When it comes to protecting your skin, experience matters. Whether you're scheduling a routine skin exam, seeking treatment for a chronic skin condition, or concerned about a suspicious mole, having a knowledgeable provider you can trust can make all the difference. At Lumen Dermatology in The Villages and Wildwood, Florida, David Kosiorek, PA-C brings decades of Dermatology experience and a patient-centered approach to every visit. His commitment to early detection, personalized care, and patient education has made him a trusted provider for individuals seeking comprehensive medical Dermatology services. More Than Two Decades of Dermatology Experience David Kosiorek has specialized in Dermatology since 1998 , providing care for patients with a wide range of skin conditions. He earned his Bachelor of Science degree in Biology and completed the Physician Assistant Program at the State University of New York (SUNY) at Stony Brook. He also received advanced training in cosmetic Dermatology in San Diego, expanding his expertise in skin health and aesthetic treatments. Throughout his career, David has remained committed to continuing education and staying current with advances in Dermatologic care, allowing him to offer patients evidence-based treatment options tailored to their individual needs. A Focus on Prevention and Early Detection One of David's greatest professional passions is helping patients prevent skin cancer through routine skin examinations and early diagnosis. Detecting skin cancer in its earliest stages can often lead to simpler treatment and improved outcomes. At Lumen Dermatology, patients are encouraged to schedule routine full-body skin examinations to monitor for new or changing lesions before they become more serious. David provides comprehensive evaluations for concerns such as: New or changing moles Suspicious skin growths Basal cell carcinoma Squamous cell carcinoma Melanoma screenings Precancerous lesions  Personalized Care You Can Trust Dermatology isn't just about diagnosing skin conditions—it's about listening to patients, answering questions, and developing treatment plans that fit their individual goals and lifestyle. David is known for taking time with patients, explaining diagnoses in understandable terms, and ensuring they feel comfortable throughout their visit. Lumen Dermatology emphasizes personalized, patient-focused care in a welcoming environment where communication and education are central to every appointment. Advanced Dermatology Services at Lumen Dermatology At Lumen Dermatology, patients have access to a wide range of medical Dermatology services, including comprehensive skin examinations, diagnosis and treatment of skin diseases, and both surgical and non-surgical options for certain skin cancers. The practice also offers advanced technology, including Superficial Radiation Therapy (SRT-100) for selected non-melanoma skin cancers. Why Routine Skin Exams Matter Many forms of skin cancer develop gradually and may not cause symptoms in their earliest stages. That's why routine skin checks are one of the most effective ways to identify concerning changes before they become more advanced. If you notice a mole that has changed in size, shape, or color—or discover a spot that won't heal—it's important to schedule an evaluation promptly. Regular screenings are especially important for individuals with a history of significant sun exposure, fair skin, or previous skin cancer. Schedule Your Dermatology Appointment Healthy skin starts with proactive care. Whether you're due for your annual skin examination or need evaluation for a specific skin concern, David Kosiorek, PA-C, and the team at Lumen Dermatology are dedicated to providing thorough, compassionate Dermatologic care. If you're looking for experienced medical Dermatology services in The Villages, Wildwood or the surrounding communities, schedule an appointment to take an important step toward protecting your skin health. Call 352-830-1500 and schedule a consultation today!

A diagnosis of melanoma can raise many questions, and one of the most common is, "Can melanoma spread to other parts of my body?" The answer is yes—it can. Melanoma is the most aggressive form of skin cancer because it has the potential to spread beyond the skin if it is not detected and treated early. The good news is that when melanoma is found in its earliest stages, it is often highly treatable. Understanding how melanoma spreads, the warning signs to watch for, and the importance of early treatment can help you make informed decisions about your health. What Is Melanoma? Melanoma is a type of skin cancer that develops in melanocytes, the cells that produce melanin, the pigment that gives your skin its color. Although melanoma is less common than basal cell carcinoma or squamous cell carcinoma, it is considered the most serious because of its ability to spread, or metastasize, to other parts of the body. Melanoma most often develops on the skin, but it can also occur in less common locations, including the eyes, under the nails, and on mucous membranes. How Does Melanoma Spread? Cancer spreads when abnormal cells break away from the original tumor and travel to other parts of the body. Melanoma can spread in two primary ways: Through the Lymphatic System: The lymphatic system is a network of vessels and lymph nodes that helps fight infection. Melanoma cells can enter these vessels and travel to nearby lymph nodes. This is often the first place melanoma spreads outside the skin. Through the Bloodstream: Melanoma