By james art 
By Dr. Karan Lal | Director of Pediatric Dermatology and Cosmetic Surgery, Affiliated Dermatology
Breast Cancer Awareness Month, observed in October, serves as a reminder of the importance of early detection and awareness of breast cancer, one of the most common forms of cancer.
Annual breast exams and regular physical exams can be critical in identifying breast cancer early and improving outcomes. Additionally, for breast cancer survivors, regular visits to the dermatologist and vigilant skin monitoring play a key role in maintaining health
A study published in the International Journal of Cancer reveals a significant link between breast cancer and melanoma. According to the study, breast cancer survivors face a 16% higher risk of developing melanoma, the deadliest form of skin cancer, compared to women who have never had breast cancer. Unfortunately, cases of melanoma are on the rise. The American Cancer Society predicts that approximately 290,560 new cases of breast cancer and 99,780 new cases of melanoma will be diagnosed in 2022.
People with hereditary breast cancer, especially those with BRCA mutations, face an even greater risk. A mutation in BRCA, a genetic factor linked to breast cancer, is associated with a two- to threefold increase in the risk of developing melanoma. Additionally, patients who underwent radiation therapy for breast cancer had a 42% higher risk of melanoma.
Another area of concern for breast cancer survivors, especially those who have undergone reconstruction or augmentation, is the risk of tumors associated with breast implants. Although rare, breast implant-associated squamous cell carcinoma is a potentially aggressive cancer that can develop in the tissue surrounding the implant. For these patients, regular skin examinations are crucial to ensure early detection of any abnormalities.
Although annual dermatologic exams are essential for breast cancer survivors, they are equally important for all adults. In addition to these visits, the American Academy of Dermatology advises people to regularly perform self-exams and examine their partner’s skin for unusual lesions.
For breast cancer survivors in particular, being proactive about skin health is critical. Early detection of melanoma can be lifesaving and there are key warning signs to watch out for. Use the following guidelines when performing self-exams to spot potential signs of melanoma:
• Asymmetry: If one half of the mole looks different than the other half, this may be a sign of concern.
• Border: Irregular, ragged, or blurred edges around a mole may indicate melanoma.
• Color: A mole with uneven coloring, including shades of brown, black, red, white, or blue, should be checked.
• Diameter: Moles larger than 6 millimeters (about the size of a pencil eraser) need attention.
• It is developing: Any mole that changes in size, shape or color or starts to bleed requires a medical examination.
Editor’s note: Dr. Karan Lal is director of pediatric dermatology and cosmetic surgery at Scottsdale-based Affiliated Dermatology, a physician-owned dermatology group. Reader reactions, pro or con, are welcome at [email protected].