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Sneaky Secrets About Skin Cancer in Dark Skin

A little bit of built-in SPF doesn't mean you're off the hook. See why every complexion under the sun is at risk
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The Secret: Sometimes it hides where the sun doesn't shine
If you're on the hunt for suspicious moles, no one would fault you for going straight to your shoulders, legs and nose. Basal cell carcinoma (skin cancer in the deepest layer of the skin) is the most common type of skin cancer. It's more prevalent in white women and light-skinned Latinas and typically shows up on the face, chest and hands. But Douglas S. Reintgen, M.D., a surgical oncologist based in Tampa Bay, Fla., says those aren't the only places skin cancer lives. Squamous cell carcinoma, cancer in the upper-most layer of skin, can develop on the mouth and scalp. Melanoma, the most dangerous type of skin cancer, can show up on the soles of the feet, groin area and around nails.

The Solution: Channel your inner Sherlock Holmes

Latinas should be on the lookout for sores and lesions that don't heal (or have lasted for longer than a month), and anything that is bleeding, oozing or crusting, which indicate basal cell carcinoma. African American women should look out for healing ulcers, growths, sores and scars from previous injuries -- especially on the legs, where squamous cell carcinoma hits most women of color. Don't forget to examine your palms, nail beds and toes, and the next time you're at the salon, ask your stylist to check for any suspicious areas on your scalp or other hard-to-reach areas, like behind your ears, for anything that looks unusual.

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The Secret: You're less likely to get skin cancer, but if you do, it's more dangerous
Although skin cancer is much less common in African Americans than in whites, when it does occur in women of color, it's particularly deadly. "Women of color are at a higher risk of dying from skin cancer because they are usually misdiagnosed and the cancer is caught too late and it begins to spread," says New York City dermatologist Michael Shapiro, M.D. Numerous studies show that women with darker skin tones have the highest death rate of individuals diagnosed with melanoma. According to the Skin Cancer Foundation, 52 percent of black patients and 26 of Hispanic patients receive initial diagnoses of advanced stage melanoma versus only 16 percent of white patients.

The Solution: Know your bod

Just because you can't see it with a quick glance in the mirror doesn't mean it's not there. Vow to thoroughly examine your skin head-to-toe every month. Knowing your body will help you spot new moles or other abnormalities (most people stop getting new ones after 25). In addition to your monthly self-exam, get a professional skin exam every year. Find a free skin cancer screening or visit your physician, who can help you with the ABCDE's (asymmetry, border, color, diameter, evolution) of any skin spots you find.

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The Secret: It all adds up
Unless you live under a rock or boarded up in your house, every minute out in the sun adds up. "The number of blistering sunburns you had as an adolescent still count -- they will increase your chance of skin cancer later in life," says Reintgen. The same goes for your current routine. Outdoor activities like jogging and playing golf may be great for your ticker, but they could be hurting your health in less obvious ways.

The Solution: Go under cover

There's no need to become a shut-in. Make like a celebrity and step out in UV-blocking sunglasses, broad-brimmed hats and clothing with UV protection. Shapiro also recommends seeking the shade, especially between 10 a.m. and 4 p.m., aka peak sunlight hours. The earlier you can schedule your tee time or lace up your running shoes, the better.

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The Secret: Yes, your skin ages (eventually)
Darker skin tones have some built-in sun protection. The melanin in darker skinned Hispanic and black women creates SPF of about 13.4 (compared to 3.4 in white skin), but that doesn't mean you should skip sunscreen. Black and Hispanic women show the effects of photoaging about 15-20 years later than Caucasian women. Fine lines and wrinkles tend to be less prominent in dark skin than in white or lighter Hispanic skin, but in your 50s and 60s, hyperpigmentation and uneven skin tone take center stage, making other effects, like sagging skin, more noticeable. If you want to lower your risk of skin cancer and look good while doing it, it's time to incorporate SPF into your everyday routine.

The Solution: Slather it on

Reintgen and Shapiro advise using a broad spectrum (UVA/UVB) sunscreen with an SPF 15 or greater every day. Apply sunscreen to your entire body 30 minutes before going outside for chemical sunscreens and reapply every two hours or immediately after swimming or excessive sweating. For immediate protection, try a physical sunscreen that blocks the sun (instead of absorbing and reflecting) that contains zinc oxide or titanium dioxide.

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The Secret: Your medicine cabinet is sabotaging you
Limiting sun exposure, following a strict SPF guide and checking for suspicious signs will help lower your risk for skin cancer, but it's also important to take your overall health into consideration. "Individuals with lupus and weak immune systems and those on Prednisone for asthma are more likely to develop skin cancer," says Shapiro. Many medications prescribed to treat diabetes and hypertension, two health issues that predominantly affect Hispanics and blacks, can also make skin more sensitive to the sun.

The Solution: Bring it up

Talk to your doctor about any and all medications you take to see if they increase your skin's sensitivity to the sun. If you're experiencing sun sensitivity (or photosensitivity in doctor speak), he or she will be able to make a diagnosis and adjust your medication or recommend treatment accordingly.

BY ERICA SMITH | MAY 29, 2014 | SHARES
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