How To Tell If I Have Melanoma

Skin Cancer Is Easy To Self

One in five Americans is expected to develop skin cancer in their lifetime. Anyone can get it, regardless of skin color, age or gender.

Fortunately, skin cancer is one of the easiest of all cancers to diagnose. Further, if it is found early, it is relatively easy to treat. Because they are almost always visible on the skin, if the person is looking for changes, they are likely to find a skin cancer early.

The moral of the story: do self-examinations of your skin monthly.

Skin cancer can occur anywhere on the body, so be thorough. Check the nails, between the toes, and inside your mouth. Use a hand mirror to check hard to see areas, including your back and private places. When shampooing, feel around the scalp and glimpse through the hair.

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Who Gets Skin Cancer And Why

Sun exposure is the biggest cause of skin cancer. But it doesnt explain skin cancers that develop on skin not ordinarily exposed to sunlight. Exposure to environmental hazards, radiation treatment, and even heredity may play a role. Although anyone can get skin cancer, the risk is greatest for people who have:

• Fair skin or light-colored eyes
• An abundance of large and irregularly-shaped moles
• A family history of skin cancer
• A history of excessive sun exposure or blistering sunburns
• Lived at high altitudes or with year-round sunshine
• Received radiation treatments

Red Flag #: Swollen Lymph Nodes

If melanoma spreads, it often goes to the lymph nodes first, says Melinda L. Yushak, M.D., assistant professor of hematology and medical oncology at Emory University School of Medicine in Atlanta. The cancer cells will first travel to the nodes closest to the original tumor, she says. Lymph nodes are located throughout your entire body, but large clusters are found in the neck, underarms, chest, abdomen, and groin. If the cancer has made its way to the lymph nodes, it usually wont be painful, but theyll feel swollen or even hard to the touch, Dr. Zaba says.

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What Are The Signs Of Symptoms Of Metastatic Melanoma

Signs and symptoms depend upon the site of metastasis and the amount of tumor there. Metastases to the brain may first appear as headaches, unusual numbness in the arms and legs, or seizures. Spread to the liver may be first identified by abnormal blood tests of liver function long before the patient has jaundice, a swollen liver, or any other signs of liver failure. Spread to the kidneys may cause pain and blood in the urine. Spread to the lungs may cause shortness of breath, other trouble breathing, chest pain, and continued cough. Spread to bones may cause bone pain or broken bones called pathologic fractures. A very high tumor burden may lead to fatigue, weight loss, weakness and, in rare cases, the release of so much melanin into the circulation that the patient may develop brown or black urine and have their skin turn a diffuse slate-gray color. The appearance of multiple blue-gray nodules in the skin of a melanoma patient may indicate widespread melanoma metastases to remote skin sites.

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What Is My Skin Type

Skin types that are more sensitive to ultraviolet radiation burn more quickly and are at a greater risk of skin cancer.

All skin types can be damaged by too much UV radiation. Skin types that are more sensitive to UV radiation burn more quickly and are at a greater risk of skin cancer.

People with naturally very dark skin still need to take care in the sun even though they may rarely, if ever, get sunburnt. The larger amount of melanin in very dark skin provides natural protection from UV radiation. This means the risk of skin cancer is lower.

Eye damage can occur regardless of skin type. High levels of UV radiation have also been linked to harmful effects on the immune system.

Vitamin D deficiency may be a greater health concern for people with naturally very dark skin, as it is more difficult for people with this skin type to make vitamin D.

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How Do You Treat Stage 4 Melanoma

The good news is that even stage 4 melanoma can be treated. The sooner the cancer is found, the sooner it can be removed and the higher your chances are for recovery. Stage 4 melanoma also has the most treatment options, but these options depend on:

• where the cancer is
• how advanced the cancer has become
• your age and overall health

How you respond to treatment also affects your treatment options. The five standard treatments for melanoma are:

• surgery: to remove the primary tumor and affected lymph nodes
• chemotherapy: a drug treatment to stop growth of cancer cells
• radiation therapy: the application of high-energy X-rays to inhibit growth and cancer cells
• immunotherapy: treatment to boost your immune system
• targeted therapy: the use of drugs or other substances to attack cancer drugs

Other treatments may also depend on where the cancer has spread to. Your doctor will discuss your options with you to help map out a treatment plan.

Abcde Melanoma Detection Guide

A is for Asymmetry

Look for spots that lack symmetry. That is, if a line was drawn through the middle, the two sides would not match up.

B is for Border

A spot with a spreading or irregular edge .

C is for Colour

Blotchy spots with a number of colours such as black, blue, red, white and/or grey.

D is for Diameter

Look for spots that are getting bigger.

E is for Evolving

Spots that are changing and growing.

