Is it a Just Mole or Cancer? Why it’s Good to Be Cautious
Melanoma is one of the most common forms of cancer in young adults. Although it is easily treated if caught early, it can be life-threatening if diagnosed at later stages. Melanoma can arise from a mole or can develop on normal skin as a pigmented area. The best way to protect yourself is to examine your skin and watch for any new pigmented spots or moles that are changing. If you have a concern, you should see your family doctor or dermatologist. We can help you determine what to look for to determine when you need to have a spot professionally examined.
What is a Mole?
Also known as a nevus or nevi (plural), a mole forms when pigmented skin cells called melanocytes make a cluster. They are genetically determined and appear during childhood when the skin is exposed to UV rays. The melanocytes cluster and produce melanin from harmful UV rays, which results in a mole. Moles can appear in many colors, such as brown, tan, black, pink, red, and even blue. They can be flat or raised, with an even border and uniform shape. It’s normal for most people to have up to 40 moles, those with more than 50 are more likely to be predisposed to melanoma.
When a Mole Becomes Melanoma
The UV rays that help form moles in our youth are the same UV rays that can cause a mole to become cancerous. Before a mole can become life-threatening skin cancer, it goes through a few stages. Some moles can grow rapidly; however, most grow very slowly and can take several years, which gives you time to identify and treat melanoma before it becomes malignant.
Stage 0 Melanoma
The cancer is confined to the mole in the upper layer of the skin. This stage of melanoma is also known as “in-situ”.
Stage I Melanoma
The cancer cells have multiplied and are now in the upper layer and second layer of the skin. It is now a localized tumor.
Stage II Melanoma
The cancer cells continue to grow and are now thicker and can look ulcerated.
Stage III Melanoma
The melanoma has now spread to one or more regional lymph nodes.
Stage IV Melanoma
The melanoma has spread beyond the original site to the lymph nodes and other distant areas of the body. Stage IV can also include brain metastasis, where the melanoma has spread to the brain.
To prevent a mole from turning into melanoma, early action is imperative. If a mole needs to be removed, your family doctor or dermatologist can perform a biopsy and check it for signs of cancer. If the results are abnormal, you can discuss additional treatments. Most of the time, it can be as simple as removing the entire mole from the skin.
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Know Your ABCs
Determining if you should have your mole checked out can be as easy as learning your ABCs. If you spot a mole that you think could be cancerous, you can follow the melanoma ABCDE checklist at home to determine if you should schedule an appointment.
Check your mole for the following:
Asymmetry
Non-cancerous moles usually have a uniform shape and symmetry, i.e. you can divide it in half and each half is a mirror image. If a mole is not symmetric, this can be a concern.
Border
Benign moles usually have defined and regular borders. A mole that is irregular should be evaluated.
Color
Moles that develop multiple colors or change color should be looked at.
Diameter
Cancerous lesions are usually larger than benign moles. If your mole is larger than the diameter of a standard pencil eraser (6mm), you might want to get it checked.
Evolving
While non-cancerous moles stay consistent over time, melanomas can change in color, size, and shape. If you notice any changes in a suspicious mole, get it checked out as soon as possible.
If your mole shows any of these signs, you should make an appointment with your doctor or dermatologist. Even if you’re only at the appointment to have a specific mole checked, ask to have your entire skin checked to be safe. While it’s best to be cautious, it’s also good to know that most moles are not cancerous and that a cancerous mole is very treatable. If you have a family history of melanoma, it is best to have a complete skin exam every year.
How to Protect Yourself
Along with doing at-home skin checks with your ABCDEs, there are other ways you can protect yourself and your skin from skin cancer.
- Limit sun exposure, especially during peak sun hours (10 am to 2 pm)
- Avoid tanning beds or other UV light sources
- Wear wide-brimmed hats and UV-blocking sunglasses
- Wear mineral type, non-chemical sunscreen of at least SPF 30
- Look over your skin annually (If you have someone close to you, have them examine your skin.)
Preventative Care for the Best Care
Finding a questionable mole on your body can be concerning, but it’s always best to be cautious. By identifying a precancerous mole early, you could be saving your life. When in doubt, it’s always a good idea to check in with your doctor or dermatologist to ease your mind and protect your skin. At Robinson MD, we emphasize preventative care for cancer and offer treatment for skin cancer and other health concerns. To learn if our practice is right for you, take our Wellness Questionnaire.

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