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Cancer Information

Signs and Symptoms

  • A change in the size, shape, color, or feel of an existing mole. An asymmetrical mole with irregular borders and different color that is increasing in size (larger than 5 mm) should arouse suspicion.

  •  Melanoma may also appear as a new mole that might be abnormal looking.

  • Itching and scaling over an existing mole might be an early sign of melanoma.

  • In later stages the mole might become hard, lumpy and sometimes may bleed or ooze.

Stages of Melanoma

The following stages are used for melanoma:

Stage 0: In stage 0, the melanoma cells are found only in the outer layer of skin cells and have not invaded deeper tissues. 

Stage I: Melanoma in stage I is no more than 1 millimeter thick. The outer layer (epidermis) of skin may appear scraped (ulceration). Or, the tumor is between 1 and 2 millimeters thick but there is no ulceration. The melanoma cells have not spread to nearby lymph nodes. 

Stage II: The tumor is at least 1 millimeter thick. The tumor is between 1 and 2 millimeters thick with ulceration. Or, the thickness of the tumor is more than 2 millimeters. There may be ulceration. The melanoma cells have not spread to nearby lymph nodes. 

Stage III: The melanoma cells have spread to nearby tissues but not to lymph nodes or the melanoma cells have spread to one or more nearby lymph nodes. 

Stage IV: The melanoma cells spread to other organs (distant metastasis), to lymph nodes, or to skin areas far away from the original tumor.