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4 WARNING SIGNS OF MELANOMA THAT ARE EASY TO MISS
THE DANGEROUS SKIN CANCER CAN TAKE ON ODD FORMS AND POP UP IN UNEXPECTED PLACES
--------------------------------------------------------------------------------
By
Rachel Nania,
AARP
En español
Published July 09, 2021
/ Updated June 21, 2023
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More than 97,000 Americans will be diagnosed with melanoma this year, according
to the American Cancer Society, making it one of the most common types of cancer
in the U.S., especially among older adults who have endured decades of sun
exposure and whose immune systems aren’t as robust as they once were.
The good news: Melanoma is highly curable if it’s caught early. Do you know what
to look for?
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The hallmarks of melanoma are asymmetrical or rough-looking moles without
clearly defined borders. A spot on the skin that continues to grow in size or
change is another indication, and a once-monthly body scan is an easy way to
keep tabs on any of these concerning characteristics.
But there are also some more unusual signs that could signal the presence of the
skin cancer.
“Melanoma is such a rule breaker,” says Elizabeth Buchbinder, M.D., an
oncologist at the Dana-Farber Cancer Institute in Boston and an assistant
professor at Harvard Medical School. Little moles can cause big trouble, and new
spots can grow and spread quickly, she adds. “And so knowing what to look out
for is super important.”
Here are four warning signs of melanoma you need to know about so that no spot
goes unnoticed.
1. THE ‘UGLY DUCKLING’
People who have lots of moles are at increased risk for melanoma. That doesn’t
mean, however, that you need to panic over every mark on your body. Pay
attention to the moles that stand out — those that are darker than the rest,
have changed recently or are more oddly shaped. Buchbinder calls these “ugly
ducklings.”
“If you have a bunch of dark moles, but you have 50 of them, they’re not all
melanomas,” she says. “But if you have one mole that really looks different than
the others, and it’s kind of that ugly duckling, that’s the one that you really
want to get looked at and checked.”
With women, melanomas most commonly appear on the arms and legs. Men need to pay
special attention to their head, neck, back and trunk. Still, those aren’t the
only places this type of skin cancer can pop up.
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2. ‘WHERE THE SUN DOESN’T SHINE’
The majority of melanomas are thought to be caused by ultraviolet (UV) light,
but not all of them come from sun exposure. Melanoma can develop anywhere on the
body, including “in places the sun doesn’t shine,” like the soles of the feet or
the palms of the hand, says Elizabeth Quigley, M.D., a dermatologist and
associate physician at Memorial Sloan Kettering Cancer Center in New York.
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The cancer can also appear as a dark streak under a fingernail or toenail, which
is what happened to musician Bob Marley. He initially mistook his melanoma for
a bruise on the toe and eventually died from it. (A clue that you should see a
doctor: If you discover a dark spot under the nail bed that doesn’t grow out
with the nail over time, like a blood blister would, Buchbinder says it’s time
to make an appointment.)
And while it’s rarer, melanoma also can develop on the eye, inside the mouth or
on the scalp. Buchbinder has even seen patients experience changes in their hair
color — “someone who had gray hair and developed a black streak” — because of a
melanoma growing on the scalp. “So, strange things can happen, but these aren’t
common ones,” she adds.
That said, these “hidden” melanomas are more common in people with darker skin,
points out Vishal Patel, M.D., assistant professor of dermatology at the George
Washington School of Medicine & Health Sciences and director of the cutaneous
oncology program at the GW Cancer Center.
“I tell Black and Indian and Asian patients that if you have nail changes, [any
dark spots] on your palms and soles, as well as in the eye and mouth, these are
ones that I worry about,” Patel says. “Because while it is less common to have
that, when it does happen, it is worse. So, it’s important to know about that.”
Melanoma is 20 times more common in white individuals than in Black
individuals, according to the American Cancer Society. Hispanics are also less
likely than their white peers to get the skin cancer.
However, when melanoma develops in people of color, it’s often diagnosed at a
later, more dangerous stage. A 2019 study from the Centers for Disease Control
and Prevention (CDC) found that the five-year melanoma survival rate among
non-Hispanic Black populations was 66.2 percent, compared with 90.1 percent for
non-Hispanic white populations.
