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13 Essential Questions About Skin Cancer Answered by Experts: Stay Informed and Protected

Author: The Dermatology Specialists

facts about skin cancer from dermatologists

Skin Cancer affects 1 in 5 Americans, making it the most commonly diagnosed cancer in the US. While it’s often treatable when caught early, it can be life-threatening if left unchecked. Understanding the risks, symptoms, and prevention methods is crucial for everyone, regardless of age or skin type. By educating yourself about skin cancer, you’re taking an important step in protecting your health and potentially saving your life or the lives of your loved ones.

In this comprehensive guide, we answer the most common questions about skin cancer, helping you stay informed and protected against the invisible threat of UV rays.

We’ll start with the top thirteen essential skin cancer questions below covering prevention, diagnosis, and treatment, so you know what to watch out for when it comes to skin cancer.

According to TDS dermatologist and Mohs surgeon Dr. John Kamran Nia We’re often told to watch out for asymmetric moles, and while that’s certainly true, its best to have a  trained set of eyes look over your skin. Sometimes a skin cancer can mimic something benign like a pimple or even a  scar.”

What is Skin Cancer?

It’s an abnormal growth of skin cells which is usually caused by harmful rays from the sun. Caught early, skin cancer is highly treatable.

According to TDS dermatologist Dr. Jules Lipoff, “Skin cancers are extremely common and best treated when caught early. If you are not sure if you should have a skin cancer screening or how often, at an initial visit, we can determine the right surveillance for your personal risk.”
Click here to book an appointment with Dr. Lipoff in Philadelphia.

What does Skin Cancer look like?

Skin cancer can take on a variety of appearances, which is why regular self-checks and professional examinations are crucial. Generally, look out for:

  • Basal Cell Carcinoma: Often appears as a pearly or waxy bump, a flat, flesh-colored or brown scar-like lesion, or a bleeding or scabbing sore that heals and returns.
  • Squamous Cell Carcinoma: May look like a firm, red nodule or a flat lesion with a scaly, crusted surface.
  • Melanoma: Often appears as a large brownish spot with darker speckles, a mole that changes in color, size or feel, or bleeds, or a small lesion with irregular borders and portions that appear red, pink, white, blue or blue-black.

Remember, any new, changing, or unusual skin growth or mark should be evaluated by a dermatologist.

Can Tanning Beds Cause Skin Cancer?

100%. The leading culprit for increased skin cancer rates we’ve seen over the last ten years is from tanning beds. Even just one session can double your risk of skin cancer. There’s no such thing as ‘just this once won’t hurt.’ Tanning beds are today what cigarettes were in the 50s…and likely headed for the same system of regulation.

uvb light vs uva light skin cancer

Can Skin Cancer Be Inherited?

While you cannot inherit the cancer itself, the likelihood of developing certain forms of skin cancer can be influenced by genetic factors, meaning that these risks can certainly be inherited from family members. The good news is, skin cancer prevention can and should begin in childhood – the number of sunburns you get before the age of 18 directly correlates with your skin cancer risk, especially if you are at higher risk due to genetic predisposition. 

Melanoma, in particular, can be caused by inherited genetic mutations and is the most aggressive form of skin cancer. If you have a family history of melanoma, it’s critical to go for a screening regularly. If you spot it, you can stop it! 

Someone in My Family Had Skin Cancer; Am I at Risk?

Your risk is increased if you have a family history of skin cancer. Families share genetic traits, so if one family member has a mutation associated with skin cancer, other members may also carry this mutation, increasing their risk. Additionally, while genetics play a significant role, environmental factors such as UV exposure also contribute to skin cancer risk. Families often share similar environments and lifestyle habits, compounding the genetic risk. Understanding these genetic links is crucial for early detection and prevention strategies:

Can Skin Cancer Be Cured?

Absolutely, and sometimes even with a topical cream. More severe forms will require an outpatient, very superficial surgical procedure that can be done over a lunch hour. Basal Cell Carcinoma and Squamous Cell Carcinoma are the two most common forms of skin cancer and are easily treatable with the above methods. 

However, with Melanoma, early detection is critical as this form can spread through the bloodstream to vital organs very quickly. There are five stages of diagnosis that will determine how a skin cancer is treated; the earlier you are diagnosed, the better! 

Recent advancements in treatments, such as immunotherapy and targeted therapy, have improved outcomes for many patients, particularly those with advanced melanoma.

How Do I Manage Inherited Risk of Skin Cancer?

