10 Surprising Places Melanoma Can Hide: Skin Cancer’s Unexpected Locations
Melanoma, the most dangerous form of skin cancer, is often associated with sun-exposed areas of the body. However, this aggressive cancer can develop in some unexpected places, catching many people off guard. This article explores ten surprising locations where melanoma can appear, highlighting the importance of thorough skin checks and early detection, as well as general recommendations.
1. Under the Fingernails or Toenails
Subungual melanoma can develop under the nails, often appearing as a dark streak. It’s most common in the thumb or big toe. This type of melanoma is not typically related to sun exposure and may be mistaken for a bruise or fungal infection.
2. Soles of the Feet
Acral lentiginous melanoma, a rare subtype, can occur on the soles of the feet. It often appears as a dark patch distinct from surrounding skin and is more common in people with darker skin tones.
3. Palms of the Hands
Similar to the soles of the feet, melanoma can develop on the palms. It may appear as a small nodule that is tan, brown, or white in color.
4. Scalp
Melanoma on the scalp can be particularly dangerous as it’s often hidden by hair and may go unnoticed until it’s in an advanced stage. Regular scalp checks and annual skin cancer screenings are crucial for early detection.
5. Inside the Ear
While rare, melanoma can develop inside the ear canal. This location makes it difficult to detect without a thorough examination by a healthcare professional.
6. On the Eyelid
Melanoma can occur on the eyelid, though it’s less common than other types of skin cancer in this area. Any changes in appearance, swelling, or persistent eyelid issues should be evaluated by a doctor.
7. Between the Toes
The spaces between toes are often overlooked during skin checks, but melanoma can develop here. This location is considered a “hidden melanoma” site.
8. In the Eye
Ocular melanoma can develop in the uvea, the layer of tissue beneath the white of the eye. It may cause vision changes and is typically diagnosed during an eye exam.
9. On the Genitals
Melanoma can occur on the genitals, an area that rarely sees sun exposure. This underscores the importance of full-body skin checks.
10. Inside the Body
Mucosal melanoma can develop in the mucous membranes lining various internal organs, including the nose, mouth, esophagus, and urinary tract. These are particularly difficult to detect and may be mistaken for other conditions.
For the general population at average risk
The American Cancer Society recommends cancer-related check-ups, including skin exams, for people aged 20 and older during periodic health exams.
Many experts suggest getting a full body skin exam by a dermatologist every 2-3 years is sufficient for about 80% of people.
Annual screenings are not universally recommended for those at average risk.
For those at higher risk
People with risk factors like family history of melanoma, many atypical moles, or previous skin cancer may need annual full-body skin exams.
Some high-risk individuals may need exams every 3-6 months.
Self-exams
Monthly self-exams are recommended to check for any changes.
Use mirrors or ask for help to check hard-to-see areas.
When to see a doctor
If you notice any suspicious or changing spots, make an appointment with a dermatologist promptly.
Conclusion
Melanoma’s ability to develop in these unexpected locations emphasizes the need for comprehensive skin checks and awareness of changes throughout the body. While some of these areas may rarely see sunlight, they are not immune to this dangerous form of skin cancer. Regular self-examinations and annual check-ups with a dermatologist are crucial for early detection and successful treatment of melanoma, regardless of where it may appear on the body.
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