Isikhokelo sokuzihlola · Self-Check Guide · Self-Check Gids
Skin Self-Check Guide
Early detection is the most effective way to prevent and treat skin cancer. We recommend a monthly 10-minute self-examination to monitor any changes to your skin.
The ABCDE Rule
Asymmetry (Ukungalingani / Asimmetrie)
One half of the mole does not match the other half in shape or size.
Border (Umda / Grens)
The edges are irregular, ragged, notched, or blurred rather than smooth.
Color (Umbala / Kleur)
The color is not uniform; includes shades of brown, black, or patches of pink/red.
Diameter (Ububanzi / Deursnee)
The spot is larger than 6mm (about the size of a pencil eraser).
Evolving (Utshintsho / Evolusie)
The mole is changing in size, shape, color, or has started to itch or bleed.
The "Ugly Duckling" Sign
Look for a mole that looks significantly different from others on your body. If most moles are similar, an outlier is a warning sign.
Uphawu lwedada elibi · Die "Lelike Eendjie" Teken
The EFG Rule
For fast-growing nodular melanomas: **E**levation (raised), **F**irmness (solid), and **G**rowth (growing for more than 2-3 weeks).
5 Steps to a Thorough Exam
Face & Front (Ubuso nePhambili / Gesig & Voorkant)
Check your face, ears, neck, chest, and belly in a full-length mirror.
Arms & Hands (Izandla neengalo / Arms & Hande)
Check underarms, both sides of arms, palms, and under fingernails.
Lower Body (Umzimba osezantsi / Onderlyf)
Sit down to check front of thighs, shins, feet, and between toes.
Back & Rear (Umva nengqameko / Rug & Agterkant)
Use a hand mirror to check your back, neck, buttocks, and calves.
Scalp (Iskhumba sentloko / Kopvel)
Use a comb or hair dryer to part hair and check the scalp thoroughly.
Found something suspicious?
Don't wait. Early detection saves lives. Book an urgent mole mapping or consultation at our Rondebosch practice.
© 2026 Dr. Zandile Spengane · Dermatology Practice · Cape Town
Disclaimer: This guide is for educational purposes and does not replace professional medical advice.