05/05/2026
May is Skin Cancer Awareness Month and this is exactly the kind of conversation that needs to sit at the centre of it.
Melanoma is not always obvious at first glance. That is why the ABCDE framework remains a critical clinical tool for early recognition: Asymmetry, Border irregularity, Colour variation, Diameter, and most importantly, Evolution.
But in real practice, it is often subtle change over time that gives us the earliest clue; a lesion that looks different from what it used to be, behaves differently, or simply does not follow the pattern of surrounding skin.
In darker skin tones, these changes can be even more easily overlooked, not because the signs are absent, but because they are not always presented in the “classic” way we were taught to expect.
Skin Cancer Awareness Month is not about fear. It is about recalibrating what we look for, and where we look. Know your skin. Notice change. Don’t delay assessment when something feels different.
DrAyandaMotau