Skin cancer prevention has come a long way, but summer is still a great time to brush up on your skin protection plan, including those unexpected spots where sun damage can occur.

As a surgical oncology physician assistant who specializes in treating melanoma, I want patients to protect themselves from head to toe!

Make sure to consistently wear sunscreen with an SPF of 50 or higher, or cover your skin with clothing.

See a dermatologist regularly, and follow the “ABCDE” rule to check moles or spots on your skin — it stands for Asymmetry, Border irregularity, Color variations, Diameter over a quarter of an inch, and Evolving. Have spots with those characteristics checked by a professional.

Remember, skin cancer doesn’t just occur on the face, arms, legs, and other commonly exposed places. Ensure your protection and detection plans cover these less obvious areas.

The Scalp
Your hair provides some protection, but not enough — especially if you have thinning hair or bald spots. Spray-on sunscreens and wide-brimmed hats are excellent options for covering exposed areas.

Make sure you and your dermatologist look at your scalp. You can also ask your hairstylist to alert you to potential problems.

The Ears
The backs and tops of your ears are high-risk spots for squamous cell carcinoma, which is linked to cumulative UV damage.

Your ears are exposed anytime you go outside, so be sure to apply sunscreen daily. If you’ll be outside for long periods, wear a hat with a brim.

The Eyes
Don’t be hesitant about using sunscreen around your eyes! The skin is delicate, so it’s vulnerable to basal cell carcinoma, the most common type of skin cancer.

Sunscreen for sensitive skin is a good option, or wear UV-blocking sunglasses. If you notice a lesion that isn’t healing or looks crusty, get it checked by a physician.

Fingers and Toes
Skin cancer under the fingernails or toenails is called subungual melanoma. Cancer can also develop between fingers and toes.

Be vigilant about applying sunscreen to these areas, and watch for dark stripes, discoloration, or spots under your nails. Don’t forget to check between fingers and toes during skin exams.

Soles of the Feet
The bottom of your foot may not get much exposure, but it’s possible to develop melanoma. People with darker skin tones are at a higher risk.

Spots, bumps, and sores that won’t go away should be checked by a provider.

Inside the Mouth and Nose
Mucosal melanoma, a rare but aggressive skin cancer, occurs in the linings of the nose, mouth, and throat.

Your dentist may be the first person to sound the alarm, and Ear, Nose & Throat specialists can help. If you experience persistent mouth sores or nosebleeds, mention it to a healthcare provider.

LEARN MORE!
I encourage patients to take a full-body mindset when it comes to the prevention and early detection of skin cancer. Stay vigilant about protecting commonly exposed areas, and don’t ignore those overlooked spots.

Shelley Mulrooney, PA, is a surgical oncology physician assistant at Regional One Health and a specialist in melanoma treatment. To learn more, visit regionalonehealth.org/cancer-care or call 901.515.HOPE (4673). 

By Shelley Mulrooney, PA