In discussion with our Skin Cancer Specialist

Over 210,000 people are diagnosed with non-melanoma skin cancer each year in the UK, with yearly cases expected to increase to 400,000 by 2025. The statistics may seem daunting, but skin cancer is typically a highly treatable condition as long as it is identified as soon as possible. We spoke with resident skin cancer specialist Kuen Yeow Chin to answer some of the biggest questions surrounding skin cancer management and diagnosis.

How often should I check my skin for irregularities?

I would recommend that once a month you check your skin for any new moles or lesions that might require attention. It is also important to be generally aware of your skin and moles so that you can easily identify if any changes occur or new ones appear. It’s easy to lose track of time, so it’s helpful to set a recurring calendar alert on your smartphone - for example for the first Saturday morning of each month. 

What exactly should I be looking for?

Check any known moles on your skin for changes in size, shape or colour, any ulceration (a break in the skin surface), bleeding or pain. You should also check for growth of new lesions with irregular colour, shape, or size, or any exhibiting rapid growth. Also look for any ‘sores’ or wounds that are not healing, even if you think or remember that they were caused by an injury. 

How can I reduce my skin cancer risk?

Using sun protection with high SPF (I recommend SPF 50) will significantly reduce your risk of skin cancer. It is also important to avoid excessive sun exposure, especially in the hot summer months. Seek shade where possible, and wear protective clothing such as a hat and sunglasses. I strongly recommend avoiding activities that cause UV skin damage, for example sun beds, as this can greatly increase your risk of skin cancer. Fake tan is so good these days!

How regularly should I have a skin cancer screening?

It is vital to have a skin check-up at least once a year to ensure any problems can be identified and treated early - this gives the best chance of complete cure with simple treatment. Patients who are known to have an increased skin cancer risk - for example those with a past history of skin cancer - may need more regular screening. Your surgeon will advise this on an individual basis.

What will happen if skin cancer is detected?

Your doctor will tell you if a skin cancer is detected and advise you of the next steps. In most cases this will involve surgical removal, and the tissue will be sent off for histological examination (inspection under a microscope, to confirm what type of cancer it is, how much it has progressed, and whether it has been completely removed).

What will the skin cancer screening look like?

Your examination will be carried out by a specialist skin cancer doctor. If your doctor identifies suspicious lesions, they will be examined using a special magnifying instrument called a dermatoscope. 

How can I prepare for my skin cancer screening?

There are no specific requirements to prepare for your skin cancer screening appointment, but you should not wear make-up as this will make it difficult to complete an effective skin assessment. If you really do want to wear make up, try to arrive early to remove it before your consultation, and bring your make-up bag so you can reapply it before getting on with the rest of your day.

What are your tips for optimal skin health?

Above all, sun protection measures are the best way to maintain optimum skin health.

Here are some of my other top tips: 

• Avoid smoking

• Maintain a good skincare routine; avoid using harsh chemicals, moisturise your skin, and keep yourself hydrated

• Follow a healthy and balanced diet 

• Reduce day-to-day stress and have a good sleep routine

Can I do an at-home skin cancer check?

Yes! It is always important to be aware of your skin and keep track of any moles present, especially any changes in size or shape. It can be helpful to use a mirror when assessing areas such as the back, and taking photos can help you to record and track any new or changing lesions. Don’t forget your back - adults in the same household can help each other here, or schedule a check-up if that’s not an option. 

What are common warning signs of skin cancer?

Warning signs of early skin cancer can include: new lesions on the skin that are fast growing, bleeding or painful, or moles that are changing in size, shape or colour, and are bleeding or painful. If you notice any of these on your skin, contact a skin cancer specialist and book your skin cancer assessment. Please remember that most skin cancers do not exhibit all these signs, so don’t be falsely reassured if for example you have a suspicious-looking mole that is not painful.

Mr Kuen Yeow Chin

Plastic Surgeon & Skin Cancer Specialist

Mr Kuen Yeow Chin discusses skin cancer management at Berkshire Grove Hospital

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