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Funny Moles and
Malignant Melanoma
This information leaflet is designed to give general advice
and guidance.
It is not intended as a substitute for proper medical advice,
and if you have a medical problem you should consult your
own doctor.
What is a malignant melanoma?
What causes it?
How common is it?
Who gets it?
What are the symptoms?
When should I see my doctor?
When does a mole need checking?
Photos of malignant melanoma
What tests will my doctor want to do?
What is the treatment?
How can I prevent a malignant melanoma?
What is a malignant melanoma?
This is a type of skin cancer. The cancer is due to abnormal
growth and spread of melanocytes in the skin.
Melanocytes are a type of skin cell and are responsible
for producing brown pigment when exposed to the sun. It
is this brown pigment which gives us a 'sun tan'. Groups
of melanocytes often form coloured lumps, called moles ,
in the skin. Ordinary moles are quite harmless. However,
occasionally, the cells in a mole can become cancerous and
start to grow and spread. This cancer is called a malignant
melanoma.
As the cancer grows, some of the cancer cells can spread
to other areas of the body. If not treated early, the liver,
lungs, brain, abdomen, and other parts of the body, can
become invaded by cancer cells.
What causes a malignant melanoma?
The main cause of malignant melanomas is exposure of your
skin to strong sunlight. Ultra violet radiation from the
sun, both UVA and UVB rays, can cause skin cells to become
malignant.
How common is it?
In the UK, 1 person in 10,000 will develop malignant melanoma
this year.
The number rises each year.
Who gets it?
Anyone can develop a malignant melanoma. However, some people
are more at risk then others.
Risk factors include -
• being a woman (twice as likely to develop malignant melanoma,
compared to men)
• having fair skin with lots of freckles
• spending time sunbathing, especially in the tropics
• indoor workers with pale skin, who sit out in strong sunlight
during the summer
• episodes of severe sunburn in the past
• having lots of moles on your skin
• other members of your family with skin cancer
Malignant melanomas are very rare before puberty, so children
are very unlikely to develop them.
They are rare in people with dark skin. However, people
with black or brown skin can develop malignant melanomas,
sometimes on the soles of your feet.
What are the symptoms?
You may notice a mole, which you have had for years, suddenly
becoming larger. Or a new mole may suddenly appear and begin
growing unusually quickly.
The mole edge may become irregular, and the colour may darken
and appear uneven. The mole may itch, or feel uncomfortable.
The mole thickens as cancer cells begin to invade the deeper
skin layers. Bleeding and crusting of the mole may occur.
Because malignant melanomas are usually due to too much
sun exposure, the commonest site for a malignant melanoma
to develop is on the legs, if you are a woman. Men are more
likely to have a melanoma on their backs. But, melanomas
can develop anywhere on the body, even on the soles of the
feet, and under finger and toe nails.
Very occasionally, a type of malignant melanoma can develop
which contains no coloured pigment, and is not dark brown
or black.
When should I see my doctor?
You should go and see your doctor if you have any mole or
skin lump that is worrying you. In most cases, your funny
mole will not be cancer at all, and will turn out to be
perfectly normal. However, if you should develop a malignant
melanoma, early diagnosis and removal of the mole is essential.
If in doubt - get it checked.
When does a mole need checking?
Here are some useful guidelines, to help you decide when
a mole may need checking with your doctor.
You should see your doctor if you answer 'YES' to any of
these questions.
1. Has your mole increased in size recently?
2. Has your mole got an irregular edge?
3. Is the colour of your mole uneven or irregular?
You should see your doctor if you answer 'YES' to two or
more of these questions
1. Is your mole more than 7mm in diameter? (larger than
the end of a pencil?)
2. Is your mole looking red and inflamed?
3. Is your mole itching, or does it feel odd in some way?
4. Is your mole bleeding or oozing fluid?
Here is a photo of an ordinary mole.
There is some variation of colour, but there is a regular
pattern to the colour and texture of the mole. The edge
of the mole is sharp and clear.
Here is a photo of a malignant melanoma.
You can see this mole looks odd. It has an irregular edge
and appears to be spreading into the surrounding skin. The
colour is uneven, with one area much darker than the rest.
What tests will my doctor want to do?
If your GP is at all concerned about your mole, he or she
will ask a skin specialist to have a look at it. The skin
specialist will probably advise you to have any odd looking
mole removed. This is usually a quick and painless proceedure
using local anaesthetic.
Once the mole has been removed, it will be examined under
the microscope by a pathologist. The pathologist will be
able to tell you and your doctor whether or not your mole
is a malignant melanoma.
Most funny looking moles turn out to be perfectly normal.
However, a malignant melanoma needs to be removed as early
as possible, before it has a chance to spread. It is important
to get any suspiscious looking moles checked as soon as
you can.
What is the treatment?
Any suspicious mole should be removed under local anaesthetic
as soon as possible, and examined under the microscope by
a pathologist. Most moles removed will turn out to be non
malignant.
If your mole is found to be a malignant melanoma, any further
treatment you receive will depend on how deep the melanoma
has invaded your skin, and whether it has spread to other
areas of your body. If you have a funny looking mole removed,
and it is found to be an early malignant melanoma, then
you may not need any further treatment. However, you may
need to return to surgery for removal of the surrounding
skin or lymph nodes.
If the cancer appears to be spreading, you may need radiotherapy
or chemotherapy. You will be referred to a cancer specialist,
who will advise you on the best treatment in your case.
How can I prevent a malignant melanoma?
Your risk of developing a malignant melanoma is increased
if you have fair skin, sunbathe in strong sunlight, and
get badly sunburnt.
To reduce your risk, you should take the following precautions
• Avoid strong sun, especially between the hours of 11am
and 3pm.
• Do not get sunburnt
1. Slip on a shirt
2. Slap on a hat
3. Slop on the suntan cream (factor 15 or above)
• Build up your tan gradually
• Get any funny looking moles checked by your doctor
Please be especially careful if you are pale with freckles,
or if someone else in your family has skin cancer.
http://web.ukonline.co.uk/
ruth.livingstone/little/melanoma.htm
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