{"id":9049,"date":"2025-05-07T12:57:35","date_gmt":"2025-05-07T12:57:35","guid":{"rendered":"https:\/\/www.skincancer.org\/?p=9049"},"modified":"2025-05-08T12:49:43","modified_gmt":"2025-05-08T12:49:43","slug":"from-tanning-beds-to-skin-cancer","status":"publish","type":"post","link":"https:\/\/www.skincancer.org\/blog\/from-tanning-beds-to-skin-cancer\/","title":{"rendered":"From Tanning Beds to Skin Cancer","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

As a kid, Cassidy just wanted to have fun with her friends and get tan. She never thought it would lead to 30 basal cell carcinomas. Her Mohs surgeon and his trainee want to tell her story as a cautionary tale.<\/h4>\n

By Mustufa Jafry, MD and C. William Hanke, MD<\/em><\/p>\n

\"Cassidy-and-family\"

Cassidy and family in Park City, Utah<\/p><\/div>\n

Cassidy Ward looks back on her childhood in rural Indiana with a blend of nostalgia and regret. \u201cI spent most of the summers outside. I loved playing basketball, riding my bike and three-wheeler and helping my dad and brothers on our farm.\u201d<\/p>\n

The sun was a constant companion. She didn\u2019t know it then, but so was the sun\u2019s skin-damaging ultraviolet (UV) radiation<\/a>. \u201cHonestly, nobody really made a big deal about the sun and protecting your skin<\/a> back then. My mom tried, but you know how it is when you\u2019re a kid. You think you\u2019re invincible!\u201d<\/p>\n

When Cassidy hit her teen years, cultivating a tan<\/a> became part of the plan. There\u2019s always pressure on teenage girls to look a certain way, and Cassidy had a light skin tone at a time when the cool girls had a golden tan \u2014 and the boys noticed them. \u201cOK, I admit that I didn\u2019t like my skin tone,\u201d she recalls. \u201cI thought having a tan just looked better than my pale skin, and I wanted to feel better about how I looked. Forget the sunscreen \u2014 we used baby oil!\u201d<\/p>\n

While Cassidy aspired to a tan, her skin didn\u2019t like it. \u201cIt took me a while to get tan,\u201d she explains. \u201cI would say to my friends that I\u2019ve got to work up to it, because I would burn<\/a>. Yes, I would get red, then that would go away. I thought that was how you build a tan. I didn\u2019t realize how much I was damaging my skin.\u201d<\/p>\n

Even More Dangerous Tanning<\/h3>\n

When she turned 15, Cassidy discovered the \u201cinstant gratification\u201d of tanning beds<\/a>, which were rising in popularity with teens across the U.S. \u201cIt was the mid-\u201990s, and while it\u2019s easy to say we knew better then, no one talked about skin cancer<\/a>.\u201d Now we know that tanning beds expose your skin to 10 to 15 times more UV radiation than what you get from the sun. And hundreds of thousands of cases of skin cancer in the U.S. each year are linked to indoor tanning.<\/p>\n

But in high school, Cassidy was focused more on basketball, softball and hanging out with her friends. \u201cI tanned an average of three times a week for about five years,\u201d she says. The tanning salon became a social hub. \u201cAll my friends tanned, too,\u201d she says. \u201cWe would go together a lot of the time.\u201d It was about fitting in and embracing the beauty standards of the time. \u201cTanning ages you and can lead to skin cancer, but you just don\u2019t think about that when you\u2019re young. You\u2019re like, \u2018Ah, that\u2019s not going to happen to me.\u2019\u201d<\/p>\n

The Unseen Damage<\/h3>\n

At age 35, Cassidy noticed a spot on her chest that seemed like a minor skin irritation \u2014 at first. But it didn\u2019t go away. \u201cIt was rough and would bleed from time to time and never seemed to heal,\u201d she says. Trusting her instincts, Cassidy decided to see dermatologist Karl W. Siebe, MD. \u201cWhen I found out that the spot was a basal cell carcinoma<\/a>, I remember being scared and wondering if that would lead to something worse. I never expected to hear the word \u2018cancer.\u2019 It was a life-changing moment.\u201d<\/p>\n

