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. 2012 Jul 31;2(3):0203a06. doi: 10.5826/dpc.0203a06

TABLE 1.

ABCD-rule. The ABCD criteria were intended as a simple tool to alertnondermatologists to the clinical features of melanoma. The criteria were not meant toprovide a comprehensive list of all melanoma characteristics.

A Asymmetry Benign nevi are symmetric, their shape is round or oval. In contrast, cutaneous melanomas grow faster in several areas and are consequently asymmetric.
B Border irregularity Common nevi are bounded regularly to normal skin, whereas cutaneous melanomas often exhibit ragged and dull margins.
C Color variegation Benign nevi usually show homogeneous brown shade of color, whereas cutaneous melanomas exhibit different colors like black, brown, red or slate blue.
D Diameter > 6 mm After a growth period in infancy and adolescence, common nevi remain stable in size, whereas melanomas often grow rapidly. A diameter more than 6 mm is considered to be suspicious.