T1: What changes might you see or notice that could mean you have melanoma? Please name as many as you can think of.
Ugly duckling sign, asymmetry, irregular border, change in colour, change in diameter
pigmentation, itching or bleeding and changes to existing skin mole or hairy skin mole.
Tingling, change in colour, size, sensation, appearance
Any change in a pigmented lesion including increase in size or pigmentation, mole becoming more raised having been flat previously, skin irritation or bleeding, associated lymph node enlargement. Could also be a non-pigmented lesion in the case of amelanotic melanoma.
Lesion on skin which may change in colour, size, shape grow or not grow
Changes in colour,size, uniformity, bleeding
increase in size of the mole, irregular margins
Discolouration Skin thickening Itching Central crater in raised discoloured skin
Change in colour, size, irregular borders
New skin lesion Increase in size of the mole Increased pigmentation of the mole
Change in appearance, size colour , irregular margins , ulceration or any change in a pre-existing mole
Increase in size shape or change in characteristics of an existing mole/ naevus Black patch developing
Raised pigmented lesion, irregular edges, irregular colouring, asymmetry, more than 7mm, itching or bleeding lesion. Discolouration if nail or nailbed. May also not be pigmented but show some of the characteristics above. Rapidly growing or changing mole.
Black mole, increasing in size with time and change in appearance.
Change in existing skin lesion New skin lesion Features of concern: uneven pigmentation, irregular edges, inflammation, ulceration, irritation,thickening of lesion, growth of lesion, satellite lesions, swelling of nearby lymph nodes. In case of new toenail changes: relentless growth & irritation ( irrespective of whether lesion is pigmented)
Rapid increase in size of mole, bleeding from mole, irregular margins,
Skin lesion that becomes itchy, bleeding, pain and increase in size and spread locally as well as affect lymph node
A mole increasing in size Itching Bleeding Irregular margins
Change in colour/ size / itching / bleeding of a new / pre-existing mole
Enlarging itchy bleeding mole Changing pigmentation
Change in size/shape/c bleeding. Ulceration, lymph node swelling
Mole black or brown, new growing in size
Rapid Enlarging mole Surface irregularity Bleeding surface High risk sites
Increasing size Change in shape Irregular border Satellite lesions Regional adenopathy Itching and bleeding Becoming lumpy with raised surface
Change in colour of moleschange in size Itchy rash with skin break
New or changing / growing pigmented lesion; over 7mm diameter; diffuse borders; itching or bleeding; history of sun exposure; family or personal history of melanoma
New black patches or moles. Increase in size of the excisting patches or black moles, discolouration or other changes noted.
a mole, with no definite margin and bleeding
Changes in colour / darken Itching Irregular shape Getting bigger New mole
Skin changes in appearance, sudden appearance of lumps,
Moles changing size or shape or texture New darker skin spots appearing
Change in size of moles, bleeding, itching
Diameter of increasing Uneven edges Getting bigger Mishaped
Moles etc developing relatively quickly.
suspicious mole? skin going a bit weird and red?
Moles increasing in size Irregular edges to spots Itching or scaling spots
1)A dark irregular shaped mark on skin. 2)And if the edges are jagged. 3)And if the shape increases in size.
Changes to moles Changes in skin tone/colour around moles New moles
Lumps Bumps Redness White spots Changes in moles
Change in size/shape/colour/contour of an area of skin or mole.
Dark spots or pimples Unusual wrinkle spots on the skin Moles that are unusually shaped or start to grow/weep
Flat lump Raised lump Changes in colour & texture of skin Itchiness or dry areas
Change to skin texture or shade in a localised area/s. A darkening or raised lump with no explanation.
Changes to skin surface Changes to mole surface Itching Bleeding Puckered skin
Change in shape or size of mole, uneven edges, itchy or crusty patch
A new mole or large freckle An existing mole that becomes itchy, hairy or changes in some way including changing colour or size
New moles changes in size colour of existing moles moles with jagged edges
Appearance of moles/freckles. Change in appearance of existing moles
Change in size, colour, texture of a mole.
