiniest of changes each time you come in with our mole-mapping service. Changes can be monitored both externally and internally for signs that aren’t visible to the naked eye.

What makes our mole check service different?

Dermatologist Led: every Mole Check patient is seen by one of our consultant Dermatologists and not a nurse.
Mole Map: each patient leaves with a comprehensive computer controlled Mole Map of their entire body.
Long Term Monitoring: our Mole Mapping technology and our Dermatologist led approach allows us to spot even the subtlest of changes and moles over time.
Dermoscopy: any mole that a Dermatologist is concerned about will be examined on the spot under a high powered dermatology microscope.
Treatment: we have 3 fully staffed operation theatres on site for the rapid, same day removal of worrisome moles.
Plastic Surgeons: for the removal of bigger or deeper moles, or those in more visible places, a Consultant Plastic Surgeon can undertake the procedure to minimise any scarring risk.
Mohs: we are one of the only clinics in the UK to offer Mohs surgery on site. This is recognised by NICE as the optimal approach to skin cancer removal. 
 

Book in with one of our doctors at the Cadogan Clinic if you’re worried about any of the moles or freckles you have, and you can rest assured that we will be able to give you a comprehensive diagnosis. 

 

 

Dermatology Gallery

Skin Lumps and Warts

Benign Dermatofibroma - Persisting asymptomatic nodule. Recommend excision on cosmetic grounds as will never go away spontaneously.

Benign vascular nodule - Developed at site of minimal trauma; needs surgical removal as bleeds easily.

Benign vascular nodule - On face of elderly lady, for surgical removal.

Warty benign basal cell papilloma (seborrhoeic keratosis) - Slowly growing on trunk of 70 year old man; removed by curettage.

Warty benign basal cell papilloma (seborrhoeic keratosis) - Flesh-coloured growth on trunk of 75 year old man

Seborrhoeic warts / keratoses - On a patient

Seborrhoeic warts / keratoses - On a patient

Solar keratoses - Extensive scalp solar keratoses suitable for PDT

Rapidly growing nodule - Below left eye in 70 year old man. Needs excision for cure and for histology to differentiate between a keratoacanthoma and a basal cell cancer

Hand warts - Can be treated with Cryotherapy

Plantar warts - Potentially suitable for cryotherapy

Melanomas

Lentigo maligna - Black discolouration on background brown lentigo on nasal bridge–needs excision to prevent spread.

Melanoma - Melanoma on a patient

Lentigo maligant melanoma - Slowly growing brown stain on cheek of elderly lady

Malignant melanoma - Well demarcated black plaque on sun damaged trunk of 35 year old

Malignant melanoma - Well demarcated black plaque on sun damaged skin

Melanoma - Change in the pigmentation of a previously brown mole

Nodular melanoma - A large pigmented nodule

A nodular melanoma - Enlarging pigmented plaque

Subungual melanoma - Persisting black toenail originally thought due to trauma

A nodular melanoma - Persisting oozing nodule with pigmentation

Amelanotic melanoma - Vascular nodule on the foot

Large malignant melanoma - On upper back of very sundamaged skin

Other Skin Cancers

Basal cell cancer - Slowly growing nodule on sun exposed skin of 68 year old man showing telangiectasia (blood vessels) diagnostic of a basal cell cancer

Multiple cancers - Multiple scaly patches consistent with multiple cancers on sun-exposed neck of elderly woman

Basal cell cancer - Scaly area which never heals on right side of forehead of 72 year old. Need excising to prevent further enlargement.

Basal cell cancer - Slowly growing area on sun damaged facial skin of 35 year old surfer. Basal cell cancer needing Mohs and reconstruction to prevent further growth.

Pigmented basal cell cancer - On sun exposed skin of 72 year old. Could be mistaken for a melanoma due to the black pigment.

Squamous Cell Cancer - Sore ear thought to be infection in 78 year old man but due to a squamous cell cancer

Bowen’s disease on the hand - An early skin cancer

Psoriasis

Psoriasis - Symmetrical well defined erythematous plaques on the knees

Psoriasis - Well demarcated scaly plaques on elbows of a 4 year old

Psoriasis - Scaly itchy scalp with well demarcated edge due to psoriasis

Psoriasis - Well demarcated scaly rash of psoriasis in a child on an unusual location

Small Plaque Psoriasis - Widespread rash with well demarcated pink scaly patches

Psoriasis - Psoriasis on the forehead and scalp

Moles

Large congenital mole - Atypical pigmentation in a child - needs monitoring

Protruding benign mole - Excise on cosmetic grounds

Hair bearing benign flesh coloured facial naevus -

Halo naevus - This is benign and occurs more frequently in patients with vitiligo

Large naevi with irregular pigmentation - Dysplastic naevi which need monitoring /excision to prevent progression

Unusual mole on sole of foot - For dermoscopic monitoring

Halo - Less intense pigmentation surrounding a normal mole

Benign Mole - Benign mole on a patient

Benign Mole - Benign mole on a patient

Acne

Acne Scarring - Acne Scarring

Acne - Acne on a male patient

Acne - Acne on the forehead, can be treated with Roaccutane.

Acne - Acne on the cheek, can be treated with Roaccutane.

Autoimmune

Alopecia - Alopeca areata

Allergies

Urticaria - Urticaria or hives

Pigmentation

Actinic Lentgines - On the patient's hand

Sun Damage - On the patient's chest

Actinic Lentgines - On the patient's hand

Extensive Actinic Lentigines - Forehead with extensive actinic lentigines sun freckling

Vitiligo - On a patient

Vascular

Vascular Papule - Vascular papule on patients face

Superficial Leg Vessels - Close up of superficial leg vessels amenable to sclerotherapy or laser.

