Skin cancer is the most common type of cancer worldwide, yet many people miss the early warning signs. The good news is that when detected early, most forms of skin cancer can be treated successfully. Paying attention to unusual changes in your skin can make a life-saving difference. The three most common types of skin cancer are melanoma, basal cell carcinoma, and squamous cell carcinoma. While they can appear in different ways, many cases begin with subtle skin changes that are easy to overlook. Knowing what to watch for can help you take action early and protect your health. A Mole That Changes in Shape, Size, or Color One of the most important warning signs of skin cancer is a mole that begins to change. Dermatologists often use the ABCDE rule to identify suspicious moles: A – Asymmetry: One half of the mole looks different from the other. B – Border: The edges appear irregular, jagged, or blurred. C – Color: The mole contains multiple colors such as brown, black, red, white, or blue. D – Diameter: The spot is larger than about 6 millimeters (roughly the size of a pencil eraser). E – Evolving: The mole changes in size, color, elevation, or shape over time. These types of changes are commonly associated with melanoma, the most serious form of skin cancer. A New Spot That Appears Suddenly While many people focus on existing moles, melanoma often develops as a new spot on the skin. If you notice a new mole or mark—especially one that looks different from others—it should be evaluated by a healthcare professional. Dermatologists sometimes refer to this as the “ugly duckling” sign, meaning the spot looks noticeably different from the rest of your moles. A Sore That Won’t Heal A persistent sore that bleeds, crusts, or reopens repeatedly can be a sign of skin cancer. These sores may appear minor at first but refuse to fully heal even after several weeks. Non-healing sores are frequently linked to basal cell carcinoma or squamous cell carcinoma. If a spot continues to scab, bleed, or stay open longer than a month, it’s important to get it checked. A Shiny or Pearly Bump A small bump that looks shiny, pearly, or translucent may also signal skin cancer. These bumps can appear pink, white, or skin-colored and may develop tiny visible blood vessels on their surface. This appearance is typical of basal cell carcinoma, the most common form of skin cancer. Although it grows slowly, it still requires medical treatment to prevent tissue damage. A Rough or Scaly Patch Another warning sign is a rough or scaly patch of skin that feels dry, crusty, or tender. These areas may be red, pink, or brown and often feel similar to sandpaper. Such patches can sometimes be actinic keratosis, a precancerous condition caused by long-term sun exposure. Without treatment, actinic keratosis can develop into squamous cell carcinoma. A Mole That Itches, Hurts, or Bleeds Most normal moles don’t cause discomfort. If a mole begins to itch, become painful, bleed, or ooze fluid, it should be evaluated promptly. These symptoms can occur when cancerous cells irritate surrounding skin tissue. While irritation alone doesn’t always mean cancer, it is a sign that the mole needs medical attention. A Dark Streak Under a Nail Skin cancer can also develop in places many people rarely check, including under the fingernails or toenails. A dark vertical streak or line beneath the nail that widens over time can be a warning sign of a rare form of melanoma called subungual melanoma. If the discoloration spreads to the surrounding skin or appears without any injury, a doctor should examine it as soon as possible. When to See a Doctor You should consider seeing a dermatologist if you notice: A mole that changes in appearance A new or unusual spot on your skin A sore that does not heal after several weeks A lesion that bleeds, itches, or becomes painful Early detection dramatically increases the chances of successful treatment. Protecting Your Skin While not all skin cancers can be prevented, there are several steps you can take to reduce your risk: Wear broad-spectrum sunscreen with SPF 30 or higher every day Avoid tanning beds and excessive sun exposure Wear protective clothing, hats, and sunglasses outdoors Perform monthly skin self-examinations Schedule regular skin checks with a Dermatologist if you are at higher risk Your skin often provides early warning signs when something isn’t right. Paying attention to unusual changes—whether it’s a new mole, a non-healing sore, or a rough patch—can help you catch skin cancer early when it is most treatable. If you ever feel uncertain about a spot on your skin, it’s always safer to have it checked. Early action can make all the difference. So, look no further than Lumen Dermatology, a premier destination for advanced skin care and dermatology expertise. Our modern, state-of-the-art facility combines the latest technology with a patient-focused approach to ensure every individual receives exceptional care. At Lumen Dermatology, we create personalized treatment plans tailored to each patient’s unique skin needs. Our compressive services include thorough skin cancer exams followed by both invasive and noninvasive treatment options tailored to each patients specific skin condition. With experienced professionals and a commitment to compassionate care, Lumen Dermatology strives to build lasting relationships while helping patients achieve healthy, radiant skin. Call us at 352-830-1500 for your consultation today!

