Moles are growths on the skin. They happen when pigment cells in the skin, called melanocytes, grow in clusters. Moles are very common. Most people have between 10 and 40 moles. A person may develop new moles from time to time, usually until about age 40. In older people, they tend to fade away.

Moles are usually pink, tan or brown. They can be flat or raised. They are usually round or oval and no larger than a pencil eraser.

About one out of every ten people has at least one unusual (or atypical) mole that looks different from an ordinary mole. They are called dysplastic nevi. They may be more likely than ordinary moles to develop into melanoma, a type of skin cancer. You should have a health care professional check your moles if they look unusual, grow larger, change in color or outline, or in any other way.

A common mole (nevus) is a small growth on the skin that is usually pink, tan, or brown and has a distinct edge.

A dysplastic nevus is often large and does not have a round or oval shape or a distinct edge. It may have a mixture of pink, tan, or brown shades. People who have many dysplastic nevi have a greater chance than others of developing melanoma, a dangerous form of skin cancer. However, most dysplastic nevi do not turn into melanoma.

If the color, size, shape, or height of a mole changes or if it starts to itch, bleed, or ooze, people should tell their doctor. People should also tell their doctor if they see a new mole that doesn't look like their other moles.

The photos below show the difference between common moles and dysplastic nevi.

Photos of Moles

A common mole is a growth on the skin that develops when pigment cells (melanocytes) grow in clusters. Most adults have between 10 and 40 common moles. These growths are usually found above the waist on areas exposed to the sun. They are seldom found on the scalp, breast, or buttocks.

Although common moles may be present at birth, they usually appear later in childhood. Most people continue to develop new moles until about age 40. In older people, common moles tend to fade away.

Another name for a mole is a nevus. The plural is nevi.

A common mole is usually smaller than about 5 millimeters wide (about 1/4 inch, the width of a pencil eraser). It is round or oval, has a smooth surface with a distinct edge, and is often dome-shaped. A common mole usually has an even color of pink, tan, or brown. People who have dark skin or hair tend to have darker moles than people with fair skin or blonde hair.

Common Mole Photos

This common mole is 1 millimeter in diameter (the width of the tip of a sharpened pencil).

This common mole is 2 millimeters in diameter (the width of the tip of a new crayon).

This common mole is about 5 millimeters in diameter (the width of a new pencil eraser).

This common mole is about 5 millimeters in diameter (the width of a new pencil eraser).

This common mole is about 5 millimeters in diameter (the width of a new pencil eraser).

Yes, but a common mole rarely turns into melanoma, which is the most serious type of skin cancer.

Although common moles are not cancerous, people who have more than 50 common moles have an increased chance of developing melanoma.

People should tell their doctor if they notice any of the following changes in a common mole:

• The color changes.
• The mole gets unevenly smaller or bigger (unlike normal moles in children, which get evenly bigger).
• The mole changes in shape, texture, or height.
• The skin on the surface becomes dry or scaly.
• The mole becomes hard or feels lumpy.
• It starts to itch.
• It bleeds or oozes.

A dysplastic nevus is a type of mole that looks different from a common mole. (Some doctors use the term "atypical mole" to refer to a dysplastic nevus.) A dysplastic nevus may be bigger than a common mole, and its color, surface, and border may be different. It is usually more than 5 millimeters wide (1, 3). A dysplastic nevus can have a mixture of several colors, from pink to dark brown. Usually, it is flat with a smooth, slightly scaly, or pebbly surface, and it has an irregular edge that may fade into the surrounding skin. Some examples of dysplastic nevi are shown here. More examples are on the What Does a Mole Look Like? page.

Dysplastic Nevi Photos

This dysplastic nevus has a raised area at the center that doctors may call a “fried egg” appearance.

This dysplastic nevus is more than 5 millimeters in diameter.

This dysplastic nevus is more than 10 millimeters wide (a little less than 1/2 inch).

