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. |