A malignant melanoma is a cancerous tumour of the pigmented cells of the skin called melanocytes. These cells grow abnormally and produce change in a pre-existing mole or a new mole. Changes in size, colour, shape or sensation may be the first sign of a malignant melanoma but they may produce no symptoms.
The cause of malignant melanoma is not fully understood but sun-exposure is known to be a contributing factor and they are more commonly seen in those with a fair skin. Some families have an inherited tendency to develop malignant melanoma and have many abnormal dysplastic moles.
Any suspicious moles will need to be removed surgically under local anaesthesia.
The skin sample is then sent to a consultant pathologist for examination under a microscope. This examination takes up to 14 days to complete because the skin has to be specially embedded in paraffin wax and stained.
Usually, the mole will be removed with a small margin of normal skin (1mm) and a second surgical procedure will be necessary if the malignant melanoma is confirmed by the pathologist.