{"id":1568,"date":"2023-10-23T09:41:31","date_gmt":"2023-10-23T09:41:31","guid":{"rendered":"https:\/\/blog.skincancer.org\/?p=537"},"modified":"2023-10-23T18:53:36","modified_gmt":"2023-10-23T18:53:36","slug":"more-than-moles-melanoma","status":"publish","type":"post","link":"https:\/\/www.skincancer.org\/blog\/more-than-moles-melanoma\/","title":{"rendered":"More Than Moles: When Melanoma Doesn\u2019t Look Like You Think It Should","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

You\u2019re diligently checking your skin<\/a> for new or changing moles when you see it: a large, multicolored spot with a jagged border. It\u2019s a textbook example of an atypical mole, exhibiting several of the ABCDE signs<\/a> of melanoma. The next steps are obvious: Call your dermatologist and make an appointment to get it checked<\/a>.<\/p>\n

But what if the spot doesn\u2019t look like the images of skin cancer<\/a> you\u2019ve seen? Sometimes identifying a potential skin cancer isn\u2019t so straightforward. Skin cancer comes in many forms, and tumors don\u2019t always display the most well-known characteristics of the disease. To simplify the process, here are three things to look for: If you see anything new, changing or unusual<\/a><\/strong> on your skin, get it checked by a dermatologist as soon as possible.<\/p>\n

Beyond the ABCDEs<\/strong><\/h3>\n

When determining whether a particular mole is concerning, the ABCDE acronym<\/a>, which stands for A<\/u>symmetry, B<\/u>order irregularity, C<\/u>olor variations, D<\/u>iameter over 6 mm (about \u00bc\u201d) or D<\/span>ark and E<\/u>volution or change, is a powerful tool. Knowing what each of the letters stands for and learning to recognize these warning signs<\/a> is a great first step in making sure that your self-exams are productive. But relying solely on the ABCDEs isn\u2019t the best self-exam strategy.<\/p>\n

\u201cYou could miss something,\u201d says Darrick Antell, MD<\/a>, a board-certified plastic and reconstructive surgeon practicing in New York. \u201cThat can be a dangerous mistake.\u201d<\/p>\n

The ABCDEs are meant to help identify only melanomas<\/a>, not any of the other types of skin cancer, and even so, some melanomas can\u2019t be recognized with the ABCDEs.<\/p>\n

For instance, subungual melanomas<\/a>\u00a0start as a brown or black streak under a fingernail or a toenail, but often increase in size. Amelanotic melanomas<\/a> are missing the dark pigment melanin, which gives most moles their color. They can appear pinkish, white, red, or even essentially clear.<\/p>\n

\u201cI had a patient who had an amelanotic melanoma,\u201d Dr. Antell says. \u201cSome people aren\u2019t even aware they exist. It was just a little white spot.\u201d<\/p>\n

Dr. Antell says his patient was insistent that the spot, which had appeared on his chest, was new. Dr. Antell performed a biopsy of the area \u2014 \u201cwhen in doubt, cut it out\u201d \u2014 and both he and his patient were surprised to learn it was melanoma. The spot didn\u2019t look like a typical cancerous lesion, but it proved dangerous nonetheless.<\/p>\n

When One Mole Doesn’t Look Like the Others<\/strong><\/h3>\n

One early recognition strategy that goes beyond the ABCDEs is the Ugly Duckling<\/a> concept. Generally, moles on one individual tend to resemble each other. A mole that looks significantly different than others on the body \u2014 whether it fits the ABCDEs or looks suspicious in some other way \u2014 should be considered a worrisome outlier. For example, if a person has many large, dark moles and comes across a smaller reddish mole, they should take care to get that spot evaluated.<\/p>\n

Finally, some forms of skin cancer show up in lesions that aren\u2019t even considered moles. Basal cell carcinoma<\/a>, the most common form of skin cancer, may occur in a shiny bump of almost any color\u2014 including seemingly nonthreatening hues like pearly white, clear, and pink. Squamous cell carcinoma<\/a> sometimes appears as a crusty patch or bleeding, open sore.<\/p>\n

Dr. Antell says the most important thing to consider when evaluating a spot on the skin is evolution, even if the area doesn\u2019t display other typically troublesome characteristics. His patient with amelanotic melanoma trusted his feeling that the spot hadn\u2019t been there before. He made an appointment to get it looked at, and it most likely saved his life.<\/p>\n

\u201cIf it\u2019s new, changing size or shape, or bleeding, don\u2019t ignore it,\u201d he says. \u201cWhen in doubt, get it looked at by a professional.\u201d<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

Sometimes identifying a potential skin cancer isn\u2019t so straightforward. Skin cancer comes in many forms, and tumors don\u2019t always display the most well-known characteristics of the disease.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":3,"featured_media":1758,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[10],"tags":[9,3310],"class_list":["post-1568","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-cancer-information","tag-melanoma","tag-moles"],"acf":[],"yoast_head":"\nMore Than Moles: When Melanoma Doesn\u2019t Look Like You Think It Should - The Skin Cancer Foundation<\/title>\n<meta name=\"description\" content=\"Melanoma comes in many forms and does not always display the classic warning signs. 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