“…(Kumar, Abbas, & Aster, 2015;Natalie & Wen-Qing, 2017) The underlying causes are not known yet, although host and environmental are the most important factors such as exposure to ultraviolet radiation and geographic localization, family history of melanoma, immunosuppression and also, type 2 of diabetes mellitus slightly increase the risk of developing Melanoma. (Moslehi, Zeinomar, & Boscoe, 2018;Allam, Serrano, Serrano, Abd Elaziz, Del Castillo, & Navajas, 2015;Qi et al, 2014;Rahnama, Meymandi, & Nasiri, 2010) Important warning signs are: 1. asymmetry 2. irregular borders 3. variegated color 4. increasing diameter 5 millimeters 5. evolution or change over time. (Habif, 2011) Skin biopsy should be done for all suspected patients, and they should have a careful follow up for early detection of new tumors or metastasis (Natalie & Wen-Qing, 2017).…”