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See below for types and pictures. See a Doctor for a definitive diagnosis and for an annual mole check to make sure that any spots are not a melanoma cancerous. Watch for signs such as the assymetry not round , irregular edges, uneven colors and size larger than a pencil eraser. If the mole, nevi or brown spot has remained the same for the last year, is symmetrical, has distinct borders, is similar to other spots or moles and is primarily one color, it is probably benign not cancerous. Melanocytes or pigment cells are irregularly distributed throughout the skin.