Eczema

Dry Eczematous Skin - Dry eczematous skin on a patient

Flexural Eczema - Flexural eczema on a patients arm

Frequently Asked Questions

We have some of the best dermatologists and plastic surgeons in the UK, as well as our mole mapping system, rapid diagnostic services and our “see and treat” service for mole removal. You are guaranteed that Cadogan Clinic is the best choice for accurate and quick diagnosis and treatment.

+ Consultant Dermatologist Led: every Mole Check patient is seen by one of our consultant Dermatologists and not a nurse.
+ Mole Map: each patient leaves with a comprehensive computer controlled Mole Map of their entire body.
+ Long Term Monitoring: our Mole Mapping technology and our Dermatologist led approach allows us to spot even the subtlest of changes and moles over time.
+ Dermoscopy: any mole that a Dermatologist is concerned about will be examined on the spot under a high powered dermatology microscope.
+ Treatment: we have 3 fully staffed operation theatres on site for the rapid, same day removal of worrisome moles.
+ Plastic Surgeons: for the removal of bigger or deeper moles, or those in more visible places, a Consultant Plastic Surgeon can undertake the procedure to minimise any scarring risk.
+ Mohs: we are one of the only clinics in the UK to offer Mohs surgery on site. This is recognised by NICE as the optimal approach to skin cancer removal.

Book in with one of our doctors at the Cadogan Clinic if you’re worried about any of the moles or freckles you have, and you can rest assured that we will be able to give you a comprehensive and fast diagnosis.

Not everyone needs a mole check, but who does?

Any mole that changes need consideration. If it grows, changes colour bleeds, itches. It should be checked by a doctor. Probably it is just traumatised or there is an inflamed hair follicle within it, but of course, for a few, it may be becoming malignant. An expert will examine the mole naked eye and probably with a dermascope (dermatoscope). If there is doubt, then it will be removed with a margin of normal tissue and checked under the microscope. If it turns out to be a melanoma, we often need to come back to remove a bit more tissue in order to have a calculated safe margin.

If moles become malignant, they become melanomas, one of the 3 main types of skin tumour and also the most dangerous. They used to carry a dreadful prognosis, but now at the Cadogan Clinic, we cure nearly all of them, simply because we see them early, identify them and remove them early.

At the Cadogan Clinic, we understand that there are 5 reasons to remove moles –

! -moles that are malignant.

2- moles that might be malignant

3- moles that develop an infection, usually due to a folliculitis (infection of a hair follicle)

3- moles that worry you, so that you must keep coming back for checks.

4- moles that you do not like the look of.

These are all good reasons but check with your insurance company, if you expect reimbursement. They may not consider the reason in their opinion to be medical.

If you have many moles or have had other melanomas or suspicious moles, you may need a general mole check by your dermatologist. You may be recommended to undergo mole mapping. If you have one suspicious mole, you are at risk of having others. Then if you just have very many moles they should be checked regularly. It is said that if you have 11 or more moles of the forearm or 100 overall, then you need regular checks.

Skin cancer is one of the most common cancers in the UK but the good news is that if the signs and symptoms are spotted early it will be much easier to treat. If you have moles on your face and body, it’s a good idea to keep a check on them and monitor any changes for your own peace of mind. At Cadogan Cosmetics we have some of the best dermatologists and plastic surgeons in the country as well as our mole mapping system, rapid diagnostic services including 24-hour histology results and our “see and treat” service for mole removal.

Most people have moles which remain perfectly fine throughout their lifetime but if you notice signs that a mole has changed in any way, it is wise to have it checked by a dermatologist or doctor during a mole check to make sure it is not cancerous. This kind of skin cancer includes melanomas, basal cell carcinomas, and squamous cell carcinomas. Moles can also be precancerous lesions, changes that are not
cancer but could become cancer over time. The good news is that skin cancer can be cured if it’s found and treated early. Contact the Mole Clinic at Cadogan Clinic for more information.

Bleeding moles can occur when they have been irritated or scratched – moles catching on clothing, being cut by a razor, makeup application, scratching an insect bite and hair removal are all very common triggers. However, a more serious concern for a bleeding mole is skin cancer.
There are definite signs that a mole could be a melanoma and individuals should seek immediate advice from a dermatologist. If you have a new mole or a change in your moles such as bleeding, changes in shape, size or colour, itchy or painful moles- it's imperative that you seek medical advice at the earliest possible stage.

Consumers should be vigilant in having moles checked annually or as advised by your dermatologist if you have a history of previously abnormal naevi (moles) or skin cancer. An early diagnosis is crucial in managing this potentially life-threatening disease; skin cancer which is detected and removed early is almost always curable. Just the tiniest of change in a mole is a sign to visit your dermatologist for a Mole Check.
The Cadogan Clinic offers a revolutionary Mole Package service which includes a mole and lesion check, removal and rapid histology results and advice. With a team of industry-leading consultants using the most cutting-edge techniques at the state-of-the-art facility, Cadogan Clinic's Mole Check is the only service of its kind to be approved by the British Skin Foundation.

The most effective way of monitoring moles at home is by regularly following the ABCDE rule. This is an excellent way of supporting annual mole checks with a medical professional. If you notice any of the signs below you should immediately seek medical advice.

A – Asymmetry Where one half of the mole does not match the other
B – Border Check the outline of your mole – a melanoma may have edges that are ragged, notched, blurred or irregular, plus the pigment may have spread into surrounding skin.
- Colour Is the colour uneven? You might see shades of black, brown and tan, or areas of white grey, red, pink or blue
- Diameter – Do you see a change in the size of your mole? Has it increased? Typically, melanomas are at least 6mm in diameter – (same size as the end of a pencil)
E – Evolving – Does the mole look different from the others and / or is changing in size, colour or shape?

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