Skin Cancer Signs

Where skin cancer develops

Skin cancer develops primarily on areas of sun-exposed skin, including the scalp, face, lips, ears, neck, chest, arms and hands, and on the legs in women. But it can also form on areas that have very little exposure to the sun like your palms, beneath your fingernails, the spaces between your toes or under your toenails, and your genital area.

Skin cancer affects people of all skin tones, including those with darker complexions. When melanoma occurs in those with dark skin tones, it’s more likely to occur in areas not normally considered to be sun-exposed.

Basal cell carcinoma signs and symptoms
It usually occurs in sun-exposed areas of your body, such as your face, ears or scalp and may appear as:

A pearly or waxy bump

A flat, flesh-colored or brown scar-like lesion

Squamous cell carcinoma signs and symptoms
Most often, squamous cell carcinoma occurs on sun-exposed areas of your body, such as your face, lips, ears and hands. Squamous cell carcinoma may appear as:

A firm, red nodule

A flat lesion with a scaly, crusted surface

Melanoma signs and symptoms
Melanoma can develop anywhere on your body, in otherwise normal skin or in an existing mole that becomes cancerous. Melanoma most often appears on the trunk, head or neck of affected men. In women, this type of cancer most often develops on the lower legs. In both men and women, melanoma can occur on skin that hasn’t been exposed to the sun. Melanoma can affect people of any skin tone. In people with darker skin tones, melanoma tends to occur on the palms or soles, or under the fingernails or toenails.

Melanoma signs include:

A large brownish spot with darker speckles

A mole that changes in color, size or feel or that bleeds

A small lesion with an irregular border and portions that appear red, white, blue or blue-black

Dark lesions on your palms, soles, fingertips or toes, or on mucous membranes lining your mouth, nose, vagina or anus

Signs and symptoms of less common skin cancers
Other, less common types of skin cancer include:

Kaposi sarcoma. This rare form of skin cancer develops in the skin’s blood vessels and causes red or purple patches on the skin or mucous membranes. Kaposi sarcoma mainly occurs in people with weakened immune systems, such as people with AIDS, and in people taking medications that suppress their natural immunity, such as people who’ve undergone organ transplants. Kaposi sarcoma can also occur in older adults of Mediterranean heritage.

Merkel cell carcinoma. Merkel cell carcinoma causes firm, shiny nodules that occur on or just beneath the skin and in hair follicles. Merkel cell carcinoma is usually found on sun-exposed areas on the head, neck, arms and legs.

Sebaceous gland carcinoma. This uncommon and aggressive cancer originates in the oil glands in the skin. Sebaceous gland carcinomas — which usually appear as hard, painless nodules — can develop anywhere, but most occur on the eyelid, where they’re frequently mistaken for other eyelid problems.

When to see a doctor
Make an appointment with your a dermatologist or skin specialist if you notice any changes to your skin that worry you.

References: http://www.mayoclinic.com/health/skin-cancer/DS00190/DSECTION=symptoms

Is Basal cell carcinoma (BCC) the most common skin cancer?

Yes. It is responsible for 90% of the skin cancer in the united states. Good news: They don’t normally spread to other parts of the body. Bad news: it can damage the tissue around the cancer.

Reasons for developing BCC:

People with fair skin, sun exposure, age. Most of the time the cancer occurs in the area exposed to the sun but in rare cases (20%), they can happen in areas we wouldn’t think (chest, back, scalp). However, the majority BCC occurs on the face.

  • Sun Exposure: According to the U.S. National Institutes of Health, ultraviolet (UV) radiation from the sun is the main reason most individuals get skin cancer. Obviously, the more you are in the sun, the increase of skin cancer rises. Tanning booths also increase the chance of BCC.

    Note* Some individuals believe that if you have small doses of sun each day without sunblock it can decrease the chance of cancer if your body begins to slowly tolerate the UV. This reasoning comes from the notion that people do not sun tan during most of the year, then spend hours at a time tanning. The skin needs to build up a “tolerance” to UV rays but if done slowly it will not produce a cancer cell.

  • Age: Your risk increases after the age of 50. Protection from the sun should be practiced from childhood to adulthood.
  • If receiving radiation for cancer, you may also be at risk.

What does a BCC look like?

There are tons of pictures online so you may want to check them out. It usually begins small with a dome shape bump. Blood vessels can be seen. It appears to be shiny or “pearly”, but at times it may look dark. Sometimes it may seem like a mole so it may be necessary to get a biopsy to determine if it is BCC. The texture of such a spot is often shiny and translucent, sometimes referred to as “pearly.”

They grow at a slow pace (months or years).

Treatment:

Good News: There is a very high success rate (90% or more). Removal of the carcinoma is necessary and in most cases there is very little scarring.

Tips on how to decrease your risk:

  • limiting sun exposure and tanning beds
  • avoiding unprotected exposure to the sun during peak radiation times (noon)
  • Hat protection
  • Waterproof or water resistant sunscreen with UVA protection and SPF 30 or higher
  • Visiting a dermatologist if you have a skin discoloration that changes shape or color

With the hot weather approaching, be careful and take care of yourself. Drink lots of water too!