Skin Cancer Screening

Skin cancer is the most common cancer in the United States, and coastal North Carolina's year-round sun exposure puts our patients at higher-than-average risk. A screening at Intracoastal Dermatology is a systematic head-to-toe examination in which Dr. Blair Harris evaluates moles, growths, and lesions — using dermoscopy to inspect anything suspicious — and can biopsy any spot of concern, usually during the same visit. Because Dr. Harris is both a dermatologist and a Mohs surgeon, patients who do need treatment can have it planned and performed within the same practice.

Skin cancer is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Risk factors for skin cancer include fair skin, a history of sunburns, a family history of skin cancer, a weakened immune system, and certain genetic conditions.

• Basal Cell Carcinoma

  The most common type of skin cancer, often appearing as a pearly or waxy bump on the skin.

• Squamous Cell Carcinoma

  A type of skin cancer that can appear as a red, scaly patch or a firm, raised nodule.

• Melanoma

  The most dangerous form of skin cancer, often presenting as an irregularly shaped mole with asymmetrical borders and multiple colors.

• Adnexal Carcinoma

  Adnexal carcinoma refers to a group of rare malignancies that arise from the appendages of the skin, which include structures such as sweat glands, sebaceous glands, hair follicles, and apocrine glands. These tumors can occur in various locations on the skin, often presenting as skin lesions or nodules. Adnexal carcinomas are typically classified based on the specific cell type they originate from, such as eccrine or apocrine glands.

• Merkel Cell Carinoma

  Merkel cell carcinoma (MCC) is a rare and aggressive type of skin cancer that primarily affects the Merkel cells, which are found in the top layer of the skin. These cells are responsible for the sense of touch and are located in the basal layer of the epidermis. Merkel cell carcinoma is named after these cells, but it is not entirely clear whether the cancer originates directly from Merkel cells or from other nearby cells that share similar characteristics.

Treatment options for skin cancer depend on the type, size, location, and stage of cancer. Dr. Harris will develop a personalized treatment plan based on these factors. Common treatment approaches include:

• Sun Protection

  Wearing sunscreen, protective clothing, and seeking shade can help prevent skin cancer.

• Regular Skin Checks

  Performing self-examinations and seeking professional skin cancer screenings can aid in early detection.

• Avoiding Tanning Beds

  Tanning beds emit harmful UV radiation and increase the risk of skin cancer.

How often you should be screened depends on your history: fair skin, significant sun exposure, many moles, or a personal or family history of skin cancer all argue for annual (or more frequent) exams. Between visits, we teach patients what changes to watch for using the ABCDE warning signs for melanoma. If you have never had a baseline skin exam, that first visit is the most valuable one.