If you find something growing on your skin and you think it might be melanoma, don't panic.

But don't procrastinate, either.Melanoma is the deadliest form of skin cancer, but the five year survival rate for localized melanoma -- before it has metastasized -- is 99 percent. So, you'll want to see a doctor immediately.

Chances are the growth or lesions isn't cancerous. Most lesions and changes in pigmentation are not.

But you've got to make sure.

Look carefully at the mole. Here are the specific signs of melanoma. If any one of these apply to your mole or lesion, make an appointment with your doctor immediately.

-- Is there any change in a mole, blemish, freckle, birthmark or pigmented area?

-- Has a new mole or freckle appeared out of the blue?

-- Is it growing rapidly, especially if you don't have many moles?

-- Does the new mole looks different from those you have?

-- Is there a change in surface texture or in the way the mole feels to the touch?

-- Is the new freckle dark, dry or scaly?

-- Have you developed a pigmented area or splotch that is new or that you can't remember seeing before?

-- Have you developed a new spot that is black, even if it is very small?

-- Does the mole or other spot behave differently from other spots around it, even if it looks normal?

-- Does the mole or other spot itch and/or bleed?

-- Is there redness, shadow or another color extending into the surrounding skin?

Remember to be proactive in dealing with your doctor. Often, because of insurance requirements, you will need to see your general practitioner before he or she makes a referral to a specialist, usually a dermatologist.

When calling the dermatologist, be sure to tell the person scheduling the appointment that you have a suspicious mole or lesion. Many dermatologists reserve time at the end of the day to see possible new melanoma cases.

There is a shortage of dermatologists in the U.S, so if you can't get an immediate appointment, call another doctor. Be persistent. Be your own advocate.

The process is worrying, but remember, that most changes in the skin are not melanomas and if you do have a melanoma, the cure rates are excellent.

But don't wait. Get busy and get in and see a dermatologist.