A change of size, colour or shape of any skin moles/freckles
Changed appearance or texture of skin Existing skin mark growing or changing Existing skin mark becoming itchy or bleeding
Mole growing. Going scaly. Irregular shape growing
Mole changing shape or colour New mole appearing
Redness, small blisters, flaky skins, itch
Freckles or moles that weren’t always there Moles that are raised or strange in appearance and texture
Moles become larger, inflamed, irregular in shape
new mole. changes to size of existing mole. changes to colour of existing mole. changes to edges of existing mole. bleeding from mole.
Change in texture or colour to your skin, in particular related to a mole. A new mole, or an existing model growing in size or changing colour.
Change in appearance of moles Change in skin colour Scabbing Lump under skin
New moles, new discoloured patches of skin, raised skin, change in skin texture
Irritable or red skin A mole that has increased in size Uneven skintone
Discolouration,rashes,moles,lumbs,patches,itchiness on the effected part of the skin
Change in shape of mole. Change of colour
New moles that look a bit different to moles that you have had for longer periods of time. Difference in colours in moles. Can sometimes be a little larger.
Growth of moles, irregular skin texture.
Bleeding Enlarged raised area of skin Change of colour of skin
Discolouring of skin Spots or blisters on skin
Development of a new mole Change in shape/texture of an existing mole Feels textured/develops 3D shape
New mole, especially past age 30 Change to an existing mole, such as change in colour, growing in size, multiple colours within the mole, irregular/ jagged borders Itchy/ scratchy/ bleeding mole Black line under finger nail/ toe nail may be melanoma as well
Skin lesions Skin colour changes Bleeding Mole with irregular border Pain
A mole that gets larger , raised or changes shape .
Changes in appearance to a mole, e.g. size, shape (becomes uneven), colour, or a mole becomes raised
Dark patch of skin, a mole that has changed shape or a new mole
Mole changing shape or appearance. A non healing spot on skin
Weeping mole, itchy mole, scabby mole, multi shade colour mole, non symmetrical mole, mole that has grown
Changes in size, shape and colour of moles
Change in state of a mole Unusual skin blemish
Changes in the appearance of moles, itching, changed in texture etc
Changes in colour of mole size of mole hairs appear itching pain at site crustiness bleeding inflammation around site
Change in appearance of skin,raised lumps, changes in moles etc, itchy skin
New or growing moles, other changes to small areas of skin
A new mole or existing one that becomes irregular or changes size
Change in shape or colour of a mole, New dark paches on skin
flaky surface of a mole , itchy . Bleeding & funny shapes .
Itching, uneven edges, bleeding, change in colour and size.
A mole that is bigger or darker than usual
Uneven tone Size Colour A mole colour changes Slightly itchy Something coming out of it
Moles not seen before that don't look normal
New mole Change in shape/ size/ colour of mole.
Darkening of specific skin section over a period of time Spreading of mole like skin Widening rash on specifc part of skin
A mole may change size, colour or shape. In addition it may become itchy become raised or bleed.
enlargement of the mole , bleeding and soreness
A change in the shape, size or texture of a current mole A new mole
Discolouration of a mole Bleeding from a mole Lumps
Bruising Darker moles or spots Rough skin Raised & itchy skin Lumps under skin

T1: What factors increase a person's chance of developing melanoma? Please write as many as you can think of.
Type 1 or 2 skin. Previous sun exposure or damage. Previous use of sunbeds. Positive family history.
Caucasian, increased exposure to the sun, not using sun screen and freckles.
family history, significant blistering sun burn. Parkinsons disease, Personal history of melanoma. Immunocompromised. Significant UV exposure. Multiple naevi
Ethnicity and skin type, exposure to UV radiation eg: sun exposure particularly in tropics, or tanning beds, immunosuppression, rarely genetic predisposition.
Caucasian race, prolonged exposure to sunlight , old age , certain immunosuppressant drugs
Increased exposure to sunlight Genetic predisposition
Exposure to sun White skin Drugs Radiation
Sun exposure, not using sun cream, genetics
Skin colour. Sun exposure. Family history. Lack of sunscreen use. Sun bed.
