Signs of Melanoma

Look for A, B, C, D, E

What does melanoma look like?

Melanomas usually look like a mole with a shape that is "asymmetrical" (not the same on both sides). They usually have uneven borders or edges and patchy coloring, and they measure more than ¼ inch across.

It is important to know the difference between an ordinary, harmless mole and a mole that can grow into melanoma. An ordinary mole is usually an even-colored brown, tan, or black spot on the skin. It can be either flat or raised, round or oval. Ordinary moles are generally smaller than a pencil eraser. They may be present at birth or appear during childhood or adulthood. Several moles may appear on the skin at the same time, especially on areas of the skin that receive a lot of sunlight. Most people have from 10 to 40 harmless moles. These ordinary moles usually stay the same size, shape, and color for many years.

Moles that develop into melanoma tend to look different from ordinary moles. They have certain unusual features and they often change in size, shape, or color.

A good way to remember what to look for is "ABCDE."

Asymmetry

Melanomas are generally asymmetric, meaning that one side of the mole looks different from the other. Ordinary moles are usually symmetric, either round or oval.
Melanoma asymmetry

Borders

Melanomas have uneven borders (edges) that are ragged, notched, or blurred. Ordinary moles have even borders.
Melanoma borders

Color

Melanomas have uneven coloring. They may have patchy areas of brown, blue, red, tan, white, gray, or pink. Ordinary moles are usually an even shade of brown or tan.
Melanoma color

Diameter

Melanomas are usually more than ¼ inch in diameter (about the size of a pencil eraser) but some may be smaller than this size. Ordinary moles are usually smaller and stay the same size and shape.
Melanoma diameter

Evolution

Melanomas usually change in size, shape, or color over a short period of time. Ordinary moles stay the same size, shape, and color for many years.
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Moles versus Melanoma

Ordinary Moles

Melanoma

Both sides of the mole look the same One side of mole does not match the other (asymmetric)
Regular, defined borders Ragged or irregular borders
Same color throughout Uneven coloring
Measures less than ¼ inch across (size of a pencil eraser) Measures more than ¼ inch across
Stays the same size, shape, and color Changes in shape, size, or color

How do you find moles that may pose a risk?

The best way to find suspicious moles on your body is to do a skin self-examination. Click here (PDF) (En Espanol [PDF]) to print out a skin self-examination guide. Then visit your doctor if you have any concerns at all.

Melanoma
A highly malignant type of skin cancer that arises in melanocytes, the cells that produce pigment. Melanoma usually begins in a mole.
Mole
A cluster of melanocytes and surrounding supportive tissue that usually appears as a tan, brown, or flesh-colored spot on the skin.

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