A dysplastic nevus may occur anywhere on the body, but it is usually seen in areas exposed to the sun, such as on the back. A dysplastic nevus may also appear in areas not exposed to the sun, such as the scalp, breasts, and areas below the waist (1, 3). Some people have only a couple of dysplastic nevi, but other people have more than 10. People who have dysplastic nevi usually also have an increased number of common moles.

Yes, but most dysplastic nevi do not turn into melanoma. Most remain stable over time. Researchers estimate that the chance of melanoma is about ten times greater for someone with more than five dysplastic nevi than for someone who has none, and the more dysplastic nevi a person has, the greater the chance of developing melanoma.

Everyone should protect their skin from the sun and stay away from sunlamps and tanning booths, but for people who have dysplastic nevi, it is even more important to protect the skin and avoid getting a suntan or sunburn.

In addition, many doctors recommend that people with dysplastic nevi check their skin once a month. People should tell their doctor if they see any of the following changes in a dysplastic nevus:

• The color changes.
• It gets smaller or bigger.
• It changes in shape, texture, or height.
• The skin on the surface becomes dry or scaly.
• It becomes hard or feels lumpy.
• It starts to itch.
• It bleeds or oozes.

Another thing that people with dysplastic nevi should do is get their skin examined by a doctor. Sometimes people or their doctors take photographs of dysplastic nevi so changes over time are easier to see. For people with many (more than five) dysplastic nevi, doctors may conduct a skin exam once or twice a year because of the moderately increased chance of melanoma. For people who also have a family history of melanoma, doctors may suggest a more frequent skin exam, such as every 3 to 6 months.

No. Normally, people do not need to have a dysplastic nevus or common mole removed. One reason is that very few dysplastic nevi or common moles turn into melanoma. Another reason is that even removing all of the moles on the skin would not prevent the development of melanoma because melanoma can develop as a new colored area on the skin. That is why doctors usually remove only a mole that changes or a new colored area on the skin.

Melanoma is a type of skin cancer that begins in melanocytes. It is potentially dangerous because it can invade nearby tissues and spread to other parts of the body, such as the lung, liver, bone, or brain. The earlier that melanoma is detected and removed, the more likely that treatment will be successful.

Most melanocytes are in the skin, and melanoma can occur on any skin surface. It can develop from a common mole or dysplastic nevus, and it can also develop in an area of apparently normal skin. In addition, melanoma can also develop in the eye, the digestive tract, and other areas of the body.

When melanoma develops in men, it is often found on the head, neck, or back. When melanoma develops in women, it is often found on the back or on the lower legs.

People with dark skin are much less likely than people with fair skin to develop melanoma. When it does develop in people with dark skin, it is often found under the fingernails, under the toenails, on the palms of the hands, or on the soles of the feet.

Often the first sign of melanoma is a change in the shape, color, size, or feel of an existing mole. Melanoma may also appear as a new colored area on the skin.

The "ABCDE" rule describes the features of early melanoma:

• Asymmetry. The shape of one half does not match the other half.
• Border that is irregular. The edges are often ragged, notched, or blurred in outline. The pigment may spread into the surrounding skin.
• Color that is uneven. Shades of black, brown, and tan may be present. Areas of white, gray, red, pink, or blue may also be seen.
• Diameter. There is a change in size, usually an increase. Melanomas can be tiny, but most are larger than 6 millimeters wide (about 1/4 inch wide).
• Evolving. The mole has changed over the past few weeks or months.

Melanomas can vary greatly in how they look. Many show all of the ABCDE features. However, some may show only one or two of the ABCDE features (5). Several photos of melanomas are shown here. More photos are on the What Does Melanoma Look Like? page.

Melanoma Photos

In advanced melanoma, the texture of the mole may change. The skin on the surface may break down and look scraped. It may become hard or lumpy. The surface may ooze or bleed. Sometimes the melanoma is itchy, tender, or painful.

The only way to diagnose melanoma is to remove tissue and check it for cancer cells. The doctor will remove all or part of the skin that looks abnormal. Usually, this procedure takes only a few minutes and can be done in a doctor's office, clinic, or hospital. The sample will be sent to a lab and a pathologist will look at the tissue under a microscope to check for melanoma.