When people hear “skin cancer,” they often think of it as a single disease. In reality, skin cancer comes in several distinct forms , each with different causes, behaviors, and levels of risk. Understanding the types can help you recognize warning signs early and know why regular skin checks matter. So, how many kinds of skin cancer are there? The short answer: four main types , plus several rarer ones. The Four Main Types of Skin Cancer Basal Cell Carcinoma (BCC) Basal cell carcinoma is the most common type of skin cancer . Grows slowly Rarely spreads to other parts of the body Often appears as a pearly bump, shiny spot, or scaly patch Strongly linked to long-term sun exposure While BCC is usually very treatable, it can cause local damage if ignored. Squamous Cell Carcinoma (SCC) Squamous cell carcinoma is the second most common type. Can grow faster than basal cell carcinoma Has a higher chance of spreading if untreated Often looks like a rough, scaly, crusted, or bleeding lesion Common on sun-exposed areas such as the face, ears, and hands Early treatment is important to prevent complications. Melanoma Melanoma is the most dangerous form of skin cancer. Develops from pigment-producing cells (melanocytes) More likely to spread to lymph nodes and organs Often starts as a new or changing mole Can appear anywhere on the body, even areas not exposed to sun Although melanoma is less common than BCC or SCC, it causes the majority of skin cancer deaths—making early detection critical. Merkel Cell Carcinoma Merkel cell carcinoma is rare but very aggressive . Appears as a firm, painless, fast-growing nodule Often red, pink, or skin-colored More common in older adults and people with weakened immune systems Frequently found on sun-exposed skin Because it spreads quickly, prompt diagnosis and treatment are essential. Rarer Types of Skin Cancer In addition to the four main types, there are several uncommon forms of skin cancer, including: Kaposi sarcoma Cutaneous lymphoma (T-cell or B-cell) Sebaceous carcinoma Dermatofibrosarcoma protuberans (DFSP) Cancers of sweat or oil glands (adnexal carcinomas) These are much less common but still important in specialized medical care. So, What’s the Final Count? 4 major types are most commonly referenced 10 or more total types when rare forms are included Why This Matters Knowing that skin cancer isn’t just one disease helps explain why: Some skin cancers are easily treated Others require urgent, aggressive care Regular skin checks and Dermatologist visits for skin cancer exams are very important If you notice a new spot, a sore that won’t heal, or a mole that’s changing in size, shape, or color, it’s worth getting checked—early detection saves lives. Led by David Kosiorek, PA-C, and Michael J. Freeman, MD, Lumen Dermatology prioritizes thorough exams to support early detection and optimal patient outcomes. Residents of The Villages, Wildwood, and the greater Central Florida area have access to advanced, convenient screening services close to home. Call us today at 352-830-1500 to set up your consultation!

