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JamesRed
08-08-18, 17:20
Hey everyone,

I'm a 34 year old red headed male.

I've been on holiday this week camping with the family and on the first day although I'd been applying suncream multiple times, I got sun burn (didn't peel) on the back of my neck and upper arms. I've caught the sun throughout the years (gone a little pink throughout the summer) but for some reason this time round it's really freaked me out.

I have no moles on my body, but have a lot of freckles. I'm now worried that because of this sun burn I'm going to get skin cancer. I'm trying not to visit Dr Google with my worries, but suffering from HA, it's rather hard.

Can my freckles turn into melanomas? I've got a full head of hair, but I'm worried because I've never put suncream in my hair, I might have overlooked something.

I know there are other people on this forum with much more serious worries and problems, but I just wanted to get it out here as I don't really have anyone to talk to.

NervUs
08-08-18, 17:59
This is not what you want to hear but, yes, you are at higher risk of skin cancer because of your complexion. It doesn't sound like you've been unsafe in the sun, or that you have to worry needlessly about something that might never happen. Just start getting regular skin checks at the dermatologist, and check yourself once a month for new moles or growths if you want (I don't do this religiously), and get any new marks/spots/bumps checked if they don't go away or go down in a month or two's time. Melanomas can develop in freckles, or they can just appear in an unmarked section of skin. No one is immune from melanoma, but your complexion makes you someone who should make skin checks part of your regular preventative health care. A lot of us are in the same boat!

KK77
08-08-18, 18:54
I think the risk is more consistent with sun exposure rather than skin type. Dark-skinned people are just as much at risk even though they might not get sunburn like fair-skinned folk or have freckles.

Andrash
08-08-18, 21:29
I think every person, even skin cancer survivors, get a mild sunburn once a year or so. It is simply impossible to wear (right amount) of sunscreen all the time and to replenish it every hour or so.

However, sunburns should generally be avoided and skin should generally be checked regularly and well taken care of. Therefore, a yearly check by a dermatologist is in order. Doing that, you will put your mind to rest and, if, God forbid, anything sinister occurs, your doctor will be able to catch it on time.

JamesRed
09-08-18, 18:57
Hi everyone, thanks for the replies - it's really appreciated :)

I'm trying to make an appointment at the doctors at the minute, but should I see someone who deals with moles etc. specifically?

Looking in the mirror this afternoon just makes me sad as I can see where I've burned my skin and hate myself for it. My arms are really freckly and they are a lot more dominant since I was burned which is making me freak out and try to check each one. I've got some larger clusters of freckles in my elbows, and they seem to be the same colour as my other freckles, but should I be looking for something different?

Andrash
09-08-18, 19:05
but should I be looking for something different?

Yes. You should be looking for something different to do, because nothing is more damaging to your sanity than self - checking and comparing what you see on your body with google images.

You are on the right track - you will made an appointment with a dermatologist (btw, that is the "mole doctor") and he will assess everything. Until than, live your life and wear sunscreen :) Do not google and do not self - check.

ErinKC
09-08-18, 19:08
It's a good idea for someone with a light complexion and a lot of moles or freckles to get annual dermatology checks. While sun exposure generally can increase your risk, what my doctor has told me is that the real risk comes from very severe burns earlier in life. You won't get skin cancer today from a burn you got last weekend. Chances are your parents were good about sunscreen when you were a kid because of your light complexion.

Since you're not an expert, I would not check yourself at this moment of anxiety. If you want to have your skin checked you should see a dermatologist vs. a general doctor. They can look your skin over and easily notice anything that's abnormal.

lucymarie
09-08-18, 19:13
Hi everyone, thanks for the replies - it's really appreciated :)

I'm trying to make an appointment at the doctors at the minute, but should I see someone who deals with moles etc. specifically?

Looking in the mirror this afternoon just makes me sad as I can see where I've burned my skin and hate myself for it. My arms are really freckly and they are a lot more dominant since I was burned which is making me freak out and try to check each one. I've got some larger clusters of freckles in my elbows, and they seem to be the same colour as my other freckles, but should I be looking for something different?

If your GP thinks anything is concerning they will give you a referral to the dermatologist. If not and you are still worried you can pay privately to have a full skin check in some parts of the UK. I’m not sure where you are put places like Nuffield or BUPA clinics or even some Boots stores. If you live somewhere like me (Cumbria) it’s a dead zone though and you’d have to travel :roflmao: The GP is likely to only look at the spots you point out so make sure to show them all the ones you are worried about.

