Amelanotic melanoma: Appearances, Symptoms and Treatment DermNet Whilst amelanotic melanoma is relatively uncommon fatality rates tend to be higher because they often go undetected for longer, are often misdiagnosed because they mimic other skin lesions and are therefore commonly Melanoma International Vein & Skin Institute Spot the Sign Not all melanomas are dark in color. Amelanotic melanoma can appear pink, red, or flesh colored, making it harder to recognize. If you notice a spot that continues to