A recent report in the Dermatology Times of Canada found that 60% of patients 0-10, and 40% of those children 10-19 who developed melanoma skin cancer did not present with the conventional ABCDE (Asymmetry, Border Irregularity, Colour Variation, Diameter >6mm, Evolving/Changing) criteria which are used to detect melanoma in adults. Rather their lesions presented as bleeding bumps, lacking pigment, uniform colour, and variable diameter. In children, the most important feature was E/evolution (e.g. it got bigger or darker or started bleeding). The incidence of melanoma in children is rising, especially in 15-19 year old girls.