Andrash
09-08-18, 19:29
Just a small clarification concerning statistics and skin cancers.

Approximately 1 in 5 people will develop skin cancer during lifetime. Therefore, your lifetime risk of having skin cancer is 20%.

Approximately 1% of all skin cancers are melanomas. That means your lifetime risk of developing melanoma is 0.2%.

I am now doing the forbidden thing :) and browsing a melanoma awareness site. There it says: if you had 5 or more severe sunburns during your life, your risk of developing melanoma increases by 80%. That is where a lot of people (especially HA sufferers) get it wrong. They read it like this: 1% of all skin cancers are melanomas, I got sunburnt, my risk increases 80%, it means there is a 80% chance I will have melanoma. Naturally, what follows is the full blown panic mode.

However, the math is of course all wrong. Firstly, if your risk was 0.2% and you got sunburnt, your risk increases by 0.18%, (you calculate out of the percentage you already have, not out of 100%) meaning your lifetime risk is now 0.38%. It is a considerable increase, I concur, but still very low. Even if we factor in your ginger complexion (another risk increaser) it is still below 0.5%.

However, I agree with what other people say - it is a prudent thing to do a yearly skin check. Not just because of moles - the skin is one of the most important organs and therefore deserves extra care. My insurance covers it and so...why not - I do it every year - when I suffered from HA I was extremely anxious and stressed before every appointment (convinced the derm was gonna find at least 2 cancers :D) but now it has become a habit, like yearly check with the dentist.

lucymarie
09-08-18, 19:33
Just a small clarification concerning statistics and skin cancers.

Approximately 1 in 5 people will develop skin cancer during lifetime. Therefore, your lifetime risk of having skin cancer is 20%.

Approximately 1% of all skin cancers are melanomas. That means your lifetime risk of developing melanoma is 0.2%.

I am now doing the forbidden thing :) and browsing a melanoma awareness site. There it says: if you had 5 or more severe sunburns during your life, your risk of developing melanoma increases by 80%. That is where a lot of people (especially HA sufferers) get it wrong. They read it like this: 1% of all skin cancers are melanomas, I got sunburnt, my risk increases 80%, it means there is a 80% chance I will have melanoma. Naturally, what follows is the full blown panic mode.

However, the math is of course all wrong. Firstly, if your risk was 0.2% and you got sunburnt, your risk increases by 0.18%, (you calculate out of the percentage you already have, not out of 100%) meaning your lifetime risk is now 0.38%. It is a considerable increase, I concur, but still very low. Even if we factor in your ginger complexion (another risk increaser) it is still below 0.5%.

However, I agree with what other people say - it is a prudent thing to do a yearly skin check. Not just because of moles - the skin is one of the most important organs and therefore deserves extra care. My insurance covers it and so...why not - I do it every year - when I suffered from HA I was extremely anxious and stressed before every appointment (convinced the derm was gonna find at least 2 cancers :D) but now it has become a habit, like yearly check with the dentist.

Andrash I have to say I LOVE this post. I was actually just speaking about this subject with my partner last night. It drives me insane how the media portrays risk making it seem like as you say, 80% is added where In fact it’s a percentage of the original risk, meaning it’s still diddly squat. Scaremongering at its finest!

Andrash
09-08-18, 19:41
Andrash I have to say I LOVE this post. I was actually just speaking about this subject with my partner last night. It drives me insane how the media portrays risk making it seem like as you say, 80% is added where In fact it’s a percentage of the original risk, meaning it’s still diddly squat. Scaremongering at its finest!

A lot of people (especially teenagers) abuse their skin by baking in the sun and tanning beds, so I suppose they want to scare them into not doing that. I appreciate the end, but not the means...And while I understand why people who run melanoma foundations and support groups do that (they are survivors and their mission is to spare other people from their ordeals), guys like Daily Fail and co don't have any excuses.

lucymarie
09-08-18, 19:53
A lot of people (especially teenagers) abuse their skin by baking in the sun and tanning beds, so I suppose they want to scare them into not doing that. I appreciate the end, but not the means...And while I understand why people who run melanoma foundations and support groups do that (they are survivors and their mission is to spare other people from their ordeals), guys like Daily Fail and co don't have any excuses.

