Eight Steps for a Self Skin Check

Jennifer Garner has teamed up with Neutrogena® and Self® magazine to encourage women to examine their skin once a month. It’s a great campaign — if you find a melanoma, a simple skin check could save your life.
Why is it important for everyone to do self skin exams, even young women?
- 1 in every 5 Americans will develop skin cancer in their lifetime.
- Melanoma is the most common cancer in 25-29 year-olds.
- Melanoma is the second most common form of cancer in adolescents and young adults, ages 15-29.
- Melanomas are increasing faster in 15-29 year-old females than in males.
- Melanoma is highly curable when detected and treated early.
Skin cancer is there for everyone to see — including you. Everyday patients come to me having already found their skin cancer. It only takes a few minutes and a mirror.
For a full body skin check, you will need:
- A full length mirror
- A hand mirror
- A hair dryer
- A body map such as this one from Self magazine to mark any moles you have. When you repeat your skin exam, compare it to your previous notes. (And guys, if you look like this body, then please see your endocrinologist before your dermatologist — try this body map instead).
Here are eight steps for a complete skin check:
- Start with your scalp. Use the hair dryer to blow the hair apart to see your scalp section by section.
- Examine your face, especially your nose and lips; basal cell carcinomas and squamous cell carcinomas favor these areas.
- Examine your hands and arms. Start with your fingertips and work up your arms to your trunk. Look at your fingernails as well; brown or black spots or streaks can be melanoma.
- Use the full mirror to check your back including the back of your arms and legs.
- Examine the front of your neck, chest and abdomen. Women should lift each breast to check underneath.
- Use the hand mirror to check the back of your shoulders, arms, underarms, buttocks, and legs.
- Sit down to exam the front of your legs.
- Check your feet including the bottoms, between the toes, and toenails (like you do your fingernails).
Remember you are looking for a mole that has:
- Asymmetry
- Border irregularity
- Color variation
- Diameter larger than six millimeters (larger than a pencil eraser)
- Evolution, or has changed over time
In addition, any spot that bleeds or doesn’t heal over two weeks should be examined by a physician. Post by Jeffrey Benabio, MD
Is it normal for a mole to change during pregnancy?
Are you over-scrubbing your face?
Why do celebrities have cellulite?
Lip gloss might increase risk of skin cancer
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The Tragic Death of a Marine from Misdiagnosed Melanoma
By now most of you have heard about the US Iraq war veteran, Marine Corps Sgt. Carmelo Rodriguez, who died from melanoma at 29-years old. Read more
Melanoma Skin Cancer Website
Here is an excellent melanoma skin cancer website for patients as well as physicians. It provides good information about risk factors, moles and nevi, development of melanoma, diagnosis, staging, and treatment.
See also:
Think that mole is too small to be a melanoma? Think again.
How far away is your dermatologist? Farther distances lead to thicker melanomas.
Is it normal for moles to change during pregnancy? No.
Too Small to Be a Melanoma? Think Again.
A common screening measure for determining if a mole is skin cancer is if the size is larger than 6 mm in diameter. This corresponds to the size of a pencil eraser.
However, new research has shown that at least in one study 55% of the melanomas were actually smaller than 6 mm in diameter. Although the commonly cited ABCDE (asymmetry, border, color, diameter, and evolving) guide to determining if a mole is suspicious is helpful, it is imperfect.
Unfortunately, melanoma is actually becoming more common; in fact, according to the National Cancer Institute:
In the United States … the percentage of people who develop melanoma has more than doubled in the past 30 years.
The good news is that melanoma is the only deadly cancer that can be diagnosed just by examining the skin. If you have a new, changing, or suspicious mole, even if it is smaller than a pencil eraser, then have it checked as soon as possible by your dermatologist.
Even a small melanoma is a melanoma.
Farther Distances Lead to Thicker Melanomas
How far away is your dermatologist?
A recent study from the University of North Carolina Chapel Hill published in the Archives of Dermatology showed that the farther a patient had to drive to get to a dermatologist, the thicker the melanoma at the time of diagnosis. They reviewed 615 cases of melanoma from patients in 42 counties in North Carolina and found that the thickness of the tumor (measured as the Breslow thickness) increased by 6% for every 10 miles traveled.
This is important because in melanoma, thicker cancers are more dangerous and more likely to have spread. Thin melanomas are usually cured by surgery alone; thick melanomas or metastatic melanomas are difficult to treat and can be life threatening.
Don’t let distance deter you. If you or a loved one has a new, suspicious, or changing mole, then hop in the car and have it checked. Even if you have to stop for gas on the way there.
