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How do I know if a mole is dangerous?

Use the ABCDE check to judge a mole. A is asymmetry. B is an irregular border. C is color that varies within one mole. D is a diameter beyond a pencil eraser. E is evolving, meaning any change in size, shape or color, or new itching and bleeding.

The strongest single signal is change. A mole that looks different from its neighbors, the ugly duckling, earns attention even if it fails the other letters.

Any evolving or bleeding mole should be examined promptly; caught early, melanoma is highly curable. Photograph suspicious spots monthly with a coin for scale so change becomes visible instead of debatable.

Source: American Academy of Dermatology, the ABCDEs of melanoma

See a doctor promptly if

  • A mole or spot that is changing in size, shape or color over weeks to months
  • A lesion that bleeds, crusts, itches persistently or does not heal within four weeks
  • A new pigmented streak under a nail, or a dark spot on the palm, sole or inside the mouth
  • A firm growing lump in the skin, or a new lump under the arm or in the groin alongside a changing mole

Answered by the AskDoc Medical Team · Medically reviewed under our Medical Director, MBBS · How we review

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