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Quick reference medical handouts used by Pediatric offices


My three year old daughter has a brown spot on her scalp above her right ear. It is the size of a pencil eraser and has different shades of bronw in it. It is not raised and does not seem to bother her. Is it possible that this spot could be a melanoma. Or am I just worried for nothing over a mole?
    

Thanks for your question.

This most likely is a junctional nevus and totally benign. If you start  seeing a change, then it would be worthwhile to have it checked. Your pediatrician or a dermatologist can easily follow by photographing it.

If you are still concerned, however, we would recommend that you see a dermatologist. As far as melanomas in children, they do occur, but are rare. Again, we should see the same changes as in adults (see below, the ABCD's of moles).

The ABCD's of Moles
Asymmetry: Most moles are symmetrical and round. Be on the lookout for those that change shape and become asymmetrical.
Border: Most moles have even borders. Watch for moles that are uneven and irregular around the edges.
Color: It is normal for moles to be a uniform brown color. Moles that are different shades of brown or black may be a skin cancer and should be evaluated.
Diameter: Most moles are small -- about 6 mm or smaller in diameter. If a mole becomes larger than the tip of a pencil eraser, you should check with your dermatologist.

 

As a reminder, this information should not be relied on as medical advice and is not intended to replace the advice of your child’s pediatrician. Please read our full disclaimer.

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