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Monday, November 23, 2009
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Self-Exam

Everyone, even if dark-skinned, should examine his or her own skin every month. Do a complete skin exam every month in front of a mirror, in privacy, and fully undressed (such as before or after a bath) in bright, natural sunlight or a good light.

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  • Start with your head, scalp, and face, and continue in an orderly fashion down the entire length of your body, both front and back. It is important to look for any new growths or changes including pink patches or spots, scaly growths, bleeding areas, or changing moles. A friend can help you examine your back and scalp.
  • Bend your elbows, and look carefully at your palms; forearms, including the undersides; and upper arms.
  • Examine the back and front of your legs. Also look between your buttocks and around your genital area.
  • Sit and closely examine your feet, including the soles and the spaces between the toes.

If you have already had skin cancers:

  • Feel both sides of your neck, armpits, and groin crease for any new lumps or bumps that may be enlarged lymph nodes, which could indicate that the cancer has spread.

When examining your skin, keep the ABCDEFs of moles in mind.

  • Asymmetry: Does half of the mole (or other pigmented skin spot) look different from the other half?
  • Border: Is the border of the mole irregular or ill defined?
  • Color: Is the color uneven (shades of one or more colors), or has it changed over time?
  • Diameter: Is the mole larger than a pencil eraser?
  • Elevation: Has the surface of the mole changed? If it was smooth and flat before, is it now elevated (raised)?
  • Feeling: Has the sensation (feeling) around the mole changed? Does it itch? Is it painful?

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