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Published on: 2/19/2026
Skin spots can change for normal reasons, but rapid or evolving changes can signal skin cancer; use the ABCDE rule and the ugly duckling sign, and watch for growth, new colors, itching, crusting, or bleeding. Recommended next steps are to photograph and track the spot, perform a monthly full skin self-check, consider a structured online assessment, and book a timely visit with a primary care clinician or dermatologist for any concerning signs, because early detection improves outcomes. There are several factors to consider, including personal risk and when to seek urgent care; see below to understand more.
Noticing that a spot on your skin looks different can be unsettling. Maybe a mole seems larger than it used to be. Maybe the color has changed. Or perhaps a new spot has appeared out of nowhere.
Skin changes are common. Many are harmless. But some changes can be early signs of skin cancer, and recognizing those changes early can make a life-saving difference.
Here's what you need to know — clearly, calmly, and based on credible medical guidance.
Yes, your skin naturally changes over time.
As you age, it's normal to develop:
Hormones, sun exposure, pregnancy, and genetics all affect your skin.
However, rapid or noticeable changes — especially in an existing mole — deserve attention.
Medical professionals often use the ABCDE rule to evaluate moles for possible skin cancer, particularly melanoma (the most serious form of skin cancer).
The "E" for evolving is especially important. A mole that is growing, darkening, crusting, itching, or bleeding should be checked.
A growing mole does not automatically mean skin cancer. Many benign (non-cancerous) moles enlarge slowly over time.
But growth can be a warning sign, especially if:
Melanoma can grow quickly. Other types of skin cancer — such as basal cell carcinoma and squamous cell carcinoma — may grow more slowly but still require treatment.
Early detection dramatically improves outcomes. When melanoma is caught early, it is highly treatable.
Understanding the basics can help you stay informed without unnecessary fear.
All three benefit from early medical evaluation.
You are at higher risk if you:
That said, anyone can develop skin cancer, regardless of skin tone.
If a mole is changing, don't panic — but don't ignore it.
Here are medically recommended next steps:
Tracking changes helps both you and your doctor.
Once a month, check:
Look for spots that stand out as the "ugly duckling" — a mole that looks different from the others.
If you're concerned about a mole that's increasing in size, use this free growing mole symptom checker to get personalized guidance on how urgently you should seek medical care and what might be causing the change.
If the mole:
You should make an appointment with a primary care physician or dermatologist.
If something looks highly suspicious, seek medical care promptly.
Many people delay appointments because they fear the unknown. Here's what typically happens:
A biopsy is usually quick and done with local numbing medicine.
If it's not skin cancer, you'll have peace of mind.
If it is skin cancer, early treatment often leads to excellent outcomes.
Seek prompt evaluation if a mole or spot:
These signs don't always mean cancer — but they warrant professional assessment.
If you believe something could be serious or life threatening, speak to a doctor immediately.
While not all skin cancer is preventable, you can reduce risk:
Prevention and early detection work together.
It's important not to ignore changing skin — but it's equally important not to assume the worst.
Most skin spots are benign.
Many growing moles are harmless.
But skin cancer is common, and early detection saves lives.
The key is simple:
If a spot on your skin is morphing — changing size, color, shape, or sensation — pay attention.
Use the ABCDE guide.
Track changes with photos.
Consider using a growing mole symptom checker to understand whether your symptoms need immediate attention or can wait for a routine appointment.
And most importantly, speak to a doctor about any skin change that could be serious.
When it comes to skin cancer, early action is not overreacting — it's smart, preventive care.
Your skin tells a story. If something seems different, it's worth listening.
(References)
* Swetter SM, et al. Guidelines of care for the management of primary cutaneous melanoma: 2023 update. J Am Acad Dermatol. 2023 Dec;89(6):1037-1051. PMID: 37579624. doi: 10.1016/j.jaad.2023.07.025.
* Rigel DS, et al. Skin Cancer Screening: An Updated Review. J Am Acad Dermatol. 2021 Apr;84(4):1127-1136. PMID: 33166687. doi: 10.1016/j.jaad.2020.10.082.
* Malvehy J, et al. Dermoscopy: an update. Br J Dermatol. 2022 May;186 Suppl 1:19-27. PMID: 35502931. doi: 10.1111/bjd.21045.
* Madani S, et al. Nonmelanoma skin cancer: an update on epidemiology, risk factors, and treatment options. Dermatol Ther (Heidelb). 2021 Apr;11(2):335-349. PMID: 33595679. doi: 10.1007/s13555-021-00494-1.
* Alibhai Z, et al. Dysplastic nevus syndrome: current challenges and future directions. Am J Clin Dermatol. 2023 Aug;24(4):531-541. PMID: 37247293. doi: 10.1007/s40257-023-00787-z.
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