3. RED, WHITE AND BLUE HUES
Melanomas are often depicted as dark-brown moles, but they can actually present
in a variety of colors. The cancer may have a blue tint to it, from deeper
pigmentation, says professor Robert Brodell, M.D., chair of the Department of
Dermatology at the University of Mississippi Medical Center. Or it can appear
red, the result of an immune response. “The body is attacking it. It knows it’s
abnormal and it’s trying to defend itself, and you get inflammation,” Brodell
explains.
It’s also possible for a melanoma to “look like a rash,” Quigley says, and to
take on a pink hue. But when the spot doesn’t get better with creams and other
treatments that normally nix a rash, “you need to check and make sure that
that’s not a skin cancer,” she adds.
Another sign of a melanoma can be lack of color. Some of these cancerous spots
lose their pigmentation completely or partially, leaving a halo of white around
a darker spot.
“And that’s something that gives us a little concern,” Buchbinder says. “Was the
body recognizing something like a melanoma that was going wrong, and in its
process of destroying the melanoma, it destroyed some of the normal melanocytes
[cells in the skin that produce pigment] in that area? It’s just one of those
things that may kind of make you look a little closer at something.”
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4. SPOTS ON THE SKIN THAT BLEED OR ITCH
If a mole on your body starts to itch or becomes more painful or tender, you
need to get it checked out. The same goes if the surface of a mole changes
— maybe it starts to ooze or bleed or take on a scalier appearance and doesn’t
heal on its own.
“We think that some of that irritation — the itching, the bleeding — is actually
the body starting to recognize [the cancer] and starting to attack it a little,
making it irritated. That’s why you’ll see some itching and bleeding and
irritation near the actual mole,” Buchbinder says.
SKIN CANCER PREVENTION
Wearing sun-protective clothing, sporting UV-blocking sunglasses and lathering
on sunscreen are some of the most effective ways to prevent melanoma.
RISK FACTORS FOR SKIN CANCER
Do you know your skin cancer risk? According to the CDC, the most common risk
factors include:
* A lighter natural skin color
* Skin that burns, freckles, reddens easily or becomes painful in the sun
* Blue or green eyes
* Blond or red hair
* A large number of moles
* A family history of skin cancer
* A personal history of skin cancer
* Older age
Another thing to keep in mind: People on certain blood pressure medications —
including diuretics such as hydrochlorothiazide and calcium channel blockers
such as nifedipine — need to be extra cautious when spending time outside. “Many
of those [blood pressure] medicines make us more sensitive to the sun and more
likely to get a sunburn,” Quigley says, which amplifies the risk of skin cancer.
Not all skin cancers are caused by sun exposure, so frequent skin checks are an
important part of prevention, too. Catching a melanoma before it has time to
grow in thickness and spread to other areas of the body greatly improves your
chances of survival. (You can find tips on how to do a self-exam on the American
Cancer Society’s website.) Keeping your immune system as strong as possible can
also help prevent melanoma.
The bottom line: “People need to really be aware of their skin,” Quigley says.
“And if there’s anything that seems abnormal, it’s not the time to wait — it
needs to be evaluated.”
Editor's note: This article, originally July 9, 2021, has been updated to
reflect new information.
%{postComment}%
Rachel Nania writes about health care and health policy for AARP. Previously she
was a reporter and editor for WTOP Radio in Washington, D.C. A recipient of a
Gracie Award and a regional Edward R. Murrow Award, she also participated in a
dementia fellowship with the National Press Foundation.
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MEMBERS ONLY
Restaurants
Corner Bakery
10% off dine-in and carry-out orders
Learn More
See more Restaurants offers >
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MEMBERS ONLY
Health & Wellness
AARP® Prescription Discounts provided by Optum Rx®
Free Rx discount card for use at over 66,000 pharmacies nationwide
Learn More
See more Health & Wellness offers >
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AARP MEMBERSHIP
Join or Renew Today
Save 25% when you sign up for automatic renewal
Learn More
See more Health & Wellness offers >
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234
*
*
*
*
* Health & Wellness
BMI Calculator
Determine your healthy weight
Learn More
See more Health & Wellness offers >
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* MEMBERS ONLY
Restaurants
Corner Bakery
10% off dine-in and carry-out orders
Learn More
See more Restaurants offers >
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* MEMBERS ONLY
Health & Wellness
AARP® Prescription Discounts provided by Optum Rx®
Free Rx discount card for use at over 66,000 pharmacies nationwide
Learn More
See more Health & Wellness offers >
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* Health & Wellness
AARP Online Fitness powered by LIFT session
Customized workouts designed around your goals and schedule
Learn More
See more Health & Wellness offers >
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