Learning that basal cell carcinoma (or BCC) is the most common form of skin cancer was little comfort. Especially since Dr. Siebe started finding more suspicious spots on her skin that needed removal and biopsy. Many more. In fact, over the next 12 years, Cassidy had more than 30 diagnosed BCCs, and many small scars.<\/p>\n

More recently, Dr. Hanke performed three Mohs surgeries<\/a> for BCCs on her face \u2014 one on her forehead and two on her face near her right eye and nose. While the procedures went well, there was a physical and emotional toll. \u201cThe ones on my face caused quite a bit of discomfort and swelling for a few days,\u201d she explains. The aftermath of surgery included bruising, swelling and the visible reminder of scars. \u201cAfter the first few days, the bruising and swelling started to go away. At my one-week appointment, I got my stitches out, and they said it looked good and was healing well.\u201d The scars healed but serve as visible reminders of the consequences of tanning.<\/p>\n

Changing Her Ways<\/h3>\n

Cassidy\u2019s experiences profoundly changed how she approaches sun exposure and skin health. \u201cI have become very aware of my skin and body, noticing any changes in a mole or a spot I didn\u2019t have before or a spot that doesn\u2019t heal,\u201d she says. She does regular self-exams<\/a> of her skin, and she doesn\u2019t hesitate to consult her dermatologist if she notices anything new, changing or unusual<\/a>.<\/p>\n

While her days of tanning are long over, Cassidy sometimes still likes the idea of looking tan. \u201cThat\u2019s when I go get a spray tan<\/a>,\u201d she says. But she knows that a faux glow does not provide sun protection. She affirms, \u201cI never go out without my sunscreen. I wear makeup that has sunscreen in it, for extra layering of sun protection. Typically, I wear a hat and sunglasses, too. Throughout her journey, Cassidy credits her family and health-care providers for their unwavering support. \u201cI have a wonderful family that has been there for me throughout all of this,\u201d she says gratefully (with her husband, Travis, and grandkids, left, and with Travis, above right). And her medical team \u201chas been so caring throughout this experience.\u201d\u00a0<\/strong><\/p>\n

Spreading the Word<\/h3>\n

Cassidy has taken proactive steps to educate herself about skin cancer and its prevention and encourages others to come here to SkinCancer.org<\/strong> for trusted, medically reviewed information \u2014 and not hesitate to ask questions.<\/p>\n

Cassidy\u2019s experiences have also fueled her desire to reach out to teenagers<\/a> and young adults. \u201cThere are some risks that just aren\u2019t worth it!\u201d she says. She understands the mindset of youth, where immediate desires often overshadow long-term consequences. \u201cNaively, as a teenager, I wanted to be cool and to have a tan,\u201d she says, \u201cwhich, let\u2019s face it, was me being vain because I thought I looked better. Then years later, it caused me to start having cancer spots removed from my body.\u201d<\/p>\n

She hopes her story will motivate those who might be on that same path to think differently about their skin and not try to change it but protect it<\/a>.<\/p>\n

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    Mohs surgery, October 2024: Cassidy\u2019s progress from before surgery to biopsy, tumor removal before closure, her nose the next morning, and one week after the stitches were removed.<\/p>\n

    \n

    Mustufa Jafry, MD, <\/strong>is a Mohs micrographic surgery and dermatologic oncology fellow at Ascension St. Vincent Hospital in Indianapolis.<\/em><\/p>\n

    C. William Hanke, MD, <\/strong>is the program director for the Micrographic Surgery and Dermatologic Oncology Fellowship Training Program at Ascension St. Vincent Hospital in Indianapolis. He also serves as a senior vice president of The Skin Cancer Foundation and is a former president of the American Academy of Dermatology.<\/em><\/p>\n

     <\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

    As a kid, Cassidy just wanted to have fun with her friends and get tan. She never thought it would lead to 30 basal cell carcinomas. 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