Skin cancers do occur more commonly in some families, but rather than being genetic as such, it can be that these families all experienced more sunburns due to habitual exposure to the sun through sport or other outdoor activities.  There are rare genetic mutations that can lead to a very high risk of skin cancer, including Gorlin’s syndrome, which can lead to a high risk of BCC formation.  Melanoma appears to be genetic in a small proportion of patients, but there is no genetic testing available as yet to quantify your risk of melanoma.  If you have a family history of skin cancer including melanoma, you may be at increased risk of skin cancer, and it may be worthwhile having annual skin checks, especially if you have risk factors for skin cancer yourself.

PDT Light therapy (Photodynamic Therapy) is fast becoming a popular and effective treatment for pre-cancerous lesions and fields as well as some early cancers.

This therepy also has the added advantage of improving the look and feel of the skin.

A pre-treatment appointment should be completed 2-3 weeks prior to the light therapy treatment date.

Complete the form below and we will get back to you with the soonest available appointment.

Please note that the Light Therapy is currently only available in our Mitchelton Skin Cancer Clinic and our Toombul Skin Cancer Clinic in Nundah

Diathermy and Curettage is a treatment using a semi sharp instrument to scrape out the cancerous tumour and uses diathermy to destroy a further margin of surrounding tissue and stop bleeding.

Ellipse excision is the simplest and commonest form of surgical treatment and involves cutting out a boat shaped section of skin containing the cancer, and then using sutures to bring the edges together.

Sun damage at a young age is potentially the most dangerous, because the skin is thin and delicate and may burn more easily.  It is also the time when sunburn is most likely to result in freckling and mole formation, which are both markers for people at risk of future skin cancers.  In fact, a mole count over forearms is an indication of future melanoma risk, with high mole counts being associated with increased lifetime risk of melanoma.  Children need to be protected from sun damage and in particular sun burn with hats, sunglasses, protective clothing (shirts, rash vests), high potency sunscreens (50+ SPF recommended) and avoidance sun exposure in the hottest part of the day.  Every sunburn contributes to an increased risk of skin cancer in future and there may be a very long (decades) delay before the skin cancer appears.  Skin cancers occurring after a single sunburn has been documented, with a delay of 40 years between the sunburn and the eventual cancer formation. Regular sunscreen application for skin types susceptible to sun burn can prevent accidental sunburns, and lead to a reduced risk of future skin cancers.

Most children are at very low risk of skin cancers, so regular skin checks are not routinely recommended unless there are particular concerns.  While skin cancers including melanoma are rare, they do occur, so if there is a mole or spot that is changing or growing at an accelerated rate, or looks odd or different to every other mole on the child’s body, then they should be checked to ensure it is not a cancer.

After a diagnosis of skin cancer the doctor will discuss treatment options, which may be as simple as a 5 minute procedure to perform curettage and cautery to the lesion, or a surgical procedure to formally excise the lesion with appropriate margins.  Most excisions are done as an elipse and suture ie the lesion is cut out as a boat shape of skin, and the edges brought together using a combination of deep dissolving and superficial sutures which are removed a week later.  Occasionally for more difficult or cosmetically sensitive areas, a flap or a graft may need to be used to maintain a normal appearance or function post skin cancer excision.  Sometimes radiotherapy or further testing may be needed for high risk lesions.

Radiotherapy is often used where there is an inoperable lesion or where surgery is not practical such as peri- neural invasion of cancer. High risk cases of melanoma may warrant testing with CT scans, PET scans, or sentinel lymph node biopsy. 

Your doctor will inform you about the nature of the cancer you have and if further testing and or treatment is necessary.

Some experts in skin cancer regard Keratoacanthoma (KA) as a subtype of SCC, but with the difference that they may eventually resolve without treatment if left alone.

Melanoma is a less common form of skin cancer but can be one of the deadliest. Melanoma can form on any part of the body but most often forms on sun exposed areas such as the arms, legs and face.

