A skin cancer expert has shared three “less obvious” signs that people should check for

An expert has shared a number of less obvious signs and symptoms of skin cancer which can be spotted on your lips and nails. Skin cancer remains the most commonly diagnosed cancer globally, with 331,722 new cases reported in 2022, according to the World Cancer Research Fund.

While changes in moles or unusual skin growths are widely recognised as potential warning signs, there are lesser-known symptoms that can often go unnoticed until the cancer has progressed. Dr. Emily Alfonsi, a skin cancer doctor at Shade Skin, a leading skin cancer clinic, has shared “less obvious” signs that may indicate skin cancer.

She said: “Skin cancer doesn’t always present in obvious ways. Recognising subtle changes in your skin, nails, or lips can be crucial for early diagnosis and treatment. It’s vital to be proactive in seeking medical advice if something doesn’t seem right.”

The doctor also emphasised the importance of early detection when it comes to skin cancer. She added: “Skin cancer is highly treatable when caught early. Pay attention to any changes in your skin, no matter how minor they seem. If something feels off, don’t wait – speak to a healthcare professional.”

Less obvious signs of skin cancer

In addition to these widely known symptoms, Dr Alfonsi highlights some less obvious signs that may indicate skin cancer:

Persistent chapped lips

What to look for: Chapped lips are common, particularly in colder weather. However, lips that remain dry, cracked, or sore despite using moisturisers could indicate squamous cell carcinoma, a type of skin cancer often caused by sun exposure or UV damage.

When to act: If your lips do not improve with treatment or you notice additional symptoms such as persistent sores, lumps, or changes in colour, it’s important to seek medical attention.

Advice for GP visits: “Describe the duration and severity of your symptoms, and mention if there is bleeding, pain, or any noticeable changes in pigmentation,” advises Dr Alfonsi.

Discolouration under the nails

What to look for: A dark streak, spot, or irregular pigmentation under the nail may be a sign of subungual melanoma, a rare but serious type of skin cancer. This condition can sometimes be mistaken for a bruise or injury.

When to act: Any unexplained nail discolouration that doesn’t improve or resolve over time should be assessed by a medical professional.

Advice for GP visits: “Be clear about when the change first appeared, whether it has progressed, and if there are any other associated symptoms like changes in nail texture or shape,” says Dr Alfonsi.

Colourless or flesh-coloured moles

What to look for: Unlike the dark or pigmented moles typically associated with melanoma, colourless or flesh-toned moles can blend in with surrounding skin, making them easy to overlook. Despite their subtle appearance, these moles can still be a sign of early-stage melanoma.

When to act: Look out for moles that grow in size, develop irregular borders, or show asymmetry over time. These changes warrant immediate medical attention.

Advice for GP visits: Dr Alfonsi recommends providing detailed information to your GP, including the size, shape, and location of the mole, and noting any changes you’ve observed over time.

Key signs to watch out for

The NHS advises that you should see a GP if you notice:

  • A mole that has changed in size, shape, or colour.
  • A mole that is itchy, painful, or inflamed.
  • A mole that is bleeding, crusty, or unusual in appearance.
  • A dark patch or streak under a nail that cannot be linked to an injury.
  • Any unusual mark or growth on the skin that doesn’t heal after a few weeks.

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