Ultraviolet light exposure Fair skin Moles and freckles Family history of melanoma Older age
Smoking Immunosuppression such as other cancer, drugs or maybe diabetes. Sun exposure and sunburns in the past, living in Australia Outdoor occupation Age Ethnicity and colour of skin
White skin Exposure to sun/ UV rays Not using any sun protection Genetic predisposition
Fair skin Previous sunburn Previous XS exposure to sunlight or uv lamps Strong FH skin malignancy Previous history melanoma Immunosuppressive or cytotoxic medication HIV
Caucasian, sunlight exposure, family history
Caucasian white skin Exposure to sun Family history of cancer Pituitary disease Multiple raised moles Old age Male sex
Exposure to UV irradiation Exposure to sun
Uv exposure, skin type, sun exposure, sun bed use, age
Ethnicity Sun exposure Lack of sun creams use Age
Race - whites are more prone Genetic predisposition Sun exposure Immunosuppressive treatment Sunbed use HIV Exposure to other radiation
Exposure to sunlight Genetic Fair skin Familly history Age
Sun exposure; multiple moles; pale skin; family or personal history
Too much sun bath Artificial light therapy Exposure to strong uv sunlight Pale or white skinned people Melanin absent people
Sunlight exposure for too long , exposure to ionising radiation
Sun damage in early life If relatives had been diagnosed previously. Over exposure to sun over a number of years. Not wearing sun screen
Exposed to sun especially without adequate protection
Sunbathing Genetics Weather conditions Chemical contamination
Sunbathing with no suncream Tanning beds = bad vibes Tattoo removal lasers
Exposure to sun Lack of protection on skin in hot sun
sunbathing particularly in the midday sun not putting factor 50 on skin not covering limbs if exposed for too long
1)Continuous exposure to UV rays without sunblock protection. 2) Previous unprotected exposure to UV rays, that have laid dormant in cells.
Exposure to sun Not using SPF daily Exposure to computer screens Use of sun beds (UV) Smoking Alcohol Drug abuse
Family history of melanoma Excess exposure to sunlight
Not wearing sun screen Overexposure to the sun Not wearing protective clothes/hat
Direct sunlight exposure over prolonged periods Not wearing SPF Use of sun beds
Family history of melanoma Previously successfully treated for a melanoma Sun exposure and or use of tanning beds Smoking Exposure to xrays Repetitive injury Diet
Exposure to sun with out protection , sun beds, freckles , pale skin, family history
History of sunburn Outside occupation Not wearing sunscreen or a hat and other clothing that covers the body when outside Family history Being fair skinned
Burning in the sun Lots of sunbathing without protection Using sunbeds Having fair skin
High level of sun exposure, family history, Not using sun protection,
Too much sun exposure without protection
Sun damage Family history Previous cancers
Exposure to sun. Prolonged exposure to sunlight. Getting sunburned
Exposure to sun Lack of sun protection such as SPF
High exposure to sunshine or UV e.g. tanning beds and UV nail lights Having low levels of melanin naturally
sunburn, particularly when younger. exposure to sun without UV protection. use of sunbeds. family history.
Exposure to UV Smoking Family history of melanoma
Skin overexposed to the sun Not using SPF Not using SPF which blocks UVB rays Staying in direct sunlight for too long Family history
Sun damage ,unethically sourced chemicals used in the cosmetics and dyes prolonged exposure to strong pesticides and cleaning products
Too much sun exposure without sun cream. Tanning beds.
Sunlight Genetic history Lack of protection
Large exposure to strong UV rays Previous sunburnt skin Exposing skin to UV without sun protection Family history of melanoma/cancer
Having many existing freckles and moles Using sunbeds Having previous multiple sunburns Having fair skin
Family history Sun exposure Getting sunburned in childhood
Spending a lot of time in the sun. Not wearing sun screen .
Exposure to sun/UV, especially without protection. Hereditary factors.
Exposure to sunlight Family history of melanoma
Being out in the sun unprotected, hereditary, having cancer previously.
