Small, but irregular, black and brown pigment is a sign of a melanoma, a serious skin cancer.  Any new pigmented, itching, bleeding, or changing moles should be checked by your doctor. This melanoma has a classic blue-black color. Black, multi-colored, asymmetric, or irregularly shaped lesions all need to be checked by a dermatologist or doctor skilled in looking at moles. This image displays a multi-colored (including black) lesion with an irregular shape and scalloped borders typical of melanoma. This image displays a brown, blue-gray, and pink lesion with an irregular border typical of early melanoma. This melanoma started as a flat, irregular dark spot but has developed a raised, crusted area. This image displays a melanoma with a white and pink center, a darker black-brown area, and pink and brown c-shaped tumor on the left side of the lesion. This image displays a round, bleeding melanoma that has a small "satellite" tumor underneath it. This image displays a melanoma with irregular borders surrounded by many other benign growths, which are much smaller and have regular, circular borders. This image displays a darkly pigmented lesion typical of melanoma. This image displays an almost black melanoma found in between the toes. This melanoma has multiple dark colors, an asymmetrical shape, and a very irregular border typical of melanoma. This image displays a lesion with an irregular edge and multiple colors--white, pink, pink-brown, and flecks of blue-black--typical of melanoma. When a melanoma involves the fingernail, the cuticle often has the discoloration as well as the nail plate.
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Melanoma  Information for adults

Picture of Melanoma: Small, but irregular, black and brown pigment is a sign of a melanoma, a serious skin cancer.  Any new pigmented, itching, bleeding, or changing moles should be checked by your doctor. Divider line
Small, but irregular, black and brown pigment is a sign of a melanoma, a serious skin cancer. Any new pigmented, itching, bleeding, or changing moles should be checked by your doctor.
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Self-Care Guidelines
Protective measures, such as avoiding skin exposure to sunlight during peak sun hours (10 AM to 3 PM), wearing protective clothing, and applying high-SPF sunscreen, are essential for reducing exposure to harmful ultraviolet (UV) light. These protective measures are especially important in children because 80% of our lifetime exposure to UV light occurs before age 18.

Once a month, you should perform a self-exam to look for signs of skin cancer. It is best to perform the exam in a well-lit area after a shower or bath. Use a full-length mirror with the added assistance of a hand mirror when necessary. Using a hair dryer can help you examine any areas of skin covered by hair, such as your scalp.
  • In front of a full-length mirror, inspect the front of your body, making sure to look at the front of your neck, chest (including under breasts), legs, and genitals.
  • With your arms raised, inspect both sides of your body, making sure to examine your underarms.
  • With your elbows bent, examine the front and back of your arms as well as your elbows, hands, fingers, area between your fingers, and fingernails.
  • Inspect the tops and bottoms of your feet, the area between your toes, and toenails.
  • With your back to the mirror and holding a hand mirror, inspect the back of your body, including the back of your neck, shoulders, legs, and buttocks.
  • Using a hand mirror, examine your scalp and face.
As you perform your monthly self-exam, familiarize yourself with the moles, freckles, and other marks on your body, and look for any changes in them, including shape, size, color, or other changes, such as bleeding or itching.
When to Seek Medical Care
Use the ABCDE checklist described above to help you decide which moles are concerning for melanoma. If you have a mole that you think fits one or more of these descriptions, call your doctor so he or she can thoroughly examine your skin.
Last Modified: 12 Feb 2009