You don’t need x-rays or blood tests to find skin cancer early – just your eyes and a mirror. If you have skin cancer, finding it early is the best way to make sure it can be treated successfully. Although the American Cancer Society does not have guidelines for the early detection of skin cancer, many doctors recommend checking your own skin regularly, typically once a month. Regular skin self-exams are especially important for people who are at higher risk of skin cancer, such as people with reduced immunity, people who have had skin cancer before, and people with a strong family history of skin cancer. Talk to your doctor about how often you should examine your skin. A skin self-exam is best done in a well-lit room in front of a full-length mirror. You can use a hand-held mirror to look at areas that are hard to see, such as the backs of your thighs. A spouse, partner, or close friend or family member may be able to help you with these exams, especially for those hard-to-see areas like your back or scalp. The first time you examine your skin, spend time carefully going over the entire surface. Learn the pattern of moles, blemishes, freckles, and other marks on your skin so that you’ll notice any changes next time. Be sure to show your doctor any areas that concern you. Follow these step-by-step instructions to examine your skin: Face the mirror Check your face, ears, neck, chest, and belly. Women will need to lift their breasts to check the skin underneath. Check your underarm areas, both sides of your arms, the tops and palms of your hands, in between your fingers, and under your fingernails. Sit down Check the front of your thighs, shins, tops of your feet, in between your toes, and under your toenails. Now use a hand mirror to look at the bottoms of your feet, your calves, and the backs of your thighs, first checking one leg and then the other. Use the hand mirror to check your buttocks, genital area, lower and upper back, and the back of your neck and ears. Or it may be easier to look at your back in the wall mirror using a hand mirror. Use a comb or hair dryer to part your hair so that you can check your scalp. The best time to do a skin self-exam is after a bath or shower. Check any moles, blemishes, or birthmarks from the top of your head to your toes. If you look at your skin regularly, you will know what’s normal for you. What should I look for? Not all skin cancers look the same. In fact, skin cancers can show up in many shapes and sizes. Sometimes they might even look like other skin conditions. Many skin cancers are more common on parts of the body that tend to get more sun, such as the face, head, neck, and arms. But skin cancers can occur anywhere on the body. Some of the more common ways in which skin cancers can appear include: A new, expanding, or changing growth, spot, or bump on the skin A sore that bleeds and/or doesn’t heal after several weeks A rough or scaly red patch, which might crust or bleed A wart-like growth A mole (or other spot on the skin) that’s new or changing in size, shape, or color A mole with an odd shape, irregular borders, or areas of different colors But it’s important to understand that these are not the only ways skin cancer can appear. To learn more about what skin cancer might look like, see: Skin Cancer Image Gallery Signs and Symptoms of Basal and Squamous Cell Skin Cancers Signs and Symptoms of Melanoma Skin Cancer Signs and Symptoms of Merkel Cell Carcinoma If you find something suspicious on your skin If you’re looking at your skin (during a skin-self exam or at any other time) and see anything that concerns you, especially something that has just appeared or has changed recently, be sure to have it checked by a doctor. If the doctor suspects you might have skin cancer, he or she will do exams and tests to find out. If you can’t see the doctor right away, you might want to take good close-up photos of the area so your doctor can see if the area is changing when you do get an appointment. Usually the doctor’s first step is to ask about your symptoms, such as when the mark first appeared, if it has changed in appearance, and if it’s painful, itchy, or bleeding. You might also be asked about past exposures to causes of skin cancer (including sunburns and tanning practices) and if you or anyone in your family has had skin cancer. The doctor will then examine your skin, noting the size, shape, color, and texture of the area in question, and if it is bleeding, oozing, or crusting. The rest of your body may be checked for moles and other spots that could be related to skin cancer. If you're being seen by your primary doctor and skin cancer is suspected, you may be referred to a dermatologist, a doctor who specializes in skin diseases, who might use special tools to look at the area more closely. If the doctor thinks that a suspicious area might be skin cancer, a sample of skin from that area will be removed and looked at under a microscope. This is called a skin biopsy. There are many ways to do a skin biopsy. The doctor will choose one based on the suspected type of skin cancer, where it is on your body, the size of the affected area, and other factors. For more detailed information on skin biopsies, see Tests for Melanoma Skin Cancer or Tests for Basal and Squamous Cell Skin Cancer. Source