Too much sunbathing or working in the sun. Not using sunscreen. Genetics
Pale skin, red haired, freckles, family history, transplant patients, burning skin repeatedly especially as a child, not using spf
Exposure to sun light, sun because, family history
Exposure to sun, UV rays - sun lamps etc
Sunburn and spending lots of time in the sun
Too much sun (currently and in younger years) Family history Lots of moles
Not using skin protection exposed to too much sun genetics sensitivity to sun family history
Exposure to sun particularly if you burn or don't use protection, family history making you more susceptible, certain ethnicity's might have a greater chance
Sun exposure without SPF, exposure to artificial UV lights without protection, maybe the use of some topic creams?
Sun burn Excessive use of sun beds Not using sunscreen
Not wearing a hat / cap Sunbathing Not applying suntan lotion Not reapplying suntan lotion after swimming . Keep out of the sun in extremely high temps
Family history, skin that burns instead of tanning
Exposure to sun Genetics Exposure to other environmental irritants
Sun exposure Tanning Sun bathing Lamp bathing
Inheritance of cancer. The sun., lack of sun screen.
Sun exposure Sunbed exposure Skin type Family history
Genetics, familial, exposure to UV light
Not wearing sun screen, long exposure to sunlight or uv rays
Older age Prolonged exposure to direct sun Uncovered skin Other health problems

T2: What changes might you see or notice that could mean you have melanoma? Please name as many as you can think of.
a mole changing in size and bleeding, a new growth or skin tag which is changing shape with irregular borders
a new mole or mark on the skin / mole or mark growing or changing shape a type of rash perhaps that doesn't go away?
Presence of moles Change in size of moles
mole or brown mark with jagged edges tiredness
Raised spot Crusting or bleeding spot Enlarging mark or spot Itching spot or mark
Change in shape and colour lumps/bumps/indents Heat
Raised mole Painful or itchy raised area New skin lesion that changes shape over time
Uneven edges of a mole, itching or bleeding
Increase in size, colour or sensation of a pre-existing skin lesion such as a freckle or mole New skin lesion
mole change in moles or freckles raised red area of skin
New moles change in shape of mole scabbing of mole
change in size, texture or colour of skin lesion.
Change in size or appearance Itching Rash
shape change, colour change, itching, size change
Skin discoloured Moles Rash Itching Fatigue Growths Anything on skin that’s growing
A new mole or a mole that’s looking strange
Skin rashes, changes to moles (irregular, raised)
Change of colour of mole. Change of border of mole. Change of size of mole. Irregular border/ colour of mole. Bleeding mole.
Changes to a mole, including shape, size, colour and texture New or unusual skin lesion
A new raised bump on the shin. A new change in skin texture. A new change in skin colour.
Change in the way your skin looks and feels. New mole or lesion on your body. Changes to an existing mole/lesion on your body (change in size, colour, raised, change in edges (blurred), oozing, pink bump)
Asymmetrical Border Colour Diameter Firm Growing
Site changing colour Pigmentation Indentation Itchiness/sore Oozing/bleeding
change in shape, size, colour, texture, raised surface, itchy, bleeding
Marks on my skin - dark irregular patches which may change in shape, size or colour, become raised and do not go away. Mark becomes painful or itchy and may ooze fluid or blood.
Changes in the shape and size of a pre-existing mole or development of a new mole. If a mole on your skin becomes itchy / bleeds
Larger than 6mm, evolving, raised, firm, different shades, irregular borders
Irregularly shaped lesion Lesion with jagged border Multiple colours in a lesion Big/raised lesion A lesion that changes shape/colour/gets bigger A lesion that feels firm
Change of shape, irregular shape from one half to the other ,bleeding or oozing mole, flaking mole, Itchy,raised ,
Asymmetry, blurred/uneven edges, colour (darker or pink), change in size, growing, or becoming raised. Also crusty lesions or ones that look like bruises.
New moles Change in shape of moles Change in colour of moles Moles raised above the skin Crusting on moles Moles that are asymmetrical Moles that have an unclear border
Mole or Mark that has changed shape, if it's raised, if it feels firm, if its new, change of colour
asymmetric mole, raised, leaking, crusty, growing, firm, changing
Change in size more than 6mm, shape, colour, uneven borders of a lesion or mole. Crusting, bleeding, oozing, itching. Appearance of a new one.
