The characteristics of moles that are msot concerning for melanoma include asymmetry (i.e., irregular shape or borders), bleeding or itching, inconsistent coloring (especially patches of white, red, blue, or very dark black pigmentation within a generally lighter colored mole), increasing size, inconsistent height (some areas more elevated than others), and spread of the mole's pigment (color) into the surrounding skin. Please also note that some melanomas are not pigmented at all (amelanotic melanoma), and these melanomas may be the same color as the surrounding skin.
Basically, if your mole has any of the above features, or appears to be changing in any other way, then it should be biopsied by a dermatologist or surgeon to rule-out melanoma.
Sincerely,
Robert A. Wascher, MD, FACS
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