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Melanoma is a form of aggressive skin cancer half of which develop from an existing mole and half of which start from a normal area of the skin. It can be difficult to distinguish between a normal mole and a melanoma however there are differences in the ADCDE List below:-

• Asymmetry - melanomas are irregular
• Border - melanomas have irregular borders
• Colour - melanomas have more than one colour
• Diameter - melanomas are usually greater than 7mm diameter
• Evolving - melanomas change over time

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Diagnosis

Diagnosis of melanoma is carried out by a skin cancer specialist in a hospital following referral by a doctor. Failure to refer by a doctor may be misdiagnosis which is medical negligence. The specialist will make a visual examination and may use a dermatoscope prior to removal of the whole mole for biopsy. Confirmation of melanoma should be followed up by further examination and tests.

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