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Skin Cancer Explained

Skin Cancer Explained

Thorough examination

What is skin cancer?

Skin cancer is the abnormal and uncontrolled growth of skin cells. This is a result of overexposure to ultraviolet light (UV), causing damage to the cells’ DNA. Australia’s location in the southern hemisphere and proximity to the equator results in high UV levels most of the year. Skin cancer accounts for the largest number of cancers diagnosed in Australia each year. Read more skin cancer facts.

The main types of skin cancer are basal cell carcinoma, squamous cell carcinoma and melanoma. Some skin cancers (most commonly melanoma) can spread to other parts of the body. When this happens, it’s called metastasis. Early detection and treatment are the best way to prevent skin cancer from spreading.

Find out what skin cancer can look like in its early stages in this article.

What are the risk factors for skin cancer?

Australasia has the highest rates of skin cancer world-wide. Two in three of us are expected to be diagnosed with some form of skin cancer by the age of 70. Skin cancer doesn’t discriminate. Yet, men tend to get it more often, and have more adverse outcomes, compared to women. According to this report by the Global Coalition for Melanoma Patient Advocacy, men are 10% more like­ly to devel­op melanoma than women and 4% more like­ly to die from melanoma than women.

The best way to take appropriate steps for prevention and early diagnosis is to know the risk factors. Several factors can increase your risk of skin cancer, including:

  • A family/personal history of skin cancer
  • A history of sun damage and UV exposure, such as sunbeds
  • Having fair skin and light-coloured hair
  • A high number of moles

Read more about the risk factors for skin cancer:

Wondering if tattoos can cause skin cancer?

Want to know your skin cancer risk? Take our risk quiz below.

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Workplace skin cancer risk

Occupational exposure to UV radiation represents one of the most significant yet preventable risk factors for skin cancer in New Zealand. Research shows that outdoor workers receive 5-10 times more UV exposure than indoor workers. The workplace skin cancer risks are clear, which makes sun protection at work not just a health consideration, but a critical workplace safety issue.

Outdoor workers

The risk of developing skin cancer is particularly acute for New Zealand outdoor workers, with studies indicating they have double the risk of developing squamous cell carcinoma compared to indoor workers. Construction workers, farmers, miners, road workers and those in maritime industries face the greatest exposure, spending significant portions of their workday under direct sunlight during peak UV periods.

Under Work Health and Safety (WHS) legislation, employers have a legal duty of care to protect workers from UV radiation exposure, recognising it as a workplace hazard equivalent to other occupational risks. This obligation requires implementing comprehensive sun safety programs that go beyond basic protective equipment. Employers must develop and maintain detailed sun protection policies, including engineering controls like portable shade structures and administrative controls such as flexible work scheduling to minimise exposure during peak UV hours (10 am-2 pm).

Effective workplace sun protection programs typically combine multiple strategies. Personal protective equipment (PPE) requirements should specify long-sleeved, loose-fitting clothing in UPF-rated fabrics, broad-brimmed hats that protect the face, neck and ears, and UV-protective eyewear. However, PPE alone isn't sufficient. Employers should also provide readily accessible sun protection for outdoor workers, including sunscreen stations, schedule regular skin cancer awareness training and facilitate annual skin cancer screenings for at-risk workers.

Indoor workers

While indoor workers generally face lower UV exposure risks, they're not completely protected from skin cancer risk. Modern office environments, with large windows and glass facades, create unique UV exposure patterns. While standard window glass blocks most UVB radiation, it allows significant UVA radiation to penetrate, which can contribute to skin damage and workplace cancer risk over time.

The risk for indoor workers often stems from incidental exposure patterns that they might not recognise as harmful. Lunch breaks and commuting during peak UV hours can result in significant cumulative exposure, particularly in urban environments where reflected UV radiation from buildings and surfaces can intensify exposure. Additionally, air-conditioned indoor environments may reduce awareness of UV intensity, leading workers to underestimate their exposure risk when they venture outside.

The modern workplace, with its mix of indoor and outdoor activities, requires a nuanced approach to sun protection at work. Even predominantly indoor workers should maintain sun-safe habits, including applying broad-spectrum sunscreen before leaving the office for lunch or outdoor meetings and keeping UV-protective items like sunglasses and hats readily available. Organisations should consider installing UV-protective films on windows and providing sun safety education and workplace skin cancer screening programs to all employees, regardless of their primary work environment.

Types of skin cancer

The main types of skin cancer are:

Basal cell carcinoma and squamous cell carcinoma, among other less common skin cancers, are knovwn as non-melanoma or keratinocyte skin cancer. Non-melanoma skin cancer (NMSC) is the most common cancer diagnosed in Australia, with around 400,000 new cases every year.

Basal cell carcinoma

Basal cell carcinoma is the most prevalent form of skin can­cer. It account­s for about 70% of non-melanoma skin can­cers. It’s also the most frequently occurring skin cancer.

It begins in the skin’s basal cells in the outermost layer of skin (the epidermis). Having one basal cell carcinoma increases the risk of getting another. It’s also pos­si­ble to have more than one basal cell carcinoma at the same time on dif­fer­ent parts of the body. The good news is that most basal cell carcinomas are curable and cause minimal damage when detected and treated early.

FACT: Basal cell carcinoma usually grows slowly. If left untreated it can grow deep into the skin, making treatment more difficult.

Squamous cell carcinoma

Squamous cell carcinoma is the second most common form of skin cancer. It accounts for around 30% of all skin cancers, if actinic keratoses are excluded from this group. It starts in the squamous cells, in the upper layer of the epidermis.

Squamous cell carcinoma is usually found in areas of the body that get the most sun exposure. This includes the head, neck, hands, forearms, and lower legs. If left unnoticed, squamous cell carcinoma can grow quickly. On a positive note, if found early it is treatable.

