Melanoma: What If You Don't See ABCDE Symptoms?

Melanoma can still occur even in the absence of the ABCDE symptoms?

Hello, Doctor.
I would like to ask you about melanoma.
I have researched the symptoms online, and if there are no ABCDE symptoms, is it generally considered harmless? I have a spot on my wrist that I noticed has the E (Elevation) characteristic.
Changes in appearance: if a mole's size, color, or shape changes, or if there are symptoms like pain, itching, or bleeding, one should be more alert.
I felt some itching last week, but it has since subsided.
Now, there is a little bit of peeling.
Should I see a dermatologist for evaluation? Thank you, Doctor.

Hua, 20~29 year old female. Ask Date: 2023/07/19

Dr. Wu Yuxin reply Dermatology

If you have any concerns, it is best to seek medical attention and have a professional physician evaluate you.

Reply Date: 2023/07/19

More Info

Hello! Thank you for your question regarding melanoma and the ABCDE symptoms. It's great that you're being proactive about your skin health. The ABCDE rule is a helpful guideline for identifying potential melanoma, which stands for Asymmetry, Border irregularity, Color variation, Diameter greater than 6mm, and Evolving changes. However, it's important to note that not all melanomas will exhibit these characteristics, and some may present in atypical ways.

If you have a mole or spot on your skin that is elevated (E for Elevation) and you've noticed changes in its appearance, it's wise to be cautious. The presence of itching, peeling, or any other changes can be significant. While not all changes indicate cancer, they can be signs of other skin conditions that may require attention.
Even if your mole does not exhibit the classic ABCDE signs, it does not mean it is harmless. Melanoma can sometimes develop in areas that appear normal or in existing moles that do not fit the typical criteria. Therefore, if you notice any changes, such as itching, peeling, or discomfort, it is advisable to consult a dermatologist for a professional evaluation.
A dermatologist can perform a thorough examination and, if necessary, a biopsy to determine whether the mole is benign or if further action is needed. Early detection is crucial in the management of melanoma, as it can significantly improve treatment outcomes.
In summary, while the absence of ABCDE symptoms may suggest a lower risk, it does not guarantee that a mole is harmless. Given your recent symptoms of itching and peeling, it would be prudent to schedule an appointment with a dermatologist. They can provide a comprehensive assessment and peace of mind regarding your skin health. Remember, it's always better to be safe and have any concerns evaluated by a professional. Thank you for reaching out, and I wish you the best in your health journey!

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