Yes I agree. Melanoma has been my worst period of HA to date and something I’ve come to understand is that a lot of the information out there is better left unread. You pretty much only come across the horror stories online because everyone else doesn’t need the support groups. I understand that the aim is to raise awareness but many times it makes it seem a lot more common than it actually is and always a death sentence when in reality it’s one of the more survivable of the cancers in most cases.

ErinKC
09-08-18, 20:01
Yes - thank you, Andrash! I hate the way statistics are manipulated to increase fear! It's so easy to say something increases by such a percentage without mentioning what the actual numbers are. An increase of 100% could mean something going from 1 to 2 or 10 million to 20 million. The numbers matter!

It's like when there were all these articles about how eating bacon increases your risk of colon cancer by 18%... which means, your lifetime risk goes from 4.14% to 4.8%.

Fishmanpa
09-08-18, 20:04
It's like when there were all these articles about how eating bacon increases your risk of colon cancer by 18%... which means, your lifetime risk goes from 4.14% to 4.8%.

MMmmm Bacon (https://www.youtube.com/watch?v=OtMVMNST_g4) :)

ErinKC
09-08-18, 20:05
And yes, regarding melanoma. I have several similarly "atypical" moles - several that are two different colors, a few that are dark and lumpy, and more than one that seems to be asymmetrical. My dermatologist said that melanoma is so rare that's there's no chance someone could have two melanoma sites on their body at the same time. So, any time you have a weird looking mole if you have another one that's similarly weird looking you can be sure neither is cancer.

NervUs
09-08-18, 23:44
Hi everyone, thanks for the replies - it's really appreciated :)

I'm trying to make an appointment at the doctors at the minute, but should I see someone who deals with moles etc. specifically?

Yes, you need to see a dermatologist. Don't get your skin check at a general practitioner. IN the UK, you would start there, but that's not how we roll in the USA. A GP is not trained to look at moles and doesn't have the up to date equipment, most likely. Just call a dermatologist directly and get an appointment. It might take a few months, and you do not need to see one urgently. This is preventive care.

Masqued
10-08-18, 10:04
I got Melanoma on a site that recieved minimal sun exposure. Statistics are just statistics, I thought I'd never get it with no family history or major sunburns.
This site does a bad job of playing down Melanoma risk. Melanoma is real.

lucymarie
10-08-18, 10:19
Yes, you need to see a dermatologist. Don't get your skin check at a general practitioner. IN the UK, you would start there, but that's not how we roll in the USA. A GP is not trained to look at moles and doesn't have the up to date equipment, most likely. Just call a dermatologist directly and get an appointment. It might take a few months, and you do not need to see one urgently. This is preventive care.

We can’t go direct in the UK unless we pay privately, which is a fortune and isn’t available in all areas. Our gp pathway is actually pretty good because they have guidelines for a 2 week referral system and because they aren’t trained in skin cancer they pretty much refer anything with even a slight concern.

---------- Post added at 10:19 ---------- Previous post was at 10:05 ----------


I got Melanoma on a site that recieved minimal sun exposure. Statistics are just statistics, I thought I'd never get it with no family history or major sunburns.
This site does a bad job of playing down Melanoma risk. Melanoma is real.

You are literally on every Melanoma post trying to terrorfy people. A lifetime risk of Melanoma for the average person is 0.2%. I am sorry that you found yourself in that category, truly I am. No one should have to go through that. However, it doesn’t change the fact that it is still a very very rare disease and scaring people who are being proactive and going to their doctor anyway, is frankly unkind.

NervUs
10-08-18, 14:49
We can’t go direct in the UK unless we pay privately, which is a fortune and isn’t available in all areas. Our gp pathway is actually pretty good because they have guidelines for a 2 week referral system and because they aren’t trained in skin cancer they pretty much refer anything with even a slight concern.