A melanoma diagnosis can be scary, and even after successful treatment, many patients worry about the possibility of recurrence. Understanding the risks and factors that affect them can help you stay informed and proactive about your health. Melanoma Recurrence: What It Means Melanoma is a type of skin cancer that develops from pigment-producing cells called melanocytes. Even after a melanoma is removed, there’s a risk it could return in the same area (local recurrence), nearby lymph nodes (regional recurrence), or elsewhere in the body (distant recurrence). It’s important to know that recurrence risk varies depending on factors such as: Stage at diagnosis: Early-stage melanomas have a lower recurrence risk, while advanced stages carry higher risk. Tumor thickness and ulceration: Thicker or ulcerated melanomas are more likely to recur. Location: Certain areas, like the trunk or head and neck, may have slightly higher recurrence rates. Lymph node involvement: If cancer spread to lymph nodes, the risk of recurrence increases. How Likely Is Recurrence? While exact numbers vary by individual factors, research suggests: Stage 0–I melanoma: Recurrence risk is generally less than 5–10% over 5 years. Stage II melanoma: Recurrence risk may range from 15–30%, depending on tumor characteristics. Stage III melanoma: Recurrence risk can be 30–70%, as cancer has already involved nearby lymph nodes. Stage IV melanoma: Recurrence risk is higher, but treatment options continue to improve with immunotherapy and targeted therapies. Even after successful treatment, survivors remain at higher risk of developing a new melanoma in a different location, especially those with fair skin, multiple moles, or a family history of melanoma. Reducing Your Risk and Monitoring Your Skin The good news is that early detection and preventive measures can significantly improve outcomes: Regular skin checks: Perform monthly self-exams and schedule routine dermatology visits to include skin cancer exams. Sun protection: Use broad-spectrum sunscreen, wear protective clothing, and avoid tanning beds. Monitor moles and spots: Watch for changes in size, shape, or color. Follow-up appointments: Adhere to the schedule recommended by your doctor, which may include imaging or lymph node checks for higher-stage melanomas. Takeaway If you’ve had melanoma, recurrence is possible but not guaranteed. The risk depends on multiple factors, including the stage and characteristics of the original tumor. By staying vigilant, protecting your skin, and attending regular follow-ups to include skin cancer exams you can catch any new or returning melanoma early—when it’s most treatable. So, set up your consultation with Lumen Dermatology . Our team brings over 70 years of combined expertise in skin health. We deliver personalized care designed to help you achieve and maintain healthy, radiant skin for years to come. Call us today at 352-830-1500 and visit our Ocala or The Villages location!

Basal cell carcinoma (BCC) is the most common type of skin cancer. It starts in the basal cells , which are found in the deepest layer of the epidermis (the outer layer of the skin). Is it dangerous? BCC is usually not considered highly dangerous , especially compared with other skin cancers like melanoma, because: It grows slowly It rarely spreads (metastasizes) to other parts of the body It is highly treatable , especially when caught early But it can be dangerous if left untreated Even though BCC rarely spreads, it can still cause harm: It can grow deep into skin , damaging surrounding tissue In advanced cases, it can affect nerves, muscle, or bone Large or recurrent BCCs can be more difficult to treat Rarely, very aggressive forms can metastasize What to watch for BCC often appears as: A shiny, pearly bump A pink or red patch A sore that won’t heal A small bump that bleeds easily Bottom line Basal cell carcinoma is highly treatable and usually not life-threatening , but it should never be ignored . Early diagnosis makes treatment easier and prevents complications. If you’re worried about a spot on your skin, come see us at Lumen Dermatology. We bring over 70 years combined experience in skin health. Our team specializes in diagnosing, treating, and preventing skin cancers. Call us today at 352-830-1500 and schedule your consultation and let us help you achieve and maintain healthy skin for life!

