BY DR ROGER DOWN, MBBS, FRCS, FRACS, MD (LOND)
There are three major types of skin cancer:
1. Basal Cell: These are locally growing cancers and, as a rule, do not spread to other parts of the body. They just grow in size and will eventually ulcerate to produce a nasty sore.
2. Squamous Cell: These can spread to other parts of the body in about 10% of cases if not treated.
3. Melanoma: This is the potentially lethal variety if not found early and removed appropriately with an 8mm margin by a skilled, experienced surgeon.
When do skin cancers occur?
Basal Cell cancers and melanomas can occur at any age from 14 years onwards. They are not necessarily sun-induced, but it may be a factor. I have removed 10mm basal cell cancers from a 22-year-old model’s nose with a great cosmetic result, and she still models!
Squamous Cell cancers usually occur with increasing age in sun-drenched persons who have been excessively exposed to the sun, including on the scalp. So, if you have a shaved head, wearing a hat outside is essential! They start as persistent scaly areas, which is the first warning sign. Consult an expert surgeon, as these conditions are easily treated without scarring; however, surgery can alter the skin’s pigmentation.
What would alert me to an early skin cancer?
Get your partner to check you all over at least once a month for:
- The sudden development of a new lesion or spot, especially if it is pigmented/white.
- An existing skin spot/lesion that changes in shape, outline, colour, elevation, or is bleeding.
What does all this mean?
Get a regular skin check from a Specialist Dermatologist or RACS-trained Surgeon annually from the age of 12 to 14 years.
Do not trust Dr Google or Apps. AI is far from reliable and cannot treat you! Remember, the Medicare charter allows you to choose who operates on you.
More next time. Have fun, take care, and God bless.