  • Regular Screenings for Skin Cancer: Individuals with a family history of skin cancer should undergo annual skin examinations by a dermatologist. Early detection is key to successful treatment.
  • Genetic Counseling on Skin Cancer Risk: Those with a strong family history of skin cancer may benefit from genetic counseling. This can help assess their risk and guide decisions about genetic testing and preventive measures.
  • Preventive Measures against Skin Cancer: Adopting sun-safe behaviors, such as using sunscreen, wearing protective clothing, and avoiding tanning beds, can help mitigate the risk, even for those with a genetic predisposition.

By understanding the genetic factors that contribute to skin cancer risk, you can take proactive steps to monitor their skin health and reduce their chances of developing the disease.

Can Skin Cancer Look Like a Pimple?

It sure can—usually described as a non-healing sore, as in “I think I bumped my head or scratched a zit, but the darn thing just won’t heal.” The danger is that early stages of skin cancer may not look like much, but that doesn’t mean it’s safe to ignore. If you have a spot or sore that persists for weeks or longer, it could be a sign of Basal Cell Carcinoma. This is the most common form of skin cancer and tends to form on the most sun-exposed parts of our skin, such as the scalp, upper ears, face, and shoulders. Luckily, it’s the easiest to treat, but neglecting the signs can lead to serious implications. So be sure to pay attention!

If you notice any of these warning signs, make an appointment with a board-certified dermatologist specialist at The Derm Specialists right away. 

Can Skin Cancer Itch?

Although itchy skin alone does not necessarily indicate skin cancer, it can be an early warning sign of something more serious. A cancerous mole or small blemish that is scaly and red can itch, tingle, be painful, or just “not feel like my normal skin.” Both basal cell carcinoma and squamous cell carcinoma are often likely to cause irritation. However, Melanoma, which is the deadliest form of skin cancer, can form as a painless mark or lesion and is less likely to cause any discomfort.

Can Skin Cancer Appear in Areas Not Exposed to the Sun?

Yes, skin cancer can develop in areas not typically exposed to sunlight, such as the palms, soles, and under fingernails. This is more common in people with darker skin tones. Regular skin checks are important for early detection, particularly if you have inherited increased risk.

What Happens during a Skin Cancer Check with a Dermatologist?

In addition to self-exams, it’s important to have your skin checked by a dermatology specialist at least once a year. During a professional skin exam, your dermatologist will carefully inspect your skin from head-to-toe, looking for any suspicious spots. This is especially important if you have a history of sunburns, excessive sun exposure, or a family history of skin cancer.

A thorough skin exam typically takes about 10 minutes. If your dermatologist finds a suspicious spot, they may recommend a biopsy to determine if it’s cancerous. The earlier skin cancer is detected and treated, the better the outcome. During your visit,  your doctor can provide you with more information on how to prevent skin cancer based on your genetics, location, and lifestyle.

types of skin cancer illustration

What are the Stages of Skin Cancer Diagnosis?

The stages of melanoma diagnosis are typically categorized into five main stages, from 0 to IV:

  1. Stage 0 (Melanoma in Situ): At this stage, the melanoma is confined to the outermost layer of skin (the epidermis) and has not invaded deeper tissues. It is also known as “in situ” melanoma.
  2. Stage I: This stage indicates that the melanoma has begun to invade the dermis but is still relatively small and has not spread to lymph nodes or other parts of the body. Stage I is often divided into sub-stages IA and IB based on the thickness of the melanoma and the presence of ulceration.
  3. Stage II: At this stage, the melanoma is thicker and may have ulceration but still has not spread to the lymph nodes or distant sites. Like Stage I, Stage II is divided into sub-stages IIA, IIB, and IIC based on thickness and ulceration.
  4. Stage III: Melanoma has spread to nearby lymph nodes, lymph vessels, or skin but not to distant organs. This stage is also divided into sub-stages IIIA, IIIB, IIIC, and IIID, depending on the extent of lymph node involvement and other factors.
  5. Stage IV: This is the most advanced stage, where melanoma has spread to distant lymph nodes or other organs such as the lungs, liver, or brain.

Diagnosing the stage of melanoma guides treatment decisions and provides information about the prognosis. It’s important to note that the staging of melanoma can be complex, with subcategories that further define the extent of the disease.

What Are the Latest Treatments for Skin Cancer?

Recent advancements in skin cancer treatment include immunotherapy and targeted therapy, which use the body’s immune system or specific drugs to attack cancer cells. These treatments are particularly effective for advanced melanoma. Significant progress has been made with the approval of tumor-infiltrating lymphocyte (TIL) therapy for advanced melanoma, offering promising new options for patients.