Who should be checked?

An annual skin check (or more frequent checks) is recommended for adults if:

• you have a history of skin cancer or dysplastic naevus syndrome (abnormal mole)
• you have an extensive history of sun exposure.
• you have a family history of skin cancer or dysplastic naevus syndrome (abnormal moles)
• you have premalignant change on your skin (solar keratosis)
• you have a large number of moles on your skin
• your doctor has recommended a regular check.

What to watch out for

Skin cancers can be sometimes obvious but more often subtle changes in your skin.  Any change in your skin can alert you to the risk of skin cancer but in particular it is important to watch out for:

• any change in a mole or pigmented spot on your skin
• any new pigmented spot on your skin, particularly if it changes after you first notice it.
• any persisting itch or irritation in a mole or other spot on your skin
• any persisting red scaley mark, particularly if it grows over time.
• any spot that bleeds easily, for instance, with towelling after bathing
• any new lump that arises, particularly if it grows after you first notice it.

If you have noticed any of these changes on your skin, you should present immediately to your general practitioner or skin cancer doctor for a check.

What can happen if I don't get a check?

The most important factor in skin cancer care is the prompt recognition of a skin cancer and it's early and complete removal.  Melanoma in particular can be deadly if there is a delay in diagnosis.  The chance of a person dying from melanoma is most closely related to the thickness of the melanoma at the time of initial diagnosis and any evidence of early spread.  In most cases, with prompt recognition and treatment, the chance of dying from melanoma is rare (level 1 melanoma has a 5-year survival rate of >99%), however, in some cases the melanoma has already spread from the initial site where it arose, and in this situation treatment options can be limited. The chance of an individual patient dying from a melanoma has dropped in the last 10 years due to early recognition and treatment of this cancer, so don't delay if you believe you may have one.

Living in Australia you have a higher risk of skin damage as a result of increased exposure to the sun. Australians have a 2 in 3 chance of developing skin cancer in their lifetime. A simple yearly skin check can detect issues early and can save your life. Melanoma affects about 1 in 30 people in Australia and kills more than a 1000 people a year.

Skin tags are small benign growths attached to the skin by a small thin stalk. Skin tag removal is a simple process completed by a doctor. Removing skin tags at home can be painful and often bleed heavily or become infected.

Sunspots, which are also called solar or actinic keratoses, are pink or tan coloured scaly spots that feel slightly rough to the touch. They occur commonly in people over 40 with light skin and hair/eyes and on skin that’s often exposed to the sun.  Most common areas are the face, tips of the ears, back of hands and forearms. 

Sunspots can be a warning sign that you’ve spent too much time in the sun without appropriate sun protection, and indicate that you have a higher risk of developing skin cancer in the future.

Squamous cell carcinoma can develop from solar keratosis.  If your sun spot feels thicker and slightly raised off the surface of the skin, it may be an indication that it has progressed from solar keratosis to intraepidermal squamous carcinoma (IEC) which is a superficial form of squamous cell carcinoma (SCC). 

Solar keratosis is often treated with destructive treatments to individual lesions, such as cryotherapy (freezing treatment) or with a field treatment to the area.  Individual destructive treatments are usually used if there is a limited number of discrete spots to treat, and has the advantage of being cheap and quick.  Field treatments are usually used when there is a large area affected by large numbers of solar keratosis lesions or when the entire area is affected to some degree with solar keratosis and individual treatment is not practical.  Field treatments include Efudix, Photodynamic Therapy (PDT), Aldara, Solaraze or Picato.

Melanoma Scan - Skin Cancer Clinic

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Most children are at very low risk of skin cancers, so regular skin checks are not routinely recommended unless there are particular concerns.  While skin cancers including melanoma are rare, they do occur, so if there is a mole or spot that is changing or growing at an accelerated rate, or looks odd or different to every other mole on the child’s body, then they should be checked to ensure it is not a cancer.