Familiarity with the clinical signs of malignant melanoma can result i
n earlier recognition and thus potentially decrease both patient morbi
dity and mortality. Unfortunately, several cutaneous tumors, both beni
gn and malignant, have clinical similarities to this neoplasm, often m
aking the correct diagnosis difficult. The purpose of this paper is to
discuss the clinical characteristics of the different types of malign
ant melanoma and those lesions that mimic this ominous malignancy. Fur
thermore, diagnostic clues to help delineate between these various pig
mented lesions are provided.