Step-by-Step Guide: Self-Examination for Skin Cancer

A person pointing at a large, dark mole on their forearm with their other hand, conducting a skin check for potential skin cancer.

By regularly checking your skin for any changes in moles, freckles, or other skin abnormalities, you can catch potential signs of skin cancer at an early stage. Early detection is key in successfully treating skin cancer, as it allows for more treatment options and a higher chance of survival.

Performing a skin cancer self-check is a simple process that can be done at home: 

1. Start by examining your entire body in a well-lit room using a full-length mirror.
2. Take note of any moles, freckles, or other marks on your skin, paying close attention to any changes in size, shape, colour, or texture.
3. Use a hand-held mirror to check hard-to-see areas such as your back, scalp, and the soles of your feet. It’s also important to check under your arms, between your fingers and toes, and underneath your nails. 

Illustration of a person standing next to a mirror with labels indicating areas to examine for a skin check: face and scalp, neck and shoulders, front and back of arms and hands, legs, and between toes and feet.

Source: https://www.cancer.org.au


ABCDE Melanoma Detection Rule

Asymmetry: One half of the mole does not match the other half. 

Border irregularity: The edges of the mole are ragged, notched, or blurred.

Colour variation: The mole has different colours or shades, such as brown, black, tan, red, white, or blue.

Diameter: The mole is larger than 6 millimetres (about the size of a pencil eraser), although melanomas can be smaller. 

Evolving: The mole is changing in size, shape, or colour over time.


Signs and Symptoms of Skin Cancer 

  • Basal Cell Carcinoma often appears as a pearly or waxy bump,
  • Squamous Cell Carcinoma may appear as a red, scaly patch or a sore that doesn’t heal.
  • Melanoma is the most dangerous form of skin cancer and may appear as a new spot on the skin or a change in an existing mole. 
Close-up of a person using a magnifying glass for self-examination, focusing on a mole on the neck near the shoulder to check for signs of skin cancer.

Other signs and symptoms of skin cancer may include itching, tenderness, or pain in a specific area of the skin. Some individuals may also experience bleeding or oozing from a mole or mark on their skin. If any of these warning signs are present, seek medical attention for further evaluation.

Dr. Jack Fu and Dr. Tina Fang

Dr. Jack Fu and Dr. Tina Fang, are experienced GPs with a deep commitment to skin cancer management. Both doctors have undergone extensive training in Dermatoscopy and advanced surgical techniques specific to skin cancer treatment.

Their involvement in the Master of Medicine (Skin Cancer) program at the University of Queensland, coupled with their participation in research and public health initiatives through SCARD (The Skin Cancer Audit Research Database), highlights their commitment to advancing skin cancer care and patient safety.

A woman uses a handheld device on a man's back while smiling, promoting awareness for skin cancer prevention. The man has his back turned towards the camera.

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