cells can also enter the bloodstream and travel to distant organs. Once there, they may form new tumors, a process known as metastasis. Because of these pathways, melanoma has the potential to affect areas far from the original skin lesion. Where Does Melanoma Commonly Spread? If melanoma spreads beyond the skin, it may affect several parts of the body. Common sites include: Lymph Nodes: Nearby lymph nodes are often the first location where melanoma spreads. Enlarged or firm lymph nodes may be a sign that cancer has reached the lymphatic system. Lungs: The lungs are one of the most common sites of distant melanoma spread. Symptoms may include: A persistent cough Shortness of breath Chest discomfort Coughing up blood in rare cases Liver: Melanoma can spread to the liver, which may cause: Abdominal discomfort Loss of appetite Fatigue Unexplained weight loss Yellowing of the skin or eyes (jaundice) Brain: Although less common, melanoma can spread to the brain. Symptoms may include: Persistent headaches Vision changes Difficulty with balance Weakness or numbness Seizures Changes in memory or behavior Bones: When melanoma spreads to the bones, it may cause: Bone pain Increased risk of fractures Swelling near affected areas Not everyone with metastatic melanoma experiences symptoms, which is why regular follow-up appointments and imaging studies may be recommended for some patients. Does Every Melanoma Spread? No. Many melanomas are diagnosed before they have a chance to spread. When melanoma is detected early and removed before it reaches deeper layers of the skin or other tissues, treatment is often highly successful. In many early-stage cases, surgery alone is enough to remove the cancer. Several factors influence whether melanoma is likely to spread, including: The thickness of the melanoma (Breslow depth) Whether the tumor is ulcerated How quickly the melanoma cells are dividing Whether nearby lymph nodes are involved How early the melanoma is diagnosed The earlier melanoma is detected, the lower the risk of it spreading. How Do Doctors Determine Whether Melanoma Has Spread? After a melanoma diagnosis, your healthcare team will determine the stage of the cancer. Staging helps guide treatment and provides information about how far the disease has progressed. Depending on the characteristics of your melanoma, your doctor may recommend: Sentinel Lymph Node Biopsy: For certain melanomas, a sentinel lymph node biopsy helps determine whether cancer cells have spread to nearby lymph nodes. Imaging Tests: If there is concern that melanoma may have spread, imaging studies such as CT scans, PET scans, or MRI scans may be recommended to look for cancer in other parts of the body. Physical Examinations: Regular examinations allow your healthcare provider to evaluate your skin, lymph nodes, and overall health for any signs of recurrence or spread. What Are the Symptoms of Advanced Melanoma? Symptoms depend on where melanoma has spread and may vary from person to person. Possible symptoms include: Persistent fatigue Unexplained weight loss Enlarged lymph nodes Chronic cough Difficulty breathing Ongoing headaches Bone pain Abdominal discomfort Neurological changes, such as weakness or vision problems It's important to remember that these symptoms can have many causes besides melanoma. However, if you've been diagnosed with melanoma and develop new or persistent symptoms, contact your healthcare provider promptly. What Happens If Melanoma Has Spread? If melanoma has spread beyond the skin, treatment options depend on the stage of the disease, where it has spread, and your overall health. Your treatment plan may include one or more of the following: Surgery: If the spread is limited, surgery may be used to remove affected lymph nodes or metastatic tumors. Immunotherapy: Immunotherapy helps your immune system recognize and attack melanoma cells. It has become one of the most important advances in treating advanced melanoma and may be used after surgery or for melanoma that has spread. Targeted Therapy: Some melanomas have specific genetic mutations, such as changes in the BRAF gene. If testing shows your melanoma has one of these mutations, targeted therapy may help slow or stop cancer growth. Radiation Therapy: Radiation may be recommended in certain situations, particularly if melanoma has spread to the brain, bones, or other specific areas. Clinical Trials: Many patients may also qualify for clinical trials that provide access to new and emerging melanoma treatments. Your oncology team will develop a personalized treatment plan based on your diagnosis and individual needs. Can Melanoma Come Back After Treatment? Yes. Even after successful treatment, melanoma can sometimes return, either in the same area, nearby lymph nodes, or another part of the body. Because of this, follow-up care is an essential part of melanoma management. Your healthcare provider may recommend: Regular skin examinations Routine lymph node evaluations Imaging studies for certain patients Self-skin examinations at home Lifelong dermatology follow-up Attending scheduled appointments allows your healthcare team to detect any recurrence as early as possible. How Can You Reduce Your Risk? While no one can eliminate the risk entirely, several habits can help protect your skin and improve the chances of early detection. These include: Wearing a broad-spectrum sunscreen with SPF 30 or higher every day Reapplying sunscreen during prolonged outdoor activities Wearing protective clothing, hats, and sunglasses Seeking shade