Although the ABCDE model is a good guide to follow, MelanomaMe. Promote the ‘E’ for evolution. The reason for this is because melanoma follows it’s own rules and can have a tendency to ‘slip through the net.’ Many melanoma’s may not follow the ABCD rules and can look innocent. However, if you notice change (evolution) this should be taken seriously and checked by your GP. Unfortunately GP’s can not be experts in every aspects of practice and are often hoodwinked by a seemingly innocent looking lesion. However, you have the right to a second opinion, so follow your gut instinct and request a referral to a dermatologist.