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Thursday, September 11, 2025

How to detect melanoma early using ABCDE guidelines

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Tracy Michaels Board Chair | Official Website

Tracy Michaels Board Chair | Official Website

The first Monday in May marks Melanoma Monday, initiating Skin Cancer Awareness Month. Established by the American Academy of Dermatology (AAD) in 1995, this initiative encourages individuals to examine their skin for signs of melanoma, a dangerous form of skin cancer.

Melanoma originates from the uncontrolled growth of melanocytes, the cells responsible for skin pigmentation. The American Cancer Society (ACS) emphasizes melanoma's danger due to its potential to spread rapidly throughout the body. While some types can spread within weeks, others may take years to develop.

Patrick Kehoe, MD, a board-certified dermatologist at Aspirus Health, notes that “melanoma doesn't discriminate, but individuals with lighter or less pigmented skin face a higher risk.” He identifies long-term sun exposure as the most avoidable risk factor. Ultraviolet (UV) light from both the sun and tanning beds can cause mutations in skin cells that may lead to melanoma.

Dr. Kehoe advises monitoring new or changing moles and spots that grow quickly or alter existing marks on the skin. Detecting melanoma early significantly reduces the risk of it spreading to other parts of the body.

To aid early detection and protect oneself and loved ones from melanoma, Dr. Kehoe recommends following the ABCDE guide:

- A – Asymmetry: One half of a mole does not match the other.

- B – Border: Edges are uneven, blurred, or notched.

- C – Color: The mole has multiple colors such as black, blue, white, or gray.

- D – Diameter: Larger than a pencil eraser.

- E – Evolving: Changes in size, shape, or color over time.

Dr. Kehoe further advises that "preventing melanoma effectively means protecting your skin from solar radiation." He advocates using sunscreen with at least SPF 30 for broad-spectrum protection and reapplying every two hours or more frequently after swimming or sweating. Sun-protective clothing is also recommended.

Early detection is crucial for saving lives. If suspicious changes occur on your skin, scheduling an appointment with a board-certified dermatologist is advised through aspirus.org.

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