These are some changes to look out for when checking your skin for signs of any cancer:

• New moles.
• Moles that increases in size.
• An outline of a mole that becomes notched.
• A spot that changes colour from brown to black or is varied.
• A spot that becomes raised or develops a lump within it.
• The surface of a mole becoming rough, scaly or ulcerated.
• Moles that itch or tingle.
• Moles that bleed or weep.
• Spots that look different from the others.

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What Are The Signs And Symptoms Of Melanoma

Melanoma is a skin cancer that can show up on the skin in many ways. It can look like a:

• Changing mole

• Spot that looks like a new mole, freckle, or age spot, but it looks different from the others on your skin

• Spot that has a jagged border, more than one color, and is growing

• Dome-shaped growth that feels firm and may look like a sore, which may bleed

• Dark-brown or black vertical line beneath a fingernail or toenail

• Band of darker skin around a fingernail or toenail

• Slowly growing patch of thick skin that looks like a scar

Early melanoma

This early melanoma could be mistaken for a mole, so its important to look carefully at the spots on your skin.

The Warning Signs Of Skin Cancer

Skin cancers including melanoma, basal cell carcinoma, and squamous cell carcinoma often start as changes to your skin. They can be new growths or precancerous lesions changes that are not cancer but could become cancer over time. An estimated 40% to 50% of fair-skinned people who live to be 65 will develop at least one skin cancer. Learn to spot the early warning signs. Skin cancer can be cured if its found and treated early.

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What Will Happen After Treatment

Youll be glad when treatment is over. For years after treatment, you will see your cancer doctor. Be sure to go to all of these follow-up visits. You will have exams, blood tests, and maybe other tests to see if the cancer has come back.

At first, your visits may be every few months. Then, the longer youre cancer-free, the less often the visits are needed. After 5 years, they may be done once a year.

Having cancer and dealing with treatment can be hard, but it can also be a time to look at your life in new ways. You might be thinking about how to improve your health. Call us at 1-800-227-2345 or talk to your cancer care team to find out what you can do to feel better.

You cant change the fact that you have cancer. What you can change is how you live the rest of your life making healthy choices and feeling as good as you can.

What Does A Normal Vs An Abnormal Mole Look Like

Normal moles are usually round or oval and smaller than a pencil eraser. They are one consistent color , with a clear border. Most people have less than 50 moles. You can be born with moles, develop them with age or even have some disappear.

Cancerous, or malignant, moles may vary greatly in appearance. To help identify moles that might indicate melanoma, think of the letters A-B-C-D-E:

• A | Asymmetry: Mole is an irregular shape, such as if one side looks different than the other
• B | Border: Mole has irregular, ragged, notched or scalloped borders
• C | Color: Mole has more than one color or uneven shading
• D | Diameter: Mole is bigger than a pencil eraser
• E | Evolution: Mole changes in some way

Talk to your doctor, if you notice any skin changes that seem unusual.

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Red Flag #: Abdominal Pain And Tenderness

Early on, there may be no noticeable symptoms that melanoma has spread to the liver. When symptoms do show up, they commonly include an enlarged, hard, or tender liver and pain in the upper right area of your abdomen, just below your ribs. Other signs cancer has spread to the liver are similar to symptoms of liver disease: fluid buildup in the belly and yellowing of the skin and eyes .

How Is Cancer On The Scalp Treated

Potential treatments for skin cancer on your scalp include:

• Surgery. Your doctor will remove the cancerous growth and some of the skin around it, to make sure that they removed all the cancer cells. This is usually the first treatment for melanoma. After surgery, you may also need reconstructive surgery, such as a skin graft.
• Mohs surgery. This type of surgery is used for large, recurring, or hard-to-treat skin cancer. Its used to save as much skin as possible. In Mohs surgery, your doctor will remove the growth layer by layer, examining each one under a microscope, until there are no cancer cells left.
• Radiation. This may be used as a first treatment or after surgery, to kill remaining cancer cells.
• Chemotherapy. If your skin cancer is only on the top layer of skin, you might be able to use a chemotherapy lotion to treat it. If your cancer has spread, you might need traditional chemotherapy.
• Freezing. Used for cancer that doesnt go deep into your skin.
• . Youll take medications that will make cancer cells sensitive to light. Then your doctor will use lasers to kill the cells.

The outlook for skin cancer on your scalp depends on the specific type of skin cancer:

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Risk Of Further Melanomas

Most people treated for early melanoma do not have further trouble with the disease. However, when there is a chance that the melanoma may have spread to other parts of your body, you will need regular check-ups. Your doctor will decide how often you will need check-ups everyone is different. They will become less frequent if you have no further problems. After treatment for melanoma it is important to limit exposure to the suns UV radiation. As biological family members usually share similar traits, your family members may also have an increased risk of developing melanoma and other skin cancers. They can reduce their risk by spending less time in the sun and using a combination of sun protection measures during sun protection times. It is important to monitor your skin regularly and if you notice any changes in your skin, or enlarged lymph glands near to where you had the cancer, see your specialist as soon as possible.