Conclusion: Understanding Skin Cancer Risks and Prevention

Skin cancer is the most common form of cancer in the United States, with millions of cases diagnosed each year. The primary cause is exposure to ultraviolet (UV) rays from the sun and tanning beds. To reduce your risk, follow these skin cancer prevention tips:

  • Seek shade between 10 AM and 4 PM when the sun’s rays are strongest.
  • Wear protective clothing, including a wide-brimmed hat and UV-blocking sunglasses.
  • Apply broad-spectrum sunscreen with an SPF of 30 or higher, and reapply every two hours.
  • Avoid tanning beds, as they significantly increase the risk of skin cancer.
  • Regularly check your body for new moles or other unusual changes. For more information on what to look for, check out our post on identifying precancerous moles.

Skin cancer prevention should always be your number one priority when heading outside. While you should be using SPF protection year-round (and yes, that means even when it’s cloudy or cold), the risk of skin cancer significantly increases during the summer due to longer hours of daylight. Understanding the risks and symptoms of skin cancer is crucial for prevention and early detection.

If you are concerned about skin cancer or are seeking treatments for sun damaged skin, The Dermatology Specialists offer medical and cosmetic procedures, including exams for skin cancer prevention, across multiple locations. Our board-certified dermatologists are experts in a variety of treatments for the maintenance of youthful skin. We’re the largest growing dermatology group in the northeast, making it easy to visit any of our offices

If you found this article useful, please share it to help keep your friends and family sun-safe year-round.

Additional Resources on Skin Cancer

For more information about skin cancer statistics, prevention, detection, and treatment, check out these highly regarded resources:

Additional Common Questions

Is Skin Cancer Deadly?

While skin cancer can be deadly, especially if left untreated, the mortality rate varies depending on the type and stage of the cancer. Basal cell and squamous cell carcinomas, the two most common forms, are highly treatable when caught early and rarely spread beyond the skin. However, melanoma, the most aggressive form of skin cancer, can be life-threatening if it spreads to other parts of the body. That’s why early detection and treatment are critical. When caught in its earliest stages, the 5-year survival rate for melanoma is 99%.

How can you Tell if you have Skin Cancer?

While only a medical professional can diagnose skin cancer, there are warning signs you can look out for:

  • A new spot on the skin or a spot that’s changing in size, shape, or color
  • A sore that doesn’t heal within a few weeks
  • A mole or spot that looks different from all of your other moles (known as the “ugly duckling” sign)
  • Any spot that itches, hurts, crusts, scabs, or bleeds

For melanoma specifically, remember the ABCDE rule:

  • Asymmetry
  • Border irregularity
  • Color that is not uniform
  • Diameter greater than 6mm (about the size of a pencil eraser)
  • Evolving size, shape, or color

how to tell if a mole is cancerous; abcde of melanoma

If you notice any of these signs, make an appointment with a board-certified dermatologist specialist at The Derm Specialists right away. 

What causes skin cancer?

The primary cause of skin cancer is exposure to ultraviolet (UV) radiation from the sun or tanning beds. Other factors that can increase your risk include:

  • Fair skin
  • History of sunburns, especially severe ones
  • Excessive sun exposure
  • Sunny or high-altitude climates
  • Moles
  • Precancerous skin lesions, such as actinic keratosis
  • Family history of skin cancer
  • Personal history of skin cancer
  • Weakened immune system
  • Exposure to radiation or certain substances, like arsenic

While some risk factors (like skin type and family history) can’t be changed, you can control your UV exposure to significantly reduce your risk.

How can you protect your face from skin cancer?

Protecting your face from skin cancer involves several strategies:

  • Apply broad-spectrum sunscreen with at least SPF 30 daily, even on cloudy days. Reapply every two hours or after swimming or sweating.
  • Wear protective clothing, including a wide-brimmed hat that shades your face, ears, and neck.
  • Seek shade, especially between 10 AM and 4 PM when the sun’s rays are strongest.
  • Wear UV-blocking sunglasses to protect your eyes and the delicate skin around them.
  • Avoid tanning beds, which can significantly increase your risk of skin cancer.
  • Use lip balm with SPF to protect your lips.
  • Consider using makeup or moisturizers with built-in SPF for an extra layer of protection.
  • Perform regular skin self-exams and schedule annual check-ups with a dermatologist.