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The Honolulu Advertiser
Posted on: Friday, May 12, 2006

Search is on for melanomas

By Kim Painter
USA Today

ON THE WEB:

The American Academy of Dermatology, www.aad.org

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Have you ever examined the back of your head? Do you even know what the soles of your feet look like?

If not, maybe it's time to take a peek. Each year at this time — as the May sun and longer days beckon us outside — dermatologists remind people to spend a few minutes inside examining their skin for signs of cancer.

Of course, skin cancers, including dangerous melanomas, are closely linked to sun damage. Most arise on easily seen, frequently exposed areas of the skin, such as the face, limbs and trunk.

But melanomas also can show up between the buttocks, on the soles or the palms or between the toes, or in areas that are hard to see, such as the scalp.

So a good self-exam should include those areas, says Springfield, Ill., dermatologist Stephen Stone, president of the American Academy of Dermatology. The organization encourages monthly self-examinations for signs of skin cancer.

"The so-called 'hidden' melanomas tend to be more advanced when we find them," he says, because people are less likely to notice them or recognize their danger.

Patti Good, 45, of Springfield, a medical transcriptionist, wife and mother of three, says that for a year she felt a bump on the back of her head "and never thought anything about it" until a news article on the signs of melanoma "started my heart racing." She called her family doctor at once and within days was having surgeries to remove a large melanoma and 27 lymph nodes. The nodes were cancer-free, and after one year of interferon treatment plus eight years of careful screenings, Good has seen no further cancer signs.

Stone says it's tricky, though possible, to check your own scalp. He suggests using a cool blow dryer or comb to separate areas of hair and having a friend or spouse check the back of the head.

Some rarer hidden melanomas are found:

  • Beneath nails.

  • On mucous membranes lining the nose, mouth, vagina, anus, urinary tract or esophagus.

  • On the eyelid or eyeball.

    Obviously, growths in some areas would be impossible to find on your own, so regular dental, eye, gynecological and other exams are crucial.

    But there are warning signs for some rarer melanomas. A growing brown or black streak beneath a nail should be seen by a doctor. Thumbs and big toes are most often affected. These are among the most common skin cancers in dark-skinned people.

    Persistent nosebleeds or a pigmented spot inside the mouth needs to be checked, too.

    The good news is that most skin cancers, including most melanomas, can be found through regular self-exams and exams by doctors. Though melanoma kills nearly 8,000 people in the U.S. each year, melanomas found early can be cured most of the time.

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