Skin lesions that: Change colour Change shape Start to ooze Become itchy/painful Are elevated above the skin
Discolouration, change in size/shape, change in surface area, itchiness
change in colour, shape unclear edges, not defined, size changes, itchy, crustiness oozing fluid does not feel right sensitive around area
itchy skin, change in shape to mole or lesion, lesion/ mole goes crusty, lesion/ mole leaking fluid, raised skin patches or areas that look like a dark bruise
Changing shape Growing Itching Bleeding Change in colour
shape, colour , bleeding, irregular,itching,
Change in shape, colour or size. Itching or bleeding
Lesion that is asymmetrical, a different colour, has a blurry border, is more than 6mm, oozes blood or pus
Skin lesions may be different in size, shape, colour, raised, itchy, oozing.
ABCDEFG Asymmetry Border Colour Diameter Elevation Firm Growth Itchy Bleeding
new mole discoloured raised bleeding painful asymmetrical
Colour Size and symmetry of moles Raised moles Itchy moles Oozing moles or crusty

T2: What factors increase a person's chance of developing melanoma? Please write as many as you can think of.
exposure to uv rays, radiation such as beta and gamma rays
Exposure to sun without protection Use of sunbeds Getting sunburned
Too much sun. Exposure to toxic substances.
sun beds / tanning and sunbathing without SPF protection
Sunstroke Using sun beds No protection when in the sun (lack of sun cream) Age (older more likely to develop)
sunbathing not wearing protection on arms not using sun tan lotion
Smoking Drinking alcohol Exposure to sun without SPF Fair skin Diet
Tanning beds Prolonged sun exposure Burning in the sun Not wearing SPF
Unprotected exposure to the sun Regular sunburn Using sun beds Being fair skinned which burns easily
Fair skin Family history Previous sunburn Working outdoors Not using sunblock or protective clothing
sun exposure without protection, sun bed use, fair skin
sunshine, skin age, skin colour, skin exposure to the sun or bright weather, family history
Working in sun light Not wearing sun screen Sun bed use
Sun exposure, genetics, mole frequency, unhealthy lifestyle, sunbeds
Sunburn at early age. Fair skin. Family history of cancer. Use of sun beds. Bad sunburn especially blistering.
Exposure to the sun. Career. Fair skin, eyes, hair.
Family history of melanoma, overexposure to the sun and uvb rays (directly or via a sunbed), having had radiotherapy before.
Exposure to sun Previous melanoma Inherited genes
Prior cancers Weakened immune system Sun damage Lack of SPF wearage
Age Too much exposure to UV Fair skin Family history
High Exposure to harmful UV rays Family history of melanoma/other skin cancers Fair skin
Fair features (e.g., light skin, blue eyes, red hair, freckles), family history of melanoma, history of sun burns/ UV damage, compromised immune system, previous radiotherapy
Genetics History of sunburn (especially in childhood) Fair skin previous cancer radiotherapy/chemotherapy extended sun exposure (e.g. working outside)
Pale features, more vulnerable to burning, people who have had other types of cancer or have had radiotherapy, sun beds or UV exposure
Exposure to UV Fairer skin History of melanoma or other cancers Radiotherapy
Heriditary, exposure to uva, having numerous moles, weekend immune system
previous radiotherapy. Too much sunbathing, especially as a child
Age, sunbeds, previous cancer, family history, not using spf, exposure to sun, radiation,
Exposure to UV - sun or tanning bed Age (older = more likely) Fair skin
age previous use of sun bed genetics skin type immune suppressed wrong factor sun screen or not using sunscreen excessive exposure to sun regardless of sun screen
family history blonde/ red head/ blue eyes, freckles genetics people who expose skin to sun/ sun beds even if they don't burn
Exposure to sun, fair skin, family history, as people get older
Exposure to UV, family have history of it, having radiotherapy treatment
Inheritance, sun bed, getting sun burnt often, fair skin, freckles, blue eyes.
Genetic UV light Skin tone (fair) Hair colour (red, blond) Eye colour (blue)
To much exposure to the sun with out sun screen
not wearing suncream Increased sun exposure Having had one before Being caucasian