When you think of skin cancer, you might imagine someone older — maybe a lifelong sunbather or someone with years of sun exposure behind them. While it’s true that skin cancer risk increases with age, the reality is more complex — skin cancer can occur at any age , including in children, teens, and young adults. Skin cancer is the most common type of cancer globally, and while age is a factor, it’s not the only one. Genetics, skin type, sun habits, and even tanning bed use all play a significant role in risk — regardless of how old you are. Let’s break it down. Skin Cancer Basics Skin cancer occurs when abnormal cells in the skin grow uncontrollably. The main types are: Basal cell carcinoma (BCC) Squamous cell carcinoma (SCC) Melanoma (the most dangerous form) All of these can develop at any age if the right risk factors are present. Can Children and Teens Get Skin Cancer? Yes, although it’s rare, children and teenagers can and do develop skin cancer , including melanoma. In fact, melanoma is one of the most common cancers in people aged 15–29. Risk factors in younger people include: Frequent sunburns during childhood Use of tanning beds Fair skin, freckles, or light-colored eyes A family history of skin cancer Having many moles or atypical (irregular) moles Why this matters: UV damage accumulated early in life can have lasting effects. Even just one blistering sunburn in childhood can double the risk of melanoma later on. What About Young Adults? In recent years, Dermatologists have seen a notable rise in skin cancer cases among young adults , especially women under 40. Experts link this trend in part to the popularity of indoor tanning, along with more time spent outdoors without proper sun protection. Melanoma in young adults is especially concerning because it tends to be more aggressive, but when detected early, it’s highly treatable. Older Adults: Still at Risk The majority of skin cancer cases are diagnosed in adults over 50, especially those with a lifetime of sun exposure. But many older adults underestimate new or changing spots on their skin, assuming they’re “just age spots.” Tip: Any new, growing, bleeding, or changing spot on your skin — at any age — should be checked by a Dermatologist. Warning Signs to Watch For Regardless of age, be alert to the ABCDEs of melanoma : A symmetry B order irregularity C olor variation D iameter larger than a pencil eraser E volving — any change in size, shape, or color Other warning signs: A sore that doesn’t heal A bump that’s shiny or waxy A rough or scaly patch that bleeds easily Prevention Tips for Every Age Use sunscreen daily (SPF 30+) Avoid tanning beds completely Wear protective clothing and hats Seek shade during peak sun hours (10 AM – 4 PM) Get regular skin checks Teach kids early about sun safety Yes — you can get skin cancer at any age , and awareness is key to prevention and early detection. Protecting your skin isn’t just something older adults should think about. It’s a lifelong practice that should begin in childhood and continue through every stage of life. If you notice a suspicious spot or you’ve never had a skin check, consider booking an appointment with a Dermatologist. It’s a simple step that could save your life. Your skin has no age limit — and neither does your risk. Take it seriously. Schedule you and your families skin check at Lumen Dermatology, a premier destination for advanced skin care and Dermatological expertise. Call us today at 352-830-1500 !

When it comes to skin health, there’s one word that often rings alarm bells: melanoma. Known as the most dangerous form of skin cancer, melanoma doesn’t just stay on the surface—it can spread rapidly and become life-threatening if not caught early. But with the right knowledge and a proactive approach, melanoma is often treatable. Here’s what you need to know. What Is Melanoma? Melanoma is a type of skin cancer that starts in the melanocytes —the cells that produce melanin, the pigment that gives skin its color. While melanoma most commonly appears on the skin, it can also develop in the eyes and, in rare cases, in internal organs. Unlike other skin cancers like basal cell carcinoma or squamous cell carcinoma , melanoma is more likely to grow quickly and spread to other parts of the body. This makes early detection especially critical. What Causes Melanoma? The biggest risk factor for melanoma is ultraviolet (UV) radiation —primarily from sunlight and tanning beds. When UV rays damage the DNA in skin cells, it can lead to uncontrolled cell growth. Other risk factors include: Fair skin , freckles, or light hair Family history of melanoma Having many moles , especially atypical ones A weakened immune system History of severe