The dermatologist or the cosmetician: to what doctor to address in occasion of rodinok?
Conversion of normal skin cells into melanocytes is due to the accumulation in them of the dark pigment melanin, which protects the skin from UFO. And when blood vessels grow on a limited area of the dermis, birthmarks of red color, called vascular nevi, appear.
Despite the high prevalence of moles, ICD-10 refers to congenital anomalies, deformities and chromosomal abnormalities (a combined class of XVII diseases) and are included in the category Q82.5 - Congenital non-neoplastic naevus, that is, a congenital non-neoplastic nevus. Obviously, this is due to the fact that melanogenesis and the process of skin pigmentation are regulated by genes. At the same time, skin pigmentation disorders, including pigment spots, are excluded from this category and belong to class L (skin and subcutaneous tissue diseases).
To understand all this, to examine the patient (including using a dermatoscope) and determine the type of mole and its structure can only dermatologist - the chief doctor by birthmarks.
And now it is necessary to clarify that dermatology, as well as dermatocosmetology and medical cosmetology, based on dermatology, are treating patients, and dermatologists work here. While the task of aesthetic cosmetology is to improve the appearance through proper skin care with the help of various cosmetics and some procedures. And here people often work without medical education, serving not patients, but clients.
Problems related to moles, in the first place, are health problems, as nevi can be damaged as a result of various factors and degenerate into melanoma - skin cancer, which oncologists are engaged in. According to the American National Cancer Institute (NCI), up to 25% of malignant melanomas develop specifically from the available nevi (in particular, pigmented nevuses consisting of melanocytes).
By the way, as noted by dermatologists, melanocytes in moles are a kind of evolution, and almost all pigment nevi - both congenital and acquired - change over time. This concerns the size and shape of moles (from a flat patch to a papule that is elevated above the surface of the skin), as well as their color. And only a dermatologist can distinguish a normal process from a pathological process. Therefore, the answer to the question of which doctor to apply for moles, has a unique answer: to the dermatologist!
And the doctor for the removal of moles is also a dermatologist who specializes in skin surgery and owns all methods of removing moles (from a scalpel to a laser and radiosurgery). It should be borne in mind that when removing a birthmark, its histological examination is mandatory.