Skin Cancer Screening

May is Skin Cancer Awareness Month: Have You Been Screened?

As May ushers in warmer temperatures and increased outdoor activities, it also marks an important health observance: Skin Cancer Awareness Month. This annual campaign aims to highlight the importance of skin cancer prevention, early detection, and treatment options. With skin cancer representing the most common form of cancer in the United States—affecting one in five Americans by age 70 according to the Skin Cancer Foundation—awareness and proactive screening have never been more crucial.

The statistics surrounding skin cancer are both alarming and encouraging. While over two people die of skin cancer in the United States every hour, the five-year survival rate for melanoma—the deadliest form of skin cancer—exceeds 99% when detected and treated in its earliest stages. This striking contrast underscores a critical reality: timing is everything when it comes to skin cancer outcomes. Early detection through regular professional screening represents the single most effective strategy for ensuring positive outcomes.

In this article, board-certified dermatologists Drs. Gary and Kristina Goldenberg at Goldenberg Dermatology in Manhattan explain the importance of regular skin cancer screenings, the revolutionary technologies now available for early detection, and why Manhattan residents should prioritize this potentially life-saving examination, particularly during Skin Cancer Awareness Month.

Understanding Skin Cancer: Types and Risk Factors

Skin cancer develops primarily in three forms, each with distinct characteristics and levels of severity. Basal cell carcinoma (BCC), the most common type, typically appears as a pearly or waxy bump, a flat flesh-colored lesion, or a bleeding or scabbing sore that heals and returns. Squamous cell carcinoma (SCC) often presents as a firm red nodule or a flat lesion with a scaly, crusted surface. While both BCC and SCC rarely spread beyond the original site, they can be disfiguring if left untreated and occasionally develop aggressive behaviors.

Melanoma, though less common, represents the most dangerous form of skin cancer due to its tendency to spread rapidly to other parts of the body if not caught early. It typically develops in existing moles or suddenly appears as new dark spots on the skin. According to the American Academy of Dermatology, melanoma rates have risen dramatically over the past three decades, with cases increasing by 77% between 1973 and 2015.

Risk factors for developing skin cancer include fair skin, history of sunburns, excessive sun exposure, tanning bed use, numerous or unusual moles, and family history of skin cancer. Those living in high-altitude locations or areas with intense year-round sunshine face elevated risks. However, it’s important to note that skin cancer can affect anyone regardless of skin tone—a common misconception that often leads to delayed diagnosis in patients with darker skin. At Goldenberg Dermatology in Manhattan, board-certified dermatologists Drs. Gary and Kristina Goldenberg emphasize that all skin types require regular evaluation, as early detection remains universally beneficial regardless of individual risk factors.

The Critical Importance of Early Detection

The stark difference between early and late skin cancer diagnosis cannot be overstated. When detected in its earliest stages, the five-year survival rate for melanoma exceeds 99%. However, once the cancer has spread to distant organs, this rate drops dramatically to about 25%, according to the American Cancer Society. Similarly, while nearly all cases of BCC and SCC are curable when detected and treated promptly, advanced cases can lead to significant disfigurement, functional impairment, and rarely, death.

Beyond survival statistics, early detection also significantly impacts treatment options and recovery experiences. Skin cancers identified in initial stages typically require simpler, less invasive procedures with minimal scarring and recovery time. Conversely, advanced cases may necessitate extensive surgery, radiation, chemotherapy, or immunotherapy—interventions that carry greater physical, emotional, and financial burdens.

Regular skin cancer screenings by board-certified dermatologists represent the most effective method for early detection. These examinations are quick, painless, and potentially life-saving. At Goldenberg Dermatology in Manhattan, Drs. Gary and Kristina Goldenberg recommend annual screenings for most patients, with more frequent evaluations for those with elevated risk factors. During Skin Cancer Awareness Month, they particularly emphasize the importance of establishing this regular screening habit, as consistency in monitoring plays a crucial role in identifying changes that might otherwise go unnoticed.

Revolutionary Detection Technology: Nevisense

The landscape of skin cancer detection has evolved significantly with technological advancements that enhance diagnostic accuracy and enable earlier intervention. Among these innovations, Nevisense stands out as a groundbreaking non-invasive tool that has revolutionized the approach to melanoma detection. Goldenberg Dermatology in Manhattan proudly features this state-of-the-art technology as part of their comprehensive skin cancer screening protocol.

Nevisense utilizes electrical impedance spectroscopy (EIS) to evaluate cellular properties beneath the skin’s surface that aren’t visible to the naked eye or even through dermoscopy. This advanced method measures the electrical resistance in skin cells, detecting structural changes that often occur in cancerous or pre-cancerous lesions before they become visually apparent. According to clinical studies published in the British Journal of Dermatology, Nevisense can detect melanoma with 97% sensitivity, significantly exceeding traditional visual examination methods.

The implementation of Nevisense at Goldenberg Dermatology provides Manhattan patients with significant advantages in early melanoma detection. By identifying abnormal moles (dysplastic nevi) and potential melanomas at their earliest stages, board-certified dermatologists Drs. Gary and Kristina Goldenberg can intervene when treatment options are most effective and least invasive. This technology represents a crucial advancement in the fight against melanoma, particularly for patients with numerous moles or those with a personal or family history of skin cancer who benefit most from this enhanced level of diagnostic precision.

What to Expect During a Professional Skin Cancer Screening

A comprehensive skin cancer screening at Goldenberg Dermatology begins with a thorough review of the patient’s medical history, including previous skin issues, family history of skin cancer, sun exposure patterns, and any concerns about specific lesions. This information helps the dermatologist establish individual risk profiles and focus on areas requiring particular attention during the examination.