sunburns , especially during childhood Signs and Symptoms: What to Look For The best way to catch melanoma early is to monitor your skin regularly and know the signs. Dermatologists recommend using the ABCDE rule : A symmetry: One half of the mole doesn’t match the other B order: Edges are irregular, ragged, or blurred C olor: Uneven shades of black, brown, tan, or even red, white, or blue D iameter: Larger than 6 mm (about the size of a pencil eraser) E volving: Any change in size, shape, color, or symptoms like itching or bleeding If you notice any of these signs—or a new spot that just doesn’t look right—get it checked by a healthcare professional. How Is Melanoma Diagnosed? If your doctor suspects melanoma, they will likely perform a skin biopsy —removing part or all of the suspicious spot to examine it under a microscope. If melanoma is confirmed, further tests such as lymph node biopsies or imaging scans may be done to determine how far it has spread (called staging ). Melanoma Stages and Treatment Melanoma is staged from 0 to IV: Stage 0–I : Localized and usually treatable with surgery alone. Stage II–III : May require additional treatments like immunotherapy , targeted therapy , or radiation . Stage IV : Advanced melanoma that has spread to distant organs. Treatment may involve systemic therapies such as immunotherapy or targeted drugs. Thanks to advances in treatment—especially in immunotherapy—survival rates have improved significantly in recent years, even for advanced cases. Can Melanoma Be Prevented To Sun Safety? In many cases, yes. The key is sun safety : Wear broad-spectrum sunscreen (SPF 30 or higher) Avoid peak sun hours (10 a.m. to 4 p.m.) Wear protective clothing , sunglasses, and wide-brimmed hats Never use tanning beds Get regular skin checks , especially if you’re high-risk The Bottom Line Melanoma is serious, but it doesn’t have to be deadly. By staying informed, practicing sun safety, and catching suspicious spots early, you can significantly reduce your risk. Your skin is your body’s largest organ—take good care of it. Do a monthly self-skin check in front of a mirror. Don’t forget hidden areas like your scalp, the soles of your feet, and between your toes! Stay safe in the sun, and don’t skip those skin checks. Your future self will thank you. So, don't wait! Call Lumen Dermatology at 352-830-1500 and schedule your skin check today!

S quamous Cell Carcinoma (SCC) is a common type of skin cancer that arises from the squamous cells—flat cells found in the outer layer of the skin (the epidermis). SCC can also occur in other areas lined by squamous cells, such as the mouth, throat, lungs, and genitals, but it most frequently affects sun-exposed areas like the face, ears, neck, hands, and arms. What Causes Squamous Cell Carcinoma? The primary cause of SCC is DNA damage in skin cells, usually from long-term exposure to ultraviolet (UV) radiation from the sun or tanning beds. Over time, this damage causes squamous cells to grow abnormally and uncontrollably. Main Risk Factors: Chronic sun exposure or use of tanning beds Fair skin, light hair, and light eyes History of sunburns, especially in early life Weakened immune system (e.g., from organ transplants or HIV) Older age History of precancerous skin lesions (like actinic keratoses) Exposure to carcinogens (e.g., arsenic, industrial chemicals) Chronic skin inflammation or injury HPV (Human Papillomavirus) infection (especially for SCC in mucous membranes) How It Develops:  SCC begins when DNA in squamous cells is damaged (often by UV rays), but the body fails to repair it. Over time, this can lead to mutations that cause cells to divide out of control, forming a tumor. Is It Dangerous? It is important to catch SCC in it's early stages If left untreated, it can: Grow deeper into the skin and nearby tissues Cause disfigurement Spread (metastasize) to lymph nodes or other organs in rare cases Symptoms of SCC: A scaly red patch A rough, thickened, or wart-like bump A sore that doesn’t heal or reopens repeatedly A raised growth with a central depression It may bleed, itch, or feel tender Prevention Tips: Use broad-spectrum sunscreen (SPF 30 or higher) Wear protective clothing and hats Avoid tanning beds Check your skin regularly for changes Visit a Dermatologist for routine skin checks If you're concerned about a spot or lesion, early diagnosis makes a big difference—see a Dermatologist as soon as possible. At Lumen Dermatology they have a comprehensive range of services which includes everything from routine skin examinations to advanced procedures. Call us at 352-830-1500 and schedule a consultation today to receive a personalized treatment plan tailored to your unique skin needs.

