Sun and growths
Skin cancer awareness and self-checks
Skin cancer is the most common kind of cancer, and many types are very treatable when found early. Learning what skin cancer can look like and checking your skin regularly helps you notice changes sooner.
Reviewed by Raashid Haque, MD, board-certified dermatologist
For education only. This guide does not diagnose or treat any condition.
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Regular sunscreen use is one of the core habits for lowering skin cancer risk.
Look for
- Zinc oxide and/or titanium dioxide as the only active ingredients
- Broad spectrum on the label
- SPF 30 or higher
Full details, cautions and sourcesAvoid
- Products without a broad spectrum label
- Sprays or powders you may breathe in; a cream or lotion is easier to apply evenly
These are products Dr. Haque has reviewed and recommends for different reasons. Unless a product is clearly marked 'Affiliate link,' it is not one. Most are not.
Food and lifestyle may play a part in Skin cancer awareness and self-checks too
Anti-inflammatory eating and lifestyleLearn about Skin cancer awareness and self-checks
Skin cancer starts when skin cells grow in an uncontrolled way, most often after years of ultraviolet (UV) light damage from the sun or tanning beds. There are three main types.
- Basal cell carcinoma is the most common. It often looks like a pearly or shiny bump, a pink or flesh-colored patch, or a sore that heals and then returns.
- Squamous cell carcinoma often looks like a rough, scaly, or crusted bump or patch, or a sore that does not heal. It can grow faster than basal cell.
- Melanoma starts in the cells that make pigment. It is less common but more serious because it can spread to other parts of the body. It may look like a new dark spot or a mole that changes.
Skin cancer can happen to anyone, of any skin tone. People with fair skin, many moles, a history of sunburns, tanning bed use, a weak immune system, or a family history have a higher chance. But people with brown and Black skin get skin cancer too, and it is often found later. In darker skin, melanoma is more likely to show up in places with less sun exposure: the palms, the soles of the feet, under or around the nails, and inside the mouth.
Skin cancer is not contagious. Most spots that look unusual are not cancer, but only a clinician can tell. A biopsy is the way to know for sure.
Self-care
What it is
A regular look at your whole skin, head to toe, in good light with a full-length mirror and a hand mirror. The goal is to learn what is normal for you so changes stand out.
Often considered when
Often suggested for adults of any skin tone, especially with many moles, a history of sunburns or tanning beds, or a family history of skin cancer.
Less suitable or needs caution when
A self-check does not replace a professional exam, and a normal-looking self-check does not rule out skin cancer. Some areas, like the back and scalp, are hard to see alone, so a partner or a clinician can help.
What to watch for
New spots, changes in an old spot, sores that do not heal, and spots that bleed, itch, or hurt. Photos taken for your own records can help you notice change.
How long to judge it
Takes about 10 to 15 minutes. Many people do it once a month, for example after a shower.
Questions to ask
- How often should I check my skin given my own risk?
- Can you show me how to check hard-to-see areas?
- Should I take photos of my moles to track changes?
What it is
Habits that lower UV exposure: shade, tightly woven clothing, wide-brimmed hats, sunglasses, and broad-spectrum sunscreen. Avoiding tanning beds is part of this.
Often considered when
Commonly recommended for everyone, at any age and skin tone, and especially for people with a history of sunburns or skin cancer.
Less suitable or needs caution when
Sunscreen cannot block all UV, so it works best together with shade and clothing. Some people react to certain sunscreen ingredients; a clinician can help find options.
What to watch for
Sunburn, new skin irritation from a product, and missed spots such as ears, scalp part, lips, and the tops of the feet.
How long to judge it
Protection is a lifelong habit. Benefits add up over years.
Questions to ask
- What sun protection fits my skin tone and daily routine?
- Do any of my medicines make me more sun sensitive?
- What are safer ways to get a tanned look?
Prescription creams and gels
What it is
Prescription creams or other skin-applied medicines. Examples of this class include imiquimod and fluorouracil cream.
Often considered when
May be discussed for some very superficial skin cancers or precancerous patches when a clinician judges them suitable. They are not right for every type, and they do not replace getting a spot examined first.
Less suitable or needs caution when
Not suitable for spots that have not been confirmed, deeper cancers, or melanoma in most situations. Pregnancy and other health conditions can matter, so your clinician will review this.
What to watch for
Redness, crusting, soreness, and irritation in the treated area are common. On brown and Black skin, lasting color changes can follow irritation. Report severe reactions or signs of infection.
How long to judge it
Courses are set by the prescriber. Your clinician will say when and how to judge results.
Questions to ask
- Is a topical treatment an option for my diagnosis?
- What irritation is expected and when should I call you?
- How will we know it worked, and will you recheck the area?
Procedures
What it is
A head-to-toe check by a clinician, often a dermatologist, who may use a handheld magnifier called a dermatoscope to look closely at spots.
Often considered when
Often considered when you notice a new or changing spot, have a higher risk, or have not had a full skin exam and are unsure if one fits you.
Less suitable or needs caution when
There is no age or skin tone that rules it out. If you feel unsure about undressing, you can ask about gowns, a chaperone, or which areas will be checked.
What to watch for
Tell the clinician about any spot that bothers you, even if it seems small. Ask which areas were examined, including scalp, nails, palms, soles, and between the toes.
How long to judge it
A visit often takes 10 to 20 minutes. How often to repeat it depends on your history and risk.
Questions to ask
- How often should I have a full skin exam?
- Will you check my scalp, nails, palms, and soles?
- Which of my spots should I watch most closely?
What it is
A small sample of a spot is taken, usually after numbing the skin, and sent to a lab where a specialist looks at it under a microscope. It is how a spot is confirmed as cancer or not.
Often considered when
Often considered when a spot looks suspicious, is changing, or cannot be identified by looking alone.
