Dr. Karan Lal

Submitted photo

Breast Cancer Awareness Month, observed in October, serves as a reminder of the importance of early detection and awareness of breast cancer, one of the most common forms of cancer.

Annual breast exams and regular physical check-ups can make a critical difference in identifying breast cancer early and improving outcomes. Additionally, for breast cancer survivors, regular dermatology visits and vigilant skin monitoring play a key role in staying healthy

A study published in the International Journal of Cancer revealed a significant link between breast cancer and melanoma. According to the study, breast cancer survivors face a 16% higher risk of developing melanoma, the deadliest form of skin cancer, compared to women who have never had breast cancer. Unfortunately, melanoma rates are on the rise. The American Cancer Society has projected that approximately 290,560 new breast cancer cases and 99,780 new melanoma cases will be diagnosed in 2022.

Individuals with hereditary breast cancer, particularly those with BRCA mutations, face an even greater risk. The BRCA mutation, a genetic factor associated with breast cancer, has been linked to a two- to three-fold increase in the risk of developing melanoma. Moreover, patients who have undergone radiation therapy for breast cancer have a 42% higher risk of melanoma.

Another area of concern for breast cancer survivors, particularly those who have undergone reconstruction or augmentation, is the risk of tumors associated with breast implants. Though rare, breast implant-associated squamous cell carcinoma is a potentially aggressive cancer that can develop in the tissue around the implant. For these patients, regular skin check-ups are critical to ensure early detection of any abnormalities.

While annual dermatology check-ups are essential for breast cancer survivors, they are equally important for all adults. In addition to these visits, the American Academy of Dermatology advises people to regularly conduct self-exams and examine their partner’s skin for any unusual lesions.

For breast cancer survivors, in particular, being proactive about skin health is crucial. Early detection of melanoma can be lifesaving, and there are key warning signs to watch for. Use the following guidelines when performing self-examinations to spot potential signs of melanoma:

• Asymmetry: If one half of a mole looks different from the other half, it could be a sign of concern.
• Border: Irregular, ragged, or blurred edges around a mole may indicate melanoma.
• Color: A mole with uneven coloring, including shades of brown, black, red, white, or blue, should be checked.
• Diameter: Moles larger than 6 millimeters (about the size of a pencil eraser) need attention.
• Evolving: Any mole that changes in size, shape or color, or starts to bleed requires medical evaluation.

Editor’s note: Dr. Karan Lal is director of pediatric dermatology and cosmetic surgery at Scottsdale-based Affiliated Dermatology, a physician-owned dermatology group. Reader reactions, pro or con, are welcomed at AzOpinions@iniusa.org.