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Comment by jazoom

> most skin cancers are very obvious even to a non-expert and the reason they are missed are that patients are not checking their skin or have no idea what to look for

I am a skin cancer doctor in Queensland and all I do is find and remove skin cancers (find between 10 and 30 every day). In my experience the vast majority of cancers I find are not obvious to other doctors (not even seen by them), let alone obvious to the patient. Most of what I find are BCCs, which are usually very subtle when they are small. Even when I point them out to the patient they still can't see them.

Also, almost all melanomas I find were not noticed by the patient and they're usually a little surprised about the one I point to.

In my experience the only skin cancers routinely noticed by patients are SCCs and Merkel cell carcinomas.

With respect, if "most skin cancers are very obvious even to a non-expert" I suggest the experts are missing them and letting them get larger than necessary.

I realise things will be different in other parts of the world and my location allows a lot more practice than most doctors would get.

Update: I like the quiz. Nice work! In case anyone is wondering, I only got 27/30. Distinguishing between naevus and melanoma without a dermatoscope on it is sometimes impossible. Get your skin checked.

parent jazoom 1 year ago

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