While melanoma is seen less frequently than other kinds of skin cancer, it's considered the most concerning. It is a very aggressive skin cancer than can be fatal if it is not addressed early enough. A yearly skin cancer screening can aid in the prevention of this cancer and is crucial if you have a personal or family history of melanoma. With annual screenings at the Dermatology and Skin Cancer Institute, board-certified dermatologist Dr. Aradhna Saxena can monitor your skin for abnormal or evolving moles and ensure your skin is healthy. Typically, melanomas show up as a new mole or as an existing mole that grows, changes shape, changes color, begins to itch, etc. Any moles that change color to very dark or black, grow, have blurred or uneven borders, bleed, or itch are potential melanomas.
When the pigmented cells in the epidermis, called melanocytes, become malignant, this is when melanomas form. This is most usually due to the skin cells being damaged by UV exposure, either from the sun or tanning beds. This type of damage happens at the DNA level, which causes the cells to mutate or multiply very rapidly, which creates the visible growth. Patients can also be genetically vulnerable to developing melanoma, and these individuals are particularly at risk for DNA damage from sun exposure. Melanomas are usually visible, but because of how quickly they can form, it's vital to get annual skin cancer screenings — or bi-annual if you or a family member have had skin cancer before. It's also very important to learn to perform regular mole checks and self-examinations. Contact the Dermatology and Skin Cancer Institute today to schedule a skin cancer screening or learn more about melanoma.
Virtually anyone can develop melanomas, particularly those with a history of sun or UV exposure or those genetically predisposed. Individuals with a primary relative, for example, a sibling, child, or parent, have a higher potential for developing a melanoma. Other risk factors include:
- Having a high number of moles or having large-sized moles
- Having light-colored or red hair
- Having blue, green, or gray eyes
- A history of tanning bed use (even if you never burned)
- A history or sun exposure (even if you never burned)
- A history of multiple or severe sunburns
At the Dermatology and Skin Cancer Institute, we use the ABCDE method to help you understand how to spot any potential melanomas on your skin:
- A: Asymmetrical (malignant moles usually have one side that is bigger or differently shaped than the other)
- B: Borders (malignant moles usually have irregular or blurred borders)
- C: Color (malignant moles are typically dark in color or are multi-colored)
- D: Diameter (a diameter of more than 6mm, or about the size or a pencil eraser, is a sign of malignancy)
- E: Evolving (moles that grow or change in any way should be checked right away)
Harmless freckles and moles can also have some of these factors, but it's best to have anything suspicious checked by a dermatologist.
Melanoma Treatments & PREVENTION
At the Dermatology and Skin Cancer Institute, Dr. Saxena typically removes melanomas via surgical excision with a standard margin.
This involves removing the cancer with a scalpel, along with a strategically determined amount of the surrounding tissue. This type of excision is considered invasive, and the procedure is performed with a local anesthetic. However, it is an outpatient treatment, and most patients feel only mild discomfort afterward that can be managed with OTC pain relievers.
Going forward, it is important to limit skin exposure to the sun's harmful rays by wearing sunglasses, broad-brimmed hats, and protective, tightly woven clothing. Furthermore, use a broad-spectrum sunscreen rated at least SPF 30 or higher on all exposed skin, including the lips, even on cloudy days. Reapply sunscreen every 2 hours. Avoid tanning sals.
Monthly self-skin examinations and routine visits to your dermatologist are important for monitoring. Detecting melanoma early can be life-saving, since this cancer is very curable in the early stages. People with dark-complexions can also develop melanoma, especially on the palms of the hands, soles of the feet under nails and in the mouth. Therefore, these areas of the skin should be examined closely on a regular basis.
"My teenage daughter and I are both patients of Dr. Kasper. The reception area is modern and bright. The reception area staff is always welcoming. Dr. Kasper is friendly and efficient. Wait time is short, which I appreciate. I am thinking about booking an aesthetician appointment or two in the near future."- M.A. / Yelp / Jun 30, 2019
"Woowwwww! Went in for a while body exam because I gave fair skin. Best experience I have had at a dermatologist, or maybe at any doctors office ever. So clean. Punctual. Organized. Pleasant. The PA Amy that I saw was personable, pleasant and knowledgeable! What a tremendously positive experience! Would highly recommend !"- M.S. / Yelp / Feb 26, 2020
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"Absolutely a positive experience. The office is really well designed. I walked in and was greeted and taken care of right away. The woman doing my registration was very nice. The doctor (Dr. Manion) was friendly and all business. Took care of my issue that day in less than 5 minutes. Pain free. Solid explanations. Great doctor. Scheduling a follow up was easy too. Amanda made it seamless and simple."- B.M. / Google / Feb 14, 2020
"I am new to this practice so I have only been there twice so I cannot make an overall rating yet. I will say that the check in receptionist was great. There was a discrepancy with my copay, the woman double checked the information and verified on her end what she was seeing which was incorrect. She then took me at my word and charged me the copay that I paid last time in case what I was saying was accurate. I confirmed later with the office building department (which was also a very pleasant and positive phone call) The front desk woman did not argue and neither did I. It was just a very pleasant transaction that in my experience with payment does not happen very often so it was refreshing and I am very grateful to her. Same thing with the billing department Jennifer I believe was very patient, kind, and helpful. Even though I've only been here for 2 visits so far top notch help and service. I truly appreciate what everyone has done for me so far."- J.B. / Google / Jan 30, 2020
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schedule a skin check
Dr. Aradhna Saxena is a board-certified dermatologist and fellowship-trained Mohs surgeon specializing in screening and treating patients for all types of skin cancer. Melanomas typically present the most danger, but if they are detected and removed early enough, they can be eradicated. If you've seen any changes in your moles or other abnormal or new skin lesions, we urge you to schedule an appointment at the Dermatology and Skin Cancer Institute right away. We have offices in Fort Washington, Lansdale, and Willow Grove, PA.
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