Small, but irregular, black and brown pigment is a sign of a melanoma, a serious skin cancer.  Any new pigmented, itching, bleeding, or changing moles should be checked by your doctor. This melanoma has a classic blue-black color. Black, multi-colored, asymmetric, or irregularly shaped lesions all need to be checked by a dermatologist or doctor skilled in looking at moles. This image displays a multi-colored (including black) lesion with an irregular shape and scalloped borders typical of melanoma. This image displays a brown, blue-gray, and pink lesion with an irregular border typical of early melanoma. This melanoma started as a flat, irregular dark spot but has developed a raised, crusted area. This image displays a melanoma with a white and pink center, a darker black-brown area, and pink and brown c-shaped tumor on the left side of the lesion. This image displays a round, bleeding melanoma that has a small "satellite" tumor underneath it. This image displays a melanoma with irregular borders surrounded by many other benign growths, which are much smaller and have regular, circular borders. This image displays a darkly pigmented lesion typical of melanoma. This image displays an almost black melanoma found in between the toes. This melanoma has multiple dark colors, an asymmetrical shape, and a very irregular border typical of melanoma. This image displays a lesion with an irregular edge and multiple colors--white, pink, pink-brown, and flecks of blue-black--typical of melanoma. When a melanoma involves the fingernail, the cuticle often has the discoloration as well as the nail plate.
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Picture of Melanoma: Small, but irregular, black and brown pigment is a sign of a melanoma, a serious skin cancer.  Any new pigmented, itching, bleeding, or changing moles should be checked by your doctor. Divider line
Small, but irregular, black and brown pigment is a sign of a melanoma, a serious skin cancer. Any new pigmented, itching, bleeding, or changing moles should be checked by your doctor.
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Treatments Your Physician May Prescribe
  • You will probably need to have surgical removal (excision) of the melanoma. 
  • Depending on how deep the tumor has grown, examination of the lymph nodes that might contain melanoma cells (sentinel lymph node biopsy) may be recommended. If these lymph nodes contain melanoma cells, you may need to have other lymph nodes examined. Some people may also require chemotherapy.
  • Researchers are now testing medications containing antibodies (vaccines) as a way to treat melanoma. No vaccine has yet been shown to be effective in improving melanoma survival.
Last Modified: 3 Mar 2008
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