Common moles, dysplastic nevi, and melanoma vary by size, color, shape, and surface texture. The list below summarizes some differences between moles and cancer. Another important difference is that a common mole or dysplastic nevus will not return after it is removed by a full excisional biopsy from the skin, but melanoma sometimes grows back. Also, melanoma can spread to other parts of the body.

Common Mole (Nevus)

• Is it cancer? No. Common moles rarely become cancer.
• How many people have common moles? Most Americans—about 327 million people—have common moles.
• How big are they? Usually less than 5 millimeters wide, or about 1/4 inch (not as wide as a new pencil eraser).
• What color are they? May be pink, tan, brown, black (in people with dark skin), or a color that is very close to a person’s normal skin tone. The color is usually even throughout.
• What shape are they? Usually round or oval. A common mole has a distinct edge that separates it from the rest of the skin.
• What is the surface texture? Begins as a flat, smooth spot on the skin. May become raised and form a smooth bump.

Dysplastic Nevus

• Is it cancer? No. A dysplastic nevus is more likely than a common mole to become cancer, but most do not become cancer.
• How many people have dysplastic nevi? About 1 in 10 Americans—about 33 million people—have at least one dysplastic nevus.
• How big are they? Often wider than 5 millimeters (wider than a new pencil eraser).
• What color are they? May be a mixture of tan, brown, and red or pink shades.
• What shape are they? Have irregular or notched edges. May fade into the rest of the skin.
• What is the surface texture? May have a smooth, slightly scaly, or rough, irregular, and pebbly appearance.

Melanoma

• Is it cancer? Yes.
• How many people have melanoma? Melanoma is much less common than other kinds of skin cancer. But every year, about 2 in 10,000 Americans develop melanoma. In 2018, an estimated 91,270 new cases of melanoma will be diagnosed in the United States (10). In January 2015, more than 1.2 million people in the United States were living with melanoma of the skin.
• How big are they? Usually wider than 6 millimeters (wider than a new pencil eraser).
• What color are they? Usually uneven in color. May have shades of black, brown, and tan. May also have areas of white, gray, red, pink, or blue.
• What shape are they? Often irregular and asymmetrical (the shape of one half does not match the other half). Edges may be ragged, notched, or blurred. May fade into the rest of the skin.
• What is the surface texture? May break down and look scraped, become hard or lumpy, or ooze or bleed.

People should tell their doctor if they find a new mole or a change in an existing mole. A family doctor may refer people with an unusual mole or other concerns about their skin to a dermatologist. A dermatologist is a doctor who specializes in diseases of the skin. Also, some plastic surgeons, general surgeons, internists, cancer specialists, and family doctors have special training in moles and melanoma.

Although anyone can develop melanoma, people with the following risk factors have an increased chance of melanoma:

• Having a dysplastic nevus.

• Having more than 50 common moles.

• Sunlight: Sunlight is a source of UV radiation, which causes skin damage that can lead to melanoma and other skin cancers.

  • Severe, blistering sunburns: People who have had at least one severe, blistering sunburn have an increased chance of melanoma. Although people who burn easily are more likely to have had sunburns as a child, sunburns during adulthood also increase the chance of melanoma.

  • Lifetime sun exposure: The greater the total amount of sun exposure over a lifetime, the greater the chance of melanoma.

  • Tanning: Although having skin that tans well lowers the risk of sunburn, even people who tan well without sunburning increase their chance of melanoma by spending time in the sun without protection.

  Sunlight can be reflected by sand, water, snow, ice, and pavement. The sun's rays can get through clouds, windshields, windows, and light clothing.

  In the United States, skin cancer is more common where the sun is strong. For example, a larger proportion of people in Texas than Minnesota get skin cancer. Also, the sun is strong at higher elevations, such as in the mountains.

