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ABCDE OF MELANOMA

acrostic

/ˌeɪ.biː.siː.diːˈiː/

Dermatology

Definition

1.The warning signs of a malignant melanoma.

Expansion

  1. AAsymmetry one half unlike the other
  2. BBorder irregular, ragged or blurred edge
  3. CColour more than one shade
  4. DDiameter greater than 6 mm
  5. EEvolving changing in size, shape or symptom

Notes

A simple screen for a worrying pigmented lesion. In the UK the 7-point checklist is also used, but ABCDE is the universal first pass. Evolution — a mole that is changing — is often the most telling feature and warrants referral.

Remember melanoma can be amelanotic (pink, not brown), so a changing lesion that breaks the pattern deserves suspicion regardless of colour.

Origin

The first five letters of the alphabet, drilled into every skin check.