The ABCDEs of Melanoma Detection

Melanoma is the most serious type of skin cancer, but when detected early, the survival rate exceeds 99%. Israel has one of the highest melanoma rates globally due to its high UV index, making regular self-examinations essential.

The ABCDE Rule

A - Asymmetry: One half of the mole doesn't match the other half.

B - Border: The borders are irregular, ragged, blurred, or notched.

C - Color: The color is not uniform and may include shades of brown, black, pink, red, white, or blue.

D - Diameter: The spot is larger than 6mm (about the size of a pencil eraser), although melanomas can sometimes be smaller.

E - Evolving: The mole is changing in size, shape, color, or elevation, or new symptoms appear such as bleeding, itching, or crusting.

“The ABCDE rule is a simple framework that saves lives. I encourage every patient to perform monthly self-examinations and to trust their instincts when something on their skin looks different.”

When to See a Dermatologist

Schedule an appointment if you notice any mole that meets one or more of the ABCDE criteria, a new mole appearing after age 30, or any skin lesion that bleeds, itches, or won't heal. If you're at higher risk (fair skin, history of sunburns, family history of melanoma), annual full-body skin exams are recommended.

Prevention in Israel

Given Israel's intense sun exposure, daily sunscreen (SPF 30+), protective clothing, and avoiding peak UV hours (10 AM - 4 PM) are essential prevention strategies.