It is projected that this most virulent of all skin cancers develops on the skin of 32,000 Americans annually. And every year an estimated 6,800 Americans will die from melanoma. It is important to note that the death rate is at last declining, because patients are seeking help earlier. Melanoma, like its less aggressive cousins, basal cell and squamous cell carcinomas, is almost always curable in its early stages.

Melanoma has its beginnings in melanocytes, the skin cells that produce the dark protective pigment called melanin. It is melanin that is responsible for suntanned skin, acting as partial protection against sun. Melanoma cells usually continue to produce melanin, which accounts for the cancers appearing in mixed shades of tan, brown and black. Melanoma has a tendency to spread, making it essential to treat.

Melanoma may suddenly appear without warning but it may also begin in or near a mole or other dark spot in the skin. For that reason it is important that we know the location and appearance of the moles on our bodies so any change will be noticed.

Excessive exposure to the sun, as with the other skin cancers, is accepted as a cause of melanoma, especially among light-skinned people. Heredity may play a part, and also atypical moles, which may run in families, can serve as markers, identifying the person as being at higher risk for developing melanoma there or elsewhere in the skin.

Dark brown or black skin is not a guarantee against melanoma. Black people can develop this cancer, especially on the palms of the hands, soles of the feet, under nails, or in the mouth.

Other warning signs include: changes in the surface of a mole; scaliness, oozing, bleeding or the appearance of a bump or nodule; spread of pigment from the border into surrounding skin; and change in sensation including itchiness, tenderness, or pain.

How skin cancer is treated

If a laboratory test reveals that an area of the skin is cancerous, the dermatologist has an array of procedures to choose from, dependent on the needs of the individual patient. In the treatment of any of the skin cancers, early detection and removal is the best defense.

Fortunately, skin cancers are relatively easy to detect and most can be cured. Even malignant melanoma, if caught in its early stages, can be treated successfully.

Dermatologist recommend that one helpful way to guard against melanoma/skin cancer is to do periodic self-examinations. Get familiar with your skin and your own pattern of moles, freckles and “beauty marks”. Be alert to changes in the number, size, and shape and color of pigmented areas. If any changes are noticed call your dermatologist.

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Dr. Kenneth Beer
Dr. Kenneth Beer is a board-certified dermatologist and dermatopathologist focused on general, surgical and aesthetic dermatology. After obtaining his BS in Zoology from Duke University and his Doctor of Medicine from the University of Pennsylvania School of Medicine, he completed a residency and Fellowship at the University of Chicago. Dr. Beer is a fellow of the American Academy of Dermatology, and is a Clinical Professor of Dermatology at University of Miami. Dr. Beer is the Founder of the Cosmetic Bootcamp program which trains doctors and PA’s enhancing their knowledge of cosmetic dermatology. He has decades of experience and specializes in facial rejuvenation.

Dr. Kerry Fike is a board-certified dermatologist and Harvard-trained physician. She has advanced dermatologic surgery training and active memberships in many dermatologic associations such as The American College of Mohs Surgery and specializes in non-melanoma skin cancer treatment using Mohs micrographic surgery.