I got it. But, the OP is in the USA, so it is possible and easier to just start with a dermatologist. UNless there's some stipulation in insurance, you can just call specialists directly in many cases. GP in the US is probably very different than in the UK b/c they don't see everything. I wouldn't trust a GP with my skin. I have a gazillion freckles, spots, bumps, lumps, moles, plus a bad sunburn history and a family history of melanoma...so....I want someone who sees skin everyday and has a dermatoscope in the office, and can biopsy right then and there. If you can do it that way (as the OP probably can), why waste time getting a referral? That is two appointments, two bills, longer wait for answers etc etc.

lucymarie
10-08-18, 14:52
I got it. But, the OP is in the USA, so it is possible and easier to just start with a dermatologist. UNless there's some stipulation in insurance, you can just call specialists directly in many cases. GP in the US is probably very different than in the UK b/c they don't see everything. I wouldn't trust a GP with my skin. I have a gazillion freckles, spots, bumps, lumps, moles, plus a bad sunburn history and a family history of melanoma...so....I want someone who sees skin everyday and has a dermatoscope in the office, and can biopsy right then and there. If you can do it that way (as the OP probably can), why waste time getting a referral? That is two appointments, two bills, longer wait for answers etc etc.

OP has a UK flag?

JamesRed
10-08-18, 15:54
Hey, yes I am in the UK :)

Doctors appointment has been scheduled for Monday. If they wont refer me to a dermatologist, I've found a place in London that does full body checks and scans that can see you within a week.

lucymarie
10-08-18, 16:16
Hey, yes I am in the UK :)

Doctors appointment has been scheduled for Monday. If they wont refer me to a dermatologist, I've found a place in London that does full body checks and scans that can see you within a week.

That's great James :) Let us know how you get on.

Londonlady
11-08-18, 10:59
Hi James I recently went through similar and was referred urgently to a dermatologist for a weird mole which as you can imagine scared the living day lights out of me, I cried for 2 weeks until my appointment came around, seriously!

He took one look and said nothing to worry about! All was fine :) good luck

---------- Post added at 10:59 ---------- Previous post was at 10:56 ----------


I got Melanoma on a site that recieved minimal sun exposure. Statistics are just statistics, I thought I'd never get it with no family history or major sunburns.
This site does a bad job of playing down Melanoma risk. Melanoma is real.

I can’t atress how extremely unhelpful this post is to someone that has health anxiety about skin cancer.

Sorry it happened to you but this is not the place.

Masqued
11-08-18, 11:06
Hi James I recently went through similar and was referred urgently to a dermatologist for a weird mole which as you can imagine scared the living day lights out of me, I cried for 2 weeks until my appointment came around, seriously!

He took one look and said nothing to worry about! All was fine :) good luck

---------- Post added at 10:59 ---------- Previous post was at 10:56 ----------



I can’t atress how extremely unhelpful this post is to someone that has health anxiety about skin cancer.

Sorry it happened to you but this is not the place.

So just keep telling people it's probably nothing then...

There's no scare tactics here, I was on this site posting about HA about moles in 2013 and got the "probably nothing its rare" standard reply.

I should also add to my story that 6 doctors in 8 years looked at my mole and all of them said it was ok but the actual pathology was Melanoma. It was only taken off because he was removed another suspicious looking mole which turned out to be benign.

If you're worried about a mole, ask for a punch biopsy, it will give all the pathology of early changes and any abnormal cells.

Andrash
11-08-18, 13:00
So just keep telling people it's probably nothing then...

There's no scare tactics here, I was on this site posting about HA about moles in 2013 and got the "probably nothing its rare" standard reply.

I should also add to my story that 6 doctors in 8 years looked at my mole and all of them said it was ok but the actual pathology was Melanoma. It was only taken off because he was removed another suspicious looking mole which turned out to be benign.

If you're worried about a mole, ask for a punch biopsy, it will give all the pathology of early changes and any abnormal cells.

Masqued, if I am not indiscreet, what stage was your Melanoma? Did you catch it on time?

lucymarie
11-08-18, 14:03
So just keep telling people it's probably nothing then...

There's no scare tactics here, I was on this site posting about HA about moles in 2013 and got the "probably nothing its rare” standard reply.

I should also add to my story that 6 doctors in 8 years looked at my mole and all of them said it was ok but the actual pathology was Melanoma. It was only taken off because he was removed another suspicious looking mole which turned out to be benign.

If you're worried about a mole, ask for a punch biopsy, it will give all the pathology of early changes and any abnormal cells.

Because it is. I’m sorry it happened to you and I can completely understand how you are more sceptical now. However, the fact remains it is rare and most people posting asking about moles will be fine. I know you want to stop it happening to other people but posting horror stories on a HA forum isn’t how to go about it.

Londonlady
12-08-18, 09:48
^ exactly. We already know to be extra safe and get moles checked but it’s still very rare for a mole to actually turn out to be one, even the dodgy looking ones!