FACT: Unlike basal cell carcinoma, which rarely spreads, squamous cell cancer may spread to the lymph nodes and internal organs.

Melanoma

Melanoma also occurs when DNA in the melanocyte cells becomes damaged, most often due to overexposure to UV radiation. (Sometimes the risk can also come from an inherited genetic factor.) Damage to the cells causes them to reproduce uncontrollably, resulting in melanoma skin cancer.

Melanoma makes up a small proportion of all skin cancer diagnoses (around 3%). However, it is the most serious form of skin cancer. If it’s not found and treated early, it is likely to spread to other parts of the body. Melanoma accounts for 65% of all deaths from skin cancer.

FACT: Only about 25% of melanomas are found in existing moles. About 75% are detected on normal-looking skin without a pre-existing mole.

Find out more about the stages of melanoma and the survival rates.

Skin cancer symptoms

The signs of skin cancer can vary between individuals and depending on the type of skin cancer. Symptoms tend to develop on areas of the skin most often exposed to sunlight. However, some skin cancers appear on areas of the body rarely exposed to UV light.

The best way to spot skin cancer symptoms early is to regularly check your skin for changes. Key things to watch out for include:

What does skin cancer look like?

Basal cell carcinoma is the most common skin cancer. It can appear as a round flesh-coloured growth, as a pale or bright pink patch or skin, or as a pearl-like lump. But the truth is, skin cancer can look different from person to person.

To better understand the signs, it can be useful to look at pictures of skin cancer. This gallery of skin cancer images from the Skin Cancer Foundation is helpful.

Want to know more on this topic? Check out these articles

What does skin cancer look like?

Your guide to spotting skin cancer

Types of moles (how to know if they’re suspicious or not)

Sunspot or skin cancer: how to tell them apart

Sunspot, freckle, mole: what’s the difference?

How is skin cancer diagnosed?

More than 400,000 Australians are diagnosed with skin cancer every year. Skin cancers are diagnosed based on what they look like clinically, dermatoscopically and histologically/microscopically.

There are no specialised tests that definitively confirm the diagnosis of a cancer. Many skin cancers are diagnosed through a skin examination with a dermatoscope. If it’s not possible to tell if a suspicious lesion is cancerous or not, a biopsy will be taken. This is where a small tissue sample is taken and reviewed under a microscope.

Skin examination

This involves a thorough skin check or mole check to see if any changes may be cancerous, typically performed by a trained professional at an Australia skin cancer clinic, using a dermatoscope.

A dermatoscope assists in early diagnosis. This can mean the difference between a simple excision and extensive systemic treatment.

Skin biopsy

A biopsy is a quick and simple procedure done under local anaesthetic. Usually, the entire mole and some of the healthy surrounding tissue is removed. Sometimes, a small piece of tissue from the spot is removed for further microscopic examination and diagnosis.

Skin cancer treatments

Skin cancer treatment options will depend on the type of cancer. Treatment choice can also be influenced by the size, location, and depth of the tumour, as well as whether it has spread. Some people may receive a single treatment, others may require a combination.

The most common skin cancer treatment is surgical removal. This is where the mole or skin lesion and some of the surrounding ‘healthy’ tissue is removed. This is a minimally invasive surgery, usually done under local anaesthetic. If all the cancer is removed, this may be the only treatment you’ll need. Other skin cancer treatments may include:

  • Topical medications
  • Cryotherapy—uses liquid nitrate to freeze the mole or skin lesion
  • Photodynamic therapy—a combination of light and topic medication
  • Radiation—uses high-energy x-rays to kill the cancerous skin cells

Want to know more on this topic? Check out these articles

Your guide to skin cancer treatment (and when they’re used)

Topical treatments for skin cancer

How to care for your skin after skin cancer surgery

Preventing skin cancer

The two most important things you can do to prevent skin cancer are to practice sun safety and get a regular skin check.

Sun protection

Ultraviolet (UV) radiation from the sun and other sources, such as sunbeds, causes 95%+ of all skin cancers. Sun damage is accumulative. The more sunburns you have, the greater your risk for skin cancer. According to the Skin Cancer Foundation, more than five sunburns may double your risk of developing melanoma. Protecting your skin against the sun’s UV rays can significantly reduce your skin cancer risk.

A common misconception is that sunscreens provide a means to escape the risk of skin cancer.  Sunscreen will decrease the risk, but current sunscreens only provide temporary and partial protection.

Spending time in the sun when the UV index is low, using clothing, shade and sunscreen as the last line of defence is still the best way to prevent skin cancers.

Skin checks

Regular (annually or as directed by your GP or skin specialist) skin checks are an essential element of skin cancer early detection. Getting to know your skin is the best way to spot new or changed moles. And yet, only 11% of people have their moles checked by a skin specialist at MoleMap skin cancer clinic, at least once a year.

Want to know more on this topic? Check out these articles

When should you get a skin check?

Who’s the best person to check for skin cancer?

Does vitamin B3 help protect against skin cancer?

Why we offer free spot checks with our Full Body MoleMap.

Dr. Franz Strydom
Board member and Censor Skin Cancer College of Australasia
MB ChB. BSc. Hons BSc (Med Sci) MSc. (Med Sci) FRNZCGP FSCCA

Early detection saves lives

Regular skin checks are your best defence against skin cancer. While self-checks are important, professional screening can detect skin cancer in its earliest, most treatable stages. At MoleMap, we include a free spot check with every Full Body MoleMap examination. Our approach combines thorough visual examination with advanced dermoscopy imaging, providing you with comprehensive documentation of your skin's health.

Don't wait until you notice a concerning change in your skin. Book your Full Body MoleMap today and take advantage of our free spot check service. Early detection could save your life.

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