The physical examination involves a systematic inspection of the entire skin surface—from scalp to soles—using specialized magnification devices such as dermatoscopes that illuminate and magnify the skin, revealing features not visible to the naked eye. For suspicious lesions, advanced diagnostic tools like Nevisense may be employed to provide additional data on cellular characteristics. Throughout the examination, the dermatologist evaluates moles and other spots based on the “ABCDE” criteria: Asymmetry, Border irregularity, Color variation, Diameter larger than 6mm, and Evolution or change over time.

At Goldenberg Dermatology in Manhattan, board-certified dermatologists Drs. Gary and Kristina Goldenberg approach each screening with meticulous attention to detail, often documenting concerning areas with high-resolution imaging for future comparison. The entire process typically takes 15-20 minutes for a patient without numerous moles or concerning lesions, though more complex cases may require additional time. Following the examination, patients receive immediate feedback about their findings, recommendations for follow-up if needed, and personalized advice regarding sun protection and self-examination practices.

Who Should Get Screened and How Often?

While everyone should undergo periodic skin cancer screenings, certain factors increase the importance and recommended frequency of these examinations. Individuals with fair skin, blonde or red hair, a history of significant sun exposure or sunburns, a personal or family history of skin cancer, or numerous or atypical moles should be particularly vigilant about regular screenings. The American Academy of Dermatology recommends annual full-body examinations for most adults, with more frequent screenings for high-risk individuals.

People who have used tanning beds, have occupations involving outdoor work, lived in sunny climates, or received radiation treatments should also prioritize regular dermatologic evaluation. Additionally, those who have undergone organ transplantation or take immunosuppressive medications face elevated skin cancer risks that warrant more frequent monitoring. Even individuals with darker skin tones, while statistically at lower risk for most skin cancers, should maintain regular screening habits, as delayed diagnosis in these populations often leads to more advanced disease at detection.

At Goldenberg Dermatology in Manhattan, board-certified dermatologists Drs. Gary and Kristina Goldenberg develop personalized screening schedules based on comprehensive risk assessment. For some high-risk patients, they may recommend screenings as frequently as every three to six months, while those with lower risk profiles might maintain annual appointments. During Skin Cancer Awareness Month, they emphasize that establishing an appropriate screening routine represents one of the most important preventive health measures anyone can take, regardless of age or skin type.

Self-Examination: The Important Complement to Professional Screening

While professional examinations provide expert evaluation with specialized equipment, regular self-examinations serve as a crucial complement to these clinical visits. The Skin Cancer Foundation recommends monthly self-checks to familiarize yourself with your skin’s normal appearance and identify concerning changes promptly. This practice, when combined with professional screenings, significantly enhances early detection rates.

Effective self-examination involves systematically checking your entire body, including difficult-to-see areas like the scalp, back, and behind the ears. Using both full-length and handheld mirrors helps ensure comprehensive coverage. The “ABCDE” guidelines used by dermatologists also apply to self-checks: look for Asymmetry, irregular Borders, multiple Colors, Diameters larger than a pencil eraser, and Evolution or changes over time. Additionally, the “Ugly Duckling” sign—a mole that looks notably different from others on your body—warrants professional evaluation.

Board-certified dermatologists Drs. Gary and Kristina Goldenberg at Goldenberg Dermatology in Manhattan provide patients with detailed self-examination instructions, often supplemented by personalized guidance based on individual risk factors. They emphasize that self-checks should never replace professional screenings but rather serve as ongoing surveillance between clinical appointments. During consultations, they frequently help patients understand their unique patterns of moles and skin markings, enhancing the effectiveness of subsequent self-examinations.

Prevention Strategies Beyond Screening

While early detection through regular screening represents a critical defense against skin cancer mortality, prevention strategies play an equally important role in comprehensive skin health. Sun protection forms the cornerstone of prevention, with consistent application of broad-spectrum SPF 30+ sunscreen to all exposed skin, regardless of weather conditions or skin tone. Reapplication every two hours during outdoor activities and after swimming or sweating remains essential for maintained protection.

Beyond sunscreen, physical barriers offer significant protection: wide-brimmed hats, UPF-rated clothing, sunglasses with UV protection, and seeking shade during peak sun hours (10 a.m. to 4 p.m.) substantially reduce harmful exposure. The World Health Organization and numerous dermatological associations universally advise against indoor tanning bed use, as these devices significantly increase skin cancer risk—particularly when used before age 35.

At Goldenberg Dermatology in Manhattan, board-certified dermatologists Drs. Gary and Kristina Goldenberg work with patients to develop personalized prevention strategies based on lifestyle, occupation, and individual risk factors. They emphasize that even those who have already experienced significant sun damage can benefit substantially from adopting protective habits, as research indicates that consistent sun protection can slow or even halt the progression of precancerous changes in the skin.

Skin Cancer Screening | Manhattan

As Skin Cancer Awareness Month reminds us each May, the combination of prevention, regular professional screening, and monthly self-examination represents our most effective strategy against the nation’s most common form of cancer. With early detection offering near-certain cure rates for most skin cancers, the importance of establishing and maintaining appropriate screening routines cannot be overstated.

At Goldenberg Dermatology in Manhattan, board-certified dermatologists Drs. Gary and Kristina Goldenberg provide comprehensive skin cancer screening services enhanced by cutting-edge technology like Nevisense. Their expertise in early detection, combined with state-of-the-art diagnostic tools, offers Manhattan residents access to the highest standard of preventive dermatological care.

This May, we encourage you to prioritize your skin health by scheduling a professional skin cancer screening. Whether it’s your first examination or part of your regular preventive care, this simple step could prove life-saving. Contact Goldenberg Dermatology today to schedule your appointment and experience the peace of mind that comes with expert evaluation and early detection.

Manhattan Skin Cancer Screening: 212-405-8202