• Sunlamps and tanning booths: UV radiation from artificial sources, such as sunlamps and tanning booths, can cause skin damage and melanoma. Health care providers strongly encourage people, especially young people, to avoid using sunlamps and tanning booths. The risk of skin cancer is greatly increased by using sunlamps and tanning booths before age 30.

• Personal history: People who have had melanoma have an increased risk of developing other melanomas.

• Family history: Melanoma sometimes runs in families. People who have two or more close relatives (mother, father, sister, brother, or child) with melanoma have an increased chance of melanoma. In rare cases, members of a family will have an inherited disorder, such as xeroderma pigmentosum, that makes the skin extremely sensitive to the sun and greatly increases the chance of melanoma.

• Skin that burns easily: People who have fair (pale) skin that burns easily in the sun, blue or gray eyes, red or blond hair, or many freckles have an increased chance of melanoma.

• Certain medical conditions or medicines: Medical conditions or medicines (such as some antibiotics, hormones, or antidepressants) that make skin more sensitive to the sun or that suppress the immune system increase the chance of melanoma.

The best way to prevent melanoma is to limit exposure to sunlight. Having a suntan or sunburn means that the skin has been damaged by the sun, and continued tanning or burning increases the chance of developing melanoma.

As we get older, we can develop new growths on our skin that we may consider unattractive. These lesions are parts of the skin that look abnormal and include moles, seborrheic keratoses (wart-like growths), and skin tags. Removing them isn’t a do-it-yourself project, and it can be dangerous to try. Please see a health care provider to have them evaluated and removed, if necessary.

Currently, there are no U.S. Food and Drug Administration approved prescription or over-the-counter (OTC) drugs for treating moles, seborrheic keratoses, or skin tags. But there are potentially dangerous products being sold that claim to help remove these lesions. The products are sold as ointments, gels, sticks, and liquids and may contain high concentrations of salicylic acid (a chemical) or other harmful ingredients.

The FDA is advising consumers to avoid these products because of their potentially harmful side effects and serious risks. These risks include skin injuries, infection requiring antibiotics, scarring, and delayed skin cancer diagnosis and treatment. In fact, the FDA has received reports about people who developed permanent skin injuries and infections after using products marketed as mole or skin tag removers.

What to Do If You Want to Remove Skin Lesions

Moles are clusters of skin cells that can appear anywhere on your body. They come in different shapes, sizes, and colors – often brown, black, or the color of your skin tone. A seborrheic keratosis is a warty, often brown, growth. A skin tag is a small piece of soft, fleshy, skin-colored tissue that sticks out from your skin, usually in areas where the skin rubs together, such as the neck or armpits. Skin tags and seborrheic keratoses appear as we get older.

Most moles, seborrheic keratoses, and skin tags are not cancerous. But sometimes skin cancer can look harmless. Melanoma is one type of skin cancer that is particularly dangerous and can spread if not caught early.

If a mole or skin tag is growing, changing, bleeding, or is painful, you should seek medical attention. Do not treat the skin issue yourself. If you remove it or change how it looks, health care providers may have a harder time determining if it is skin cancer and coming up with an effective treatment plan. If a skin cancer is not fully removed, it may continue to grow and possibly spread to other parts of your body. Dermatologists and other skin specialists are trained to identify suspicious lesions, examine them, and help patients decide the best treatment.

Products marketed for the cosmetic removal of moles, skin tags, or other skin lesions usually contain high concentrations of salicylic acid or other potentially dangerous substances. These products often don’t remove the lesion, or don’t remove all of it. Worse, even if the lesion falls off, the product may cause permanent injury to the surrounding skin, such as scarring or discoloration. In some cases, the end result may be more distressing and noticeable than the original lesion, especially if you apply the product to your face.

A product claiming to be “natural” or “organic” does not mean it is harmless. Even products that claim to be “all natural,” herbal, or homeopathic may contain high concentrations of salicylic acid or other ingredients that can cause injury or infection. So even if salicylic acid isn’t listed as an ingredient, that doesn’t mean the product is safe to use.