Less suitable or needs caution when
Tell the clinician if you take blood thinners, have bleeding problems, have allergies to numbing medicine or bandage adhesive, or tend to form raised scars (keloids), which is more common in darker skin.
What to watch for
Some soreness, bleeding, and a small scar are common. Signs of infection, such as spreading redness, warmth, pus, or fever, need prompt care.
How long to judge it
The procedure takes minutes. Results often take days to a couple of weeks.
Questions to ask
- Why do you recommend a biopsy for this spot?
- What type of biopsy will it be and what will the scar look like?
- How and when will I get my results?
What it is
Surgery removes the skin cancer and some normal-looking skin around it. Mohs surgery removes the cancer in thin layers, checking each layer under a microscope right away so as little healthy skin as possible is taken.
Often considered when
Surgery is often discussed for many skin cancers. Mohs is often discussed for cancers on the face, ears, hands, or other areas where saving healthy skin matters, or for certain types or recurrences.
Less suitable or needs caution when
Your overall health, medicines such as blood thinners, the spot's location, and the type of cancer all affect the choice. Your care team can explain which approach fits.
What to watch for
Pain, bleeding, swelling, infection signs, and scarring. Follow your surgeon's wound care instructions.
How long to judge it
Healing often takes weeks. Follow-up skin checks are usually part of care afterward.
Questions to ask
- Which kind of surgery do you recommend for my type and location?
- What will healing and scarring look like?
- How often will I need follow-up skin checks?
What it is
Treatments that act on the spot itself without a wide surgical removal, such as radiation therapy, freezing, or scraping and burning the surface.
Often considered when
May be discussed for certain skin cancers or precancers, or when surgery is not a good option for a person's health or the spot's location.
Less suitable or needs caution when
They may not suit deeper or higher-concern cancers, and they often give no tissue sample to examine afterward, so a biopsy usually comes first. Your clinician will explain which fit.
What to watch for
Blistering, soreness, scarring, and lasting skin color changes, which can be more noticeable on brown and Black skin.
How long to judge it
Varies by method. Radiation is given over a series of visits set by the care team.
Questions to ask
- Why this option instead of surgery for me?
- What changes in skin color or texture should I expect?
- What follow-up will I need?
Pills
What it is
When a skin cancer has spread or cannot be treated with local methods, clinicians may discuss whole-body medicines. These include immunotherapy (medicines that help the immune system recognize cancer), targeted therapy (medicines aimed at specific changes in cancer cells), and chemotherapy.
Often considered when
May be discussed by a cancer care team for advanced or spreading disease. This is handled by specialists such as oncologists, not by self-checks or this page.
Less suitable or needs caution when
Suitability depends on the cancer type, test results, other conditions such as autoimmune disease or organ transplant, and personal goals. Your specialist will review this with you.
What to watch for
Side effects differ by medicine class and can affect many body systems. The care team will explain what to report right away.
How long to judge it
Set by the cancer care team, with regular scans and visits to check how treatment is going.
Questions to ask
- Why is this class of medicine being discussed for me?
- What side effects should I report right away?
- Are clinical trials an option for me?
Skin cancer is not "triggered" like a rash, but some exposures and traits raise the chance over time:
- UV light from the sun, especially repeated sunburns and years of unprotected exposure
- Tanning beds and sun lamps, which give off UV light and are linked to higher skin cancer risk. There is no safe tan.
- High altitude, sunny climates, and reflective surfaces like water, sand, and snow
- Fair skin, light eyes, many or unusual moles, and a family or personal history of skin cancer
- A weakened immune system, for example after an organ transplant
- Older age and, for some people, past radiation or long-lasting scars and sores
- Brown and Black skin are not fully protected. Sun protection and skin checks still matter.
| Topic | Evidence | What it means |
|---|---|---|
| Avoiding tanning beds | Established | Indoor tanning gives off UV light and is linked to higher skin cancer risk, including melanoma. Skipping it is one of the clearest steps for lowering risk. |
| Sun-smart habits | Established | Shade, protective clothing, hats, and sunscreen lower UV exposure and sunburns. Sunburns, especially in childhood and youth, add to lifetime risk. |
| Staying aware of your own skin | Promising | Knowing your usual spots and checking regularly may help you notice changes earlier. Studies of exactly how much self-checks help are mixed, so they are an addition to, not a replacement for, professional exams. |
| Emotional side of a skin cancer worry | Early | Waiting for a biopsy result or a diagnosis can cause worry. Talking with your care team, family, or a support group may help, though research on specific approaches is still limited. |
Read: Anti-inflammatory eating
Avoid very restrictive diets, especially for children, unless a clinician is guiding you.
Skin cancer awareness and self-checks ·
When to get care soon
Have any of these checked by a clinician soon. Do not wait to see if it goes away, and do not use this page to decide a spot is safe.
- A new spot or mole, or one that changes in size, shape, or color
- A spot that looks different from your other moles (the "ugly duckling")
- A sore or scaly patch that bleeds, crusts, or does not heal within a few weeks
- A mole with uneven color, an irregular edge, or an uneven shape, or one that itches, hurts, or bleeds
- A dark streak in a nail, especially if it widens, involves the skin next to the nail, or is not from an injury
- A dark spot on a palm, sole, or inside the mouth, or a new growth on skin that rarely sees the sun
- A firm, fast-growing bump, or a lump near a spot that was treated before
- Swollen lumps in the neck, underarm, or groin along with a skin change
About the reviewer
Raashid Haque, MD
Board Certified Dermatologist · Charlotte, NC
- 25+ years of clinical experience
- Dermatology at University of Oklahoma - Chief Resident
- Internship at Baylor College of Medicine
- LSU School of Medicine Shreveport - Valedictorian, AOA