Melanoma: Signs, Symptoms, and Causes
Melanoma is a serious form of skin cancer that develops in the melanocytes, the cells that produce melanin, which gives skin its color. Early detection and treatment are crucial for a better prognosis.
Signs and Symptoms
The primary signs and symptoms of melanoma often appear on the skin and can be identified using the ABCDE rule:
- Asymmetry: One half of the mole or skin lesion does not match the other half.
- Border: Edges are irregular, ragged, notched, or blurred.
- Color: The color is not uniform and may include shades of brown, black, pink, red, white, or blue.
- Diameter: The spot is larger than 6 millimeters across (about the size of a pencil eraser), although melanomas can sometimes be smaller.
- Evolving: The mole is changing in size, shape, or color over time.
Additional symptoms to watch for:
- A sore that does not heal.
- Redness or a new swelling beyond the border of a mole.
- Itching, tenderness, or pain in an existing mole.
- Changes in the surface of a mole, such as scaliness, oozing, bleeding, or the appearance of a lump or bump.
Causes
Melanoma is caused by damage to the DNA of skin cells, leading to uncontrolled growth and division of melanocytes. The primary causes and risk factors include:
- Ultraviolet (UV) Radiation: Excessive exposure to UV radiation from the sun or tanning beds is the leading cause. UV radiation damages the DNA in skin cells.
- Genetics: A family history of melanoma increases the risk, suggesting a genetic predisposition.
- Skin Type: Individuals with fair skin, light hair, and light-colored eyes, who freckle or sunburn easily, are at a higher risk.
- Moles: Having many moles or atypical moles increases the risk of developing melanoma.
- Immune Suppression: People with weakened immune systems, such as those who have had organ transplants, are at higher risk.
- Age: While melanoma can occur at any age, the risk increases as people get older.
- History of Sunburns: Severe, blistering sunburns, especially in early life, increase the risk of melanoma.
- Environmental Factors: Living closer to the equator or at a higher elevation increases UV exposure.
Prevention
Preventing melanoma involves protecting your skin from UV radiation:
- Use broad-spectrum sunscreen with SPF 30 or higher.
- Wear protective clothing, hats, and sunglasses.
- Avoid tanning beds.
- Seek shade, especially during midday hours.
- Regularly examine your skin for any changes and visit a dermatologist annually for a professional skin exam.
Early detection and treatment are key in managing melanoma, so being vigilant about skin changes and protective measures is crucial.
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