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Last update September 2024

Does melanoma itch?

I’ve noticed an itchy mole on my skin. Can melanoma cause itching, or is this more likely to be a benign skin condition?

Answered by

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Lisa Miller, Patient Advocate

While an itching mole can be concerning and may indicate a potential skin issue, the relationship between itching and melanoma is nuanced.

Melanoma, the most serious form of skin cancer, can sometimes cause itching, but this is not common.

Research indicates that most melanomas do not itch; in fact, itching is more frequently associated with non-melanoma skin cancers, such as basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) .

The "itchy melanoma mole" notion is often considered a myth, as studies show that a significant percentage of melanoma patients do not experience itching at all .

Other Causes of Itching

Itching can arise from various benign causes, including:

  • Irritation from clothing or skin products: such as new detergents or soaps
  • Skin conditions: like eczema or dry skin.
  • Changes in the mole: An itchy mole may indicate irritation or changes within the mole itself, which should be monitored .
 

Signs to Monitor

If you notice an itchy mole, it’s important to observe other characteristics that may suggest a more serious condition. The ABCDE rule for melanoma includes:

  • Asymmetry: One half of the mole does not match the other.
  • Border: Irregular or blurred edges.
  • Color: Varied colors within the mole.
  • Diameter: Larger than 6mm (about the size of a pencil eraser).
  • Evolving: Changes in size, shape, color, or elevation over time .
 

If you have an itchy mole, especially if it is accompanied by other changes (such as bleeding, crusting, or significant color change), it is advisable to consult a dermatologist. They can provide a thorough examination and, if necessary, perform a biopsy to rule out skin cancer .

Regular skin checks are also recommended, particularly if you have numerous moles or a personal or family history of skin cancer.

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