Patients Can Enter Clinical Trials Before During Or After Starting Their Cancer Treatment

Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring or reduce the side effects of cancer treatment.

Clinical trials are taking place in many parts of the country. Information about clinical trials supported by NCI can be found on NCIs clinical trials search webpage. Clinical trials supported by other organizations can be found on the ClinicalTrials.gov website.

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How Common Is Melanoma

Melanoma accounts for only about 1% of all skin cancers, but causes the great majority of skin cancer-related deaths. Its one of the most common cancers in young people under 30, especially in young women.

Melanoma incidence has dramatically increased over the past 30 years. Its widely accepted that increasing levels of ultraviolet exposure are one of the main reasons for this rapid rise in the number of melanoma cases.

Looking For Signs Of Skin Cancer

Non melanoma skin cancers tend to develop most often on skin thats exposed to the sun.

To spot skin cancers early it helps to know how your skin normally looks. That way, youll notice any changes more easily.

To look at areas you cant see easily, you could try using a hand held mirror and reflect your skin onto another mirror. Or you could get your partner or a friend to look. This is very important if youre regularly outside in the sun for work or leisure.

You can take a photo of anything that doesnt look quite right. If you can its a good idea to put a ruler or tape measure next to the abnormal area when you take the photo. This gives you a more accurate idea about its size and can help you tell if its changing. You can then show these pictures to your doctor.

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What You Need To Know About Early Detection

Finding melanoma at an early stage is crucial early detection can vastly increase your chances for cure.

Look for anything new,changing or unusual on both sun-exposed and sun-protected areas of the body. Melanomas commonly appear on the legs of women, and the number one place they develop on men is the trunk. Keep in mind, though, that melanomas can arise anywhere on the skin, even in areas where the sun doesnt shine.

Most moles, brown spots and growths on the skin are harmless but not always. The ABCDEs and the Ugly Duckling sign can help you detect melanoma.

Early detection makes a difference

99%5-year survival rate for patients in the U.S. whose melanoma is detected early. The survival rate drops to 66% if the disease reaches the lymph nodes and27% if it spreads to distant organs.

Red Flag #: Headaches Or Visual Changes

Just like the liver, not everyone will notice symptoms of melanoma spreading to the brain. But when symptoms do show up, its usually in the form of headaches, problems with eyesight, paralysis on one side of the body, or seizures. If someone simply has a headache, that doesnt mean they have advanced stage melanoma, Dr. Yushak says. But if its a headache thats not going away after a week, and you never have headaches, then thats something that definitely needs to be checked out.

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What Are The Signs Of Melanoma

Knowing how to spot melanoma is important because early melanomas are highly treatable. Melanoma can appear as moles, scaly patches, open sores or raised bumps.

Use the American Academy of Dermatology’s “ABCDE” memory device to learn the warning signs that a spot on your skin may be melanoma:

• Asymmetry: One half does not match the other half.
• Border: The edges are not smooth.
• Color: The color is mottled and uneven, with shades of brown, black, gray, red or white.
• Diameter: The spot is greater than the tip of a pencil eraser .
• Evolving: The spot is new or changing in size, shape or color.

Some melanomas don’t fit the ABCDE rule, so tell your doctor about any sores that won’t go away, unusual bumps or rashes or changes in your skin or in any existing moles.

Another tool to recognize melanoma is the ugly duckling sign. If one of your moles looks different from the others, its the ugly duckling and should be seen by a dermatologist.

Amelanotic Melanoma: It Doesnt Look Like Other Melanomas

Odds are, if you have spent time on SkinCancer.org, you know the classic ABCDE warning signs of melanoma: Asymmetry, Border irregularity, Color variations, Diameter over ¼ inch or Dark in color, and Evolution or change. But did you know that some melanomas have very different features?

For example, certain melanomas may have no color at all. Physicians refer to these as amelanotic melanomas, because they are conspicuously missing melanin, the dark pigment that gives most moles and melanomas their color. These unpigmented melanomas may be pinkish-looking, reddish, purple, normal skin color or essentially clear and colorless.

• An example of a flat, amelanotic, superficial spreading melanoma on the leg.
• A nodular melanoma developing within an amelanotic melanoma in situ on the scalp.

While these melanomas lack pigment, they may have other melanoma warning signs to stay on the lookout for, such as asymmetry and an irregular border. In addition, more and more physicians today stress the importance of the E in the ABCDEs evolution or change. The Skin Cancer Foundation recommends that you examine your skin head to toe every month, especially looking for any new mole or any sign of change in an existing mole. If you spot any change that you consider suspicious, see a skin specialist without delay.

To help you spot unusual melanomas, you can also use early recognition strategies beyond the ABCDEs, such as the Ugly Duckling sign.

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