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Unveiling the Shadows: Understanding Melanoma and Its Hidden Signs. ---- By: Julianna Smith



Melanoma, the most formidable type of skin cancer, emerges from the melanocytes—cells responsible for producing melanin, the pigment that lends color to your skin. Beyond the skin's surface, melanoma can manifest in unexpected places such as the eyes, or even internally, like in the nasal passages or throat.


While the precise triggers for all melanomas remain unclear, exposure to ultraviolet (UV) radiation from sunlight or artificial sources like tanning lamps elevates the risk. Mitigating UV exposure becomes crucial in reducing the likelihood of melanoma development.


Alarming trends reveal a rising incidence of melanoma among individuals under 40, particularly affecting women. Recognizing the warning signs of skin cancer becomes pivotal in detecting and treating cancerous changes before they metastasize. Early detection significantly enhances the success of melanoma treatment. Melanomas can surface anywhere on the body, typically in sun-exposed regions like the back, legs, arms, and face.

Interestingly, melanomas can also appear in areas shielded from sunlight, such as the soles of the feet, palms, and fingernail beds. This occurrence is more prevalent in individuals with darker skin tones.


The initial indicators of melanoma often include:

  1. Changes in Existing Moles: Alterations in the appearance of an existing mole.

  2. New, Unusual Growths: The development of pigmented or unconventional growths on the skin.

Crucially, melanoma doesn't always originate from a pre-existing mole; it can emerge on seemingly normal skin as well. These hidden melanomas tend to appear in areas with minimal sun exposure, such as between the toes, on the palms, soles, scalp, or genitals. Individuals with darker skin are more prone to hidden melanomas, which may not be readily apparent.


Hidden melanomas encompass various forms:

  1. Nail-Related Melanoma: Acral-lentiginous melanoma can manifest under fingernails or toenails, also appearing on the palms or soles. More prevalent in those with darker skin pigment, including individuals of Asian descent and black individuals.

  2. Mucosal Melanoma: Developing in mucous membranes lining areas like the nose, mouth, esophagus, anus, urinary tract, and vagina, mucosal melanomas are challenging to detect, often being mistaken for more common conditions.

  3. Eye Melanoma: Also known as ocular melanoma, this type primarily occurs in the uvea, beneath the eye's white layer (sclera), potentially causing vision changes and typically diagnosed during an eye examination.

When to Consult a Doctor: If you observe any unusual changes in your skin, promptly schedule an appointment with your healthcare provider. Early awareness and vigilance can play a pivotal role in the timely detection and management of melanoma, ensuring a higher likelihood of successful treatment.


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