Melanoma Self-Examination Guide: A Step-by-Step Approach

Learn How to Perform Monthly Skin Checks for Early Melanoma Detection

Dermatology

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Last updated: Mar 24, 2025

Overview

Regular self-examination is crucial for early melanoma detection. This guide will teach you the systematic ABCDE approach to examining your skin.

Required Materials

  • Full-length mirror
  • Hand mirror
  • Bright lighting
  • Hair dryer (optional, for scalp examination)
  • Body mapping chart (optional)

Examination Steps

1. Prepare the Environment

  • Choose a well-lit room
  • Position yourself near the full-length mirror
  • Have your hand mirror ready

2. Systematic Body Check

Front Examination

  1. Face and neck
  2. Chest and abdomen
  3. Arms and hands (including between fingers)
  4. Front of legs and feet

Back Examination

  1. Use hand mirror to check:
    • Back of neck
    • Upper and lower back
    • Buttocks
    • Back of legs

Detailed Areas

  • Scalp (use hair dryer to part hair)
  • Behind ears
  • Under breasts
  • Between toes
  • Soles of feet

The ABCDE Rule

  • Asymmetry: One half unlike the other
  • Border: Irregular or poorly defined edges
  • Color: Varying shades of brown, tan, or black
  • Diameter: Larger than 6mm (pencil eraser size)
  • Evolving: Changing in size, shape, or color

Documentation

  • Note date of examination
  • Record location and appearance of concerning spots
  • Take photos if possible

When to Seek Medical Attention

  • Any new spots meeting ABCDE criteria
  • Changes in existing moles
  • Spots that itch, bleed, or don't heal

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