Skin Cancer Action Week: Melanoma Awareness

By Mr Amir Tadros

November 17–23 November 17–23 marks Skin Cancer Action Week, a critical time to raise awareness about melanoma, the most dangerous form of skin cancer


In Australia, over 18,000 people are diagnosed with melanoma each year, and approximately 1,300 lose their lives to the disease. One of the most important factors in determining prognosis is the melanoma (Breslow) thickness. The deeper the melanoma, the more risk of spreading. With early detection, the survival rate for melanoma is high—over 90% five-year relative survival—making awareness and proactive screening essential.

A Growing Concern

Melanoma often starts as a change in the skin, such as a new or changing mole, but it can be silent in its early stages. Australia’s high UV exposure, due to its sunny climate, puts everyone at risk, regardless of skin type. While melanoma is more common in older adults, it’s increasingly being diagnosed in younger people, including those in their 20s and 30s. This trend highlights the need for vigilance at all ages.


Who Should Be Screened?

 

Skin cancer risk varies based on factors like skin type, sun exposure history, and family background. Screening recommendations include:

 

All adults: Regular skin checks with a GP, dermatologist, or plastic surgeon, especially if you have fair skin, a history of sunburn, or use tanning beds.

From age 30: Annual skin checks if you have a personal or family history of melanoma or other skin cancers.

From age 20: Earlier checks for those with high-risk factors, such as multiple moles, a history of severe sunburn, or genetic predispositions.


Self-examination is also key

Look for the ABCDE signs of melanoma: Asymmetry, Border irregularity, Colour variation, Diameter over 6mm, and Evolving shape or size. Report any suspicious changes to your doctor immediately.


melanoma

Recent advancements have revolutionized melanoma care:

Dermatoscopy and imaging: Non-invasive tools allow doctors to examine moles with greater precision, reducing unnecessary biopsies.

Sentinel lymph node biopsy (SLNB): Performed by plastic surgeons or specialized surgeons. This procedure checks whether melanoma has spread to nearby lymph nodes, aiding in staging and treatment planning. A positive sentinel node (indicating cancer spread to the lymph nodes) is a critical factor in determining eligibility for immunotherapy, as it often signals a higher-risk melanoma that may benefit from these advanced treatments.

Genetic testing: Helps identify high-risk patients and guide personalized treatment plans.

Immunotherapy and targeted therapies: These breakthrough treatments, often accessible for patients with a positive sentinel node, harness the immune system or target specific cancer mutations to improve outcomes for advanced melanoma, offering hope even in late-stage cases.

Minimally invasive surgery: Techniques for removing early melanomas minimize scarring and recovery time.


The Role of Plastic Surgery

Plastic surgeons play a vital role in melanoma care, particularly for lesions in sensitive or cosmetically challenging areas, such as the face, ears, hands, or genitals. Their expertise in head-to-toe reconstruction ensures both effective cancer removal and optimal aesthetic outcomes. They are often the specialists most comfortable performing biopsies in these complex sites, minimizing damage to surrounding tissues while ensuring accurate diagnosis. Plastic surgeons also frequently perform sentinel lymph node biopsies, which are crucial for staging melanoma and determining whether immunotherapy is an appropriate treatment option, especially when a positive sentinel node is detected.


The Importance of Support and Education 

Navigating a melanoma diagnosis can be overwhelming. Clear communication with healthcare providers, including plastic surgeons, dermatologists, and oncologists, combined with support from skin cancer nurses and patient networks, empowers individuals to make informed decisions. Public education campaigns during Skin Cancer Week aim to bust myths and promote sun-safe behaviours.

 

What You Can Do This November

Book a skin check: Schedule an appointment with your GP, dermatologist, or plastic surgeon for a thorough examination.

Know your skin: Regularly check your skin for changes and learn your risk factors.

Practice sun safety: Use SPF 50+ sunscreen, wear protective clothing, seek shade, and avoid tanning beds.

Spread the word: Encourage friends and family to prioritize skin health.

Final Thoughts

Melanoma is a serious but can be treatable disease when caught early. Skin Cancer Week is a reminder to act—whether it’s checking your skin, consulting a specialist like a plastic surgeon for complex cases or sentinel node biopsies, or adopting sun-smart habits. For those with a positive sentinel node, immunotherapy offers a powerful treatment option to improve outcomes. Together, we can reduce the impact of melanoma and protect the people we love.

This November, let’s shine a light on melanoma awareness and ensure more cases are detected early, when they are most treatable.

Amir Tadros

Better and fairer care. Always.

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