Know Your A, B, C, D, and Es of Melanoma Skin Cancer

by Catherine Ernotte

Living in the Sunshine State we are all exposed to ample time in the sun.  Understanding Your A, B, C, D, and Es of Melanoma Skin Cancer is essential. Add to that any predisposing genetic history and it is important to be aware of changes in our skin that might be melanoma.

The A, B, C, D, and Es of malignant melanoma (the more serious type of skin cancer) can help you identify the danger signs for early detection.

A is for ASYMMETRY

This is when one-half of the mole or spot is not like the other half.

B is for BORDER

Look for irregular or scalloped edge or a poorly defined border vs one that is even and smooth.

C is for COLOR

Malignant melanoma can present with the color being varied within the area having shades of tans, browns, and blacks.  You may even see red, white, or blues.

D is for DIAMETER

As a general rule, the melanoma is usually larger than 6mm or the size of a pencil eraser.  Do not, however, ignore any changes in any area because melanoma may be detected in smaller spots.       

E is for EVOLVING

This means that the area is changing in any way. When melanoma is detected early and with prompt evaluation and treatment you are offered an excellent chance for a cure.

WHAT CAN I DO TO HELP DETECT SKIN CHANGES/MELANOMA?

1.        Always practice “SAFE SUN.”  Wear clothing that is sun protective and covers your skin like a wide-brimmed hat, long sleeves, and long pants.

2.       Use a broad-spectrum sunscreen that has an SPF rating great than 30.  Apply every 2 hours if getting wet or sweating heavily.  Avoid the strongest UV rays from 10 AM to 3 PM.

3.       Don’t forget sunglasses with UV protection.  There are conditions that can affect your vision that may occur with sun exposure like cataracts and macular degeneration to name a few.

4.       Thoroughly examine your body frequently-front, back, sides, spaces between the toes, the soles of your feet and notice dark areas under the finger or toenails. You may require help to move your hair around if necessary to identify any scalp changes.

5.       CONSULT YOUR DERMATOLOGIST IMMEDIATELY IF YOU NOTICE ANY OF THESE CHANGES (or just to have an expert examine your skin).

Visit the American Academy of Dermatology website. For more information and to take a quiz on your ability to identify possible skin cancer.  Try not to be “grossed out.” Remember the point is to learn the warning signs so you can keep your skin safe.

In the next newsletter lookout for “SPOTTING THE SPOTS” to learn about other common, less-serious forms of skin cancer.


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