{"id":5836,"date":"2022-07-19T19:13:51","date_gmt":"2022-07-19T19:13:51","guid":{"rendered":"https:\/\/www.skincancer.org\/?p=5836"},"modified":"2024-02-02T03:13:19","modified_gmt":"2024-02-02T03:13:19","slug":"ask-the-expert-are-photos-of-skin-cancer-a-reliable-indicator","status":"publish","type":"post","link":"https:\/\/www.skincancer.org\/blog\/ask-the-expert-are-photos-of-skin-cancer-a-reliable-indicator\/","title":{"rendered":"Ask the Expert: Are Photos of Skin Cancer a Reliable Indicator?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<h4>Q: The new, changing or unusual spots on my skin don\u2019t look like pictures I see online or in brochures. Does that mean I don\u2019t need to worry?<\/h4>\n<p>This is a question I get all the time, and the short answer is no \u2014 you should not take false comfort from the fact that your lesion doesn\u2019t resemble the ones in photographs. People will often say, \u201cI had a bump that looked nothing like what I saw in the brochure, and it turned out to be skin cancer.\u201d There are many reasons for that. The first is that there are a lot of variations in the way <a href=\"https:\/\/www.skincancer.org\/skin-cancer-information\/skin-cancer-pictures\/\">skin cancers look<\/a>, and they don\u2019t always fit the textbook definitions of a melanoma or a <a href=\"https:\/\/www.skincancer.org\/skin-cancer-information\/squamous-cell-carcinoma\/\">squamous cell carcinoma<\/a> (SCC) or a <a href=\"https:\/\/www.skincancer.org\/skin-cancer-information\/basal-cell-carcinoma\/\">basal cell carcinoma (BCC).<\/a> For example, certain variants of melanoma, including a type called <a href=\"https:\/\/www.skincancer.org\/blog\/amelanotic-melanoma-it-doesnt-look-like-other-melanomas\/\">amelanotic melanoma<\/a>, do not have any pigment; they don\u2019t look like brown spots. Even dermatologists can be fooled.<\/p>\n<p>There are also many unusual variants of BCCs and SCCs that don\u2019t match the examples in textbooks. Then there is the imperfect nature of photography itself: It\u2019s a two-dimensional medium, and a close-up of a classic lesion will not fully mirror a person\u2019s three-dimensional reality. Nor do the photos we currently have reflect the enormous variations that exist in <a href=\"https:\/\/www.skincancer.org\/risk-factors\/skin-type\/\">skin tone<\/a>. A lesion can look dramatically different on someone who\u2019s really dark versus someone who\u2019s extremely pale.<\/p>\n<p>Building a bigger and more diverse archive of photos would certainly help, particularly when it comes to <a href=\"https:\/\/www.skincancer.org\/skin-cancer-information\/skin-cancer-skin-of-color\/\">skin cancer in people of color<\/a>. This is an area that has been neglected medically. There\u2019s a wide misconception \u2014 among both people of color and everyone else \u2014 that people of color don\u2019t get skin cancer. (They do, albeit at lower rates than the general population.) Therefore, doctors and patients alike don\u2019t look for it, and it can end up being quite advanced by the time it\u2019s diagnosed. The result is a higher mortality rate for melanoma and SCCs in people of color than in the general population.<\/p>\n<p>Lesions in people of color can also be very subtle and easily missed if you\u2019re not really looking for them, often because they\u2019re in areas that aren\u2019t examined carefully, if at all, such as the soles of feet, toenails, mucous membranes and the genital area. And more likely than not, photographs of carcinomas in these places do not appear in skin cancer brochures aimed at a general audience. Most brochures focus on Caucasians. We need to accumulate many more photos of skin cancer in people of color and then create specific brochures that get distributed in their communities. That would do a lot on its own to increase awareness.<\/p>\n<p>In the meantime, my advice for anyone, regardless of complexion, is that if <a href=\"https:\/\/thebigsee.org\">you see something<\/a> irregular on or under your skin \u2014 by which I mean a lesion that is changing in size or color, or is bleeding, flaking or doing anything different \u2014 have it examined by a dermatologist. That advice applies even when your lesion looks absolutely nothing like the ones you see in photographs.<\/p>\n<p>View our <a href=\"https:\/\/www.skincancer.org\/skin-cancer-information\/skin-cancer-pictures\/\">skin cancer pictures<\/a>.<\/p>\n<p><em>\u2014 Interview by Lorraine Glennon<\/em><\/p>\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-5840\" src=\"https:\/\/www.skincancer.org\/wp-content\/uploads\/HughGlosterHeadshot-563x600.jpg\" alt=\"Hugh Gloster MD\" width=\"190\" height=\"203\" srcset=\"https:\/\/www.skincancer.org\/wp-content\/uploads\/HughGlosterHeadshot-563x600.jpg 563w, https:\/\/www.skincancer.org\/wp-content\/uploads\/HughGlosterHeadshot-768x819.jpg 768w, https:\/\/www.skincancer.org\/wp-content\/uploads\/HughGlosterHeadshot.jpg 840w\" sizes=\"auto, (max-width: 190px) 100vw, 190px\" \/><\/p>\n<h5>About the Expert<\/h5>\n<p><strong data-wp-editing=\"1\">Hugh M. Gloster Jr., MD, <\/strong><em>is a member of Associates in Dermatology, a private practice in Fort Myers, Florida. The coauthor of two medical textbooks, he specializes in cutaneous oncology, Mohs surgery and reconstruction.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.skincancer.org\/about-us\/the-skin-cancer-foundation-journal\/\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5474 size-full alignleft\" src=\"https:\/\/www.skincancer.org\/wp-content\/uploads\/featured-in-journal-2021.jpg\" alt=\"Featured in The 2021 Skin Cancer Foundation Journal\" width=\"450\" height=\"79\" \/><\/a><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>If the new, changing or unusual spots on your skin don\u2019t look like the ones you\u2019ve seen in skin cancer photos, are you off the hook? Not necessarily.<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":1,"featured_media":5841,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5489,5673,2880],"tags":[4193,5674,5675,5184],"class_list":["post-5836","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ask-the-expert","category-skin-of-color","category-the-skin-cancer-foundation-journal","tag-early-detection","tag-skin-cancer-on-dark-skin","tag-skin-cancer-photos-on-dark-skin","tag-skin-of-color"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.3 (Yoast SEO v25.3) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ask the Expert: Are Photos of Skin Cancer a Reliable Indicator? - The Skin Cancer Foundation<\/title>\n<meta name=\"description\" content=\"If the new, changing or unusual spots on your skin don\u2019t look like the ones you\u2019ve seen in skin cancer photos, are you off the hook? 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