Dermatologists warn that age-related skin changes often hide in plain sight
Experts advise patients to monitor for sores that do not heal and to request full-body examinations during annual checkups.
By Chioma Kuznetsov ·
Ordinary individuals may be overlooking early indicators of skin cancer because the condition frequently manifests in areas not typically exposed to the sun or in forms that do not resemble a changing mole. Dr. Rhea Rogers, a board-certified physician, stated that patients should pay close attention to sores that fail to heal and moles that bleed easily. She noted that these specific symptoms are often missed during self-examinations because they do not fit the common image of a darkening or irregularly shaped spot.
Rogers explained that medical professionals use a specific set of criteria to evaluate moles. This assessment includes checking for asymmetry, irregular borders, changing color, diameter, and overall evolution in appearance. She emphasized that patients should monitor whether a spot is changing in a way that is noticeable to them. Gerontologist Sam Cradduck added that even minute changes can be medically relevant. She stated that a growth of just one millimeter can be a major indicator that requires professional review.
Skin cancer is not limited to sun-exposed skin on the arms or face. Rogers warned that tumors can develop in hidden locations such as behind the ears, between the toes, and underneath the nails. She recommended that patients seek assistance from a partner or a physician to inspect areas that are difficult to see, particularly the scalp. Rogers described these hidden cancers as dangerous because they often do not appear visually alarming, which can delay diagnosis.
Amy O'Rourke, an aging expert, shared a personal account of a cancer diagnosis that was not visible to her. She visited a dermatologist to examine a brown spot on her cheek. During a full-body scan, the doctor discovered a squamous cell cancer on top of her head. O'Rourke underwent surgery to remove the tumor. She noted that approximately three-quarters of her family members have had skin cancer, suggesting a strong familial component to her risk profile.
Katherie Ambrose, an aging well coach, reported that she recently secured a dermatologist appointment for a full-body scan. She also arranged for her husband to receive the same examination. Rogers suggested that patients verify their insurance coverage before scheduling an appointment. She noted that some plans include an annual dermatology exam in their benefits, similar to a standard gynecological well-woman visit.
Rogers identified fair skin, advanced age, and family history as primary risk factors for the disease. She stated that the combination of genetic predisposition and environmental exposure likely contributes to the development of the cancer. She also addressed the risk posed by ultraviolet light, noting that UVA and UVB rays are invisible and can penetrate glass windows. This means that indoor exposure can still cause cellular damage.
The physician distinguished between different types of skin cancer regarding their visual presentation. Melanoma is typically associated with deep, intermittent sunburns and often resembles a mole. Rogers warned that melanoma spreads rapidly and requires immediate attention. In contrast, squamous cell and basal cell cancers are more likely to appear as pinkish, itchy sores or non-healing wounds. She also corrected the misconception that darker skin tones do not require protection, stating that sunscreen is necessary for all skin types to protect DNA from damage.
The experts recommended the use of sun-protective clothing in addition to topical sunscreen. Available options include rash guards, wide-brimmed hats, and specialized UV-blocking garments. Patients are advised to request a full-body exam and ask about mole mapping during their annual visits to track changes over time.
