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Small dark moles are sprouting up on my shoulders and arms. I've never had them before. Are these a bad sign?
Nov. 20, 2000 -- Not necessarily, although it's difficult to say without actually seeing your spots. I recommend that you visit your health care professional for an accurate diagnosis. Mole-like spots can appear on your skin at any age, and while many of these spots may be harmless, you should keep an eye out for signs of cancer.
How do you separate harmless moles from potentially cancerous ones? Check for the ABCDEs:
A is for asymmetry. This means that if you divide the mole in half, the two parts do not match. Asymmetry may be a sign of cancer.
B is for border. Irregular edges that are ragged or notched may be a suspicious sign.
C is for color. Uneven or multiple colors that may vary from brown, black, and pink to red, white, and blue can signal melanoma, a type of skin cancer that can be deadly.
D is for diameter. A mole may be abnormal if it is bigger than a pencil eraser.
E is for elevation. A raised or uneven mole can be a sign of skin cancer.
If a skin marking has any of the characteristics listed above, your doctor should evaluate it as soon as possible.
Also look for other warning signs of skin cancer, including a mole that appears to be new or growing; changes in appearance or texture; itches, hurts, or feels different than usual; or is crusted, swollen, red, or irritated.
While skin cancer can occur at any time in life, another possibility is that your spots may be related to age. Harmless, rough, waxy brown or black spots, called seborrheic keratoses, may start appearing on your skin just before midlife and become increasingly prevalent with age. Flat, brown spots that form after years of sun exposure -- age spots, also called solar lentigines -- are common in adults who have tanned or spent a lot of time outdoors.
No matter what has caused your spots, the best way to detect any changes in your skin is to give yourself a monthly skin self-exam and to see your health care professional regularly for a thorough skin exam. According to the American Cancer Society, these exams should be done every three years between the ages of 20 to 39 and yearly starting at age 40. You may need more frequent exams if you've had skin cancer in the past. And, of course, promptly contact your doctor's office anytime you detect a growth that looks suspicious or worries you.
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