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Skin Health

What the Guidance Really Says About Skin Cancer Signs

Melanoma found early is usually curable by simple excision, and found late it is not, which makes recognition the whole game.

Sofia Lindqvist, MPH Public health writer 3 min read 1 views
What the Guidance Really Says About Skin Cancer Signs

Key takeaways

  • ABCDE: Asymmetry, Border, Colour, Diameter, Evolving
  • Most important single feature: change over weeks or months
  • Most useful single change: Check your skin periodically and ask someone to check your back.
  • Commonest mistake: Waiting to see whether a changing lesion settles.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

What it is

The changes in moles and skin lesions that warrant assessment. It sits within Skin Health. Below are the published figures, in one place.

The numbers, in one place

Published figures for Skin Cancer Signs
MeasureFigure
ABCDEAsymmetry, Border, Colour, Diameter, Evolving
Most important single featurechange over weeks or months
Non-melanoma signsa sore that does not heal in 4 weeks, a scaly or pearly patch
Highest riskfair skin, many moles, sunburn history, family history

What helps

Here is what the evidence supports doing. Some of it will already be familiar.

  • Check your skin periodically and ask someone to check your back
  • Photograph anything you are unsure about to compare later
  • See a GP about change rather than appearance alone
  • Protect skin from UV; prevention remains the largest lever

What to avoid

Things that seem reasonable and are not.

  • Waiting to see whether a changing lesion settles
  • Assuming a lesion is fine because it does not hurt
  • Relying on apps to decide whether a mole needs checking

Where to go next

When to speak to a doctor

See a GP promptly about any mole that is changing in size, shape or colour, has an irregular or blurred edge, contains more than one colour, is larger than 6mm, or is itching, bleeding, crusting or inflamed. Also report any sore, lump or scaly patch that has not healed within four weeks.

Where this comes from

  • NICE — Suspected cancer: recognition and referral
  • NHS — Melanoma skin cancer

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Sofia Lindqvist

Public-health writer with a background in infectious disease communication. Her rule for this section: if a claim cannot be traced to a named guideline, it does not get published.

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