How often you should see a Dermatologist depends on your skin type, medical history, and any current skin concerns. Here's a general guideline: For most people (with no skin issues): Once a year for a full-body skin check. This helps catch any early signs of skin cancer, especially if you have many moles or fair skin. If you have a history of skin cancer or precancerous lesions: Every 3 to 6 months , as recommended by your Dermatologist. If you have risk factors (e.g., fair skin, lots of sun exposure, family history of skin cancer): Annually , or more frequently if your doctor advises it. If you have chronic skin conditions (like acne, eczema, psoriasis, rosacea): Every 3 to 6 months , or as needed based on flare-ups and treatment progress. Children and teens with skin issues (like acne, rashes, or moles): Visits should be guided by your Pediatrician or Dermatologist—usually as needed . Whether you're dealing with acne, suspicious moles, or just want a skin check, finding the right Dermatologist is important. Here are some tips to help you find the right one: 1. Start with Referrals Ask your primary care doctor for recommendations. Talk to friends or family who’ve had positive experiences. Look online at their Google reviews. Look 2. Check Credentials 3. Schedule a Consultation (if possible) You can often tell in one visit if they: Listen to your concerns Explain things clearly Recommend treatments thoughtfully If you or a family member are looking for a Dermatology group that has a commitment to excellence and offers. comprehensive skin care solutions, look no further than Lumen Dermatology . With over 70 years of combined experience, David Kosiorek PA-C and Michael J Freeman MD have a passion for patient care. So, why wait any longer, call us at 352-830-1500 and schedule your consultation today and be on your way to healthy skin!

Regular dermatology visits = proactive skin health. Whether it’s for cancer screening, chronic condition management, or cosmetic concerns, a Dermatologist plays a key role in keeping your skin—and your overall health—in top shape. Routine skin exams significantly increase the chance of catching cancer at a highly treatable stage . Dermatologists can identify early signs of melanoma and non-melanoma skin cancers often before you notice symptoms. Early detection of skin cancer is critically important for several key reasons: - Higher Survival Rates Melanoma , the deadliest form of skin cancer, has a 99% 5-year survival rate when caught early, but that drops dramatically as it spreads to lymph nodes or other organs. Non-melanoma skin cancers (like basal cell carcinoma and squamous cell carcinoma) also have excellent cure rates when identified and treated promptly. - Less Invasive Treatment Early-stage cancers can often be removed with minor outpatient procedures . Advanced cases may require surgery, radiation, or chemotherapy, which are more aggressive and have longer recovery times. - Lower Healthcare Costs Treating early-stage skin cancer is significantly less expensive than treating later stages, especially when advanced therapies or hospitalization are needed. - Prevention of Spread Skin cancers, especially melanoma, can spread (metastasize) to other organs if left untreated. Early detection can stop the progression before it becomes life-threatening. - Improved Quality of Life Early treatment can minimize scarring, disfigurement, and functional impairment, especially when cancers occur on visible or sensitive areas like the face or hands. How often you should see a Dermatologist depends on several factors, including your skin type, personal and family history of skin cancer, and any existing skin conditions. Here's a general guideline: Once a Year (Annually) - For most people , an annual skin check is sufficient to screen for skin cancer and monitor overall skin health. Every 6 Months or More Often If you have: - A history of skin cancer (e.g., basal cell carcinoma, squamous cell carcinoma, or melanoma) - Atypical or numerous moles - A family history of melanoma - Weakened immune system - Ongoing skin conditions like psoriasis, eczema, acne, or rosacea that require management As Needed For sudden changes, such as: - A new or changing mole - Persistent rashes or irritation - Severe or cystic acne - Suspicious growths, sores that won’t heal Skin Self-Checks Between appointments, it’s smart to do monthly self-exams of your skin, looking for: New or changing moles Asymmetry, irregular borders, multiple colors Spots that itch, bleed, or don’t heal If you notice anything unusual, don’t wait—schedule an appointment with Lumen Dermatology. Services offered at Lumen Dermatology include everything from routine skin examinations to advanced procedures. At Lumen Dermatology you will receive ongoing support and guidance throughout your skincare journey. So, why wait? Call us today at 352-830-1500 !