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Skin Cancer: Got Spots? Got Sunscreen? 
 
by Kealoha Wells August 23, 2005

Symptoms of Non-melanoma

In general, non-melanomas most often appear on the neck, face, ears, or any other area that receives a lot of sun exposure. The basal cell cancers usually begin as either a smooth, pearly-looking lump that sometimes bleeds or itches, or a scaly, crusty, flat, red spot. It is possible for it to appear as a firm, red lump.

Squamous cell carcinomas often show up as tender spots beneath a hard, looking cap with a scaly appearance. In addition to the other over-exposed areas, they are also found on the arms, the backs of hands, the lower legs, a bald scalp, or the face.

Benign skin growths

Some skin conditions are not cancerous, but cause changes on the skin’s surface nonetheless. These benign growths include moles, warts, and corns. Many people have benign growths removed, not for health purposes, but for cosmetic reasons.

There are also less common benign growths with the potential to become malignant. The two most commonly recognized are Bowen’s disease and actinic keratosis.

Bowen’s Disease--There are some professionals in the medical field who consider this slow-growing, reddish-brown patch on the skin to be precancerous. Others consider it to be the earliest stage of skin cancer, known as carcinoma in situ (cancer that involves only the cells that it originated in, and has not spread). Either way, it appears as a scaly or crusty patch and resembles dermatitis or psoriasis.

Actinic Keratosis--Actinic keratosis, also known as solar keratosis, appears as patches that are usually less than one inch across. These raised, scaly patches on the skin can be flesh-colored, or fall somewhere in the range of pink to red to brown. Like Bowen’s disease, they appear mostly on areas exposed to the sun, such as the face, ears, forearms, lips, backs of the hands, and the neck. Left untreated, 1 in 10 cases develop into squamous cell carcinoma.

Risk Factors for Skin Cancer

Anything that increases your chance of developing a disease or health condition is considered a risk factor. Risk factors for skin cancer include:

  • Exposure/overexposure to the ultraviolet light of the sun
  • 40 years of age or older
  • Bowen’s disease
  • Actinic keratosis
  • A fair skin and blue eyes combination
  • Freckles
  • Skin cancer in the family history
  • Regular exposure to sunlamps or sunbeds
  • Skin that burns easily
  • Severe or excessive number of sunburns in childhood
  • Over exposure to certain workplace chemicals including (but not limited to) radium, coal tar, arsenic compounds, soot, asphalt, paraffin waxes, hair dyes, and petroleum derivatives.
  • Use of pharmaceutical drugs that lower the immune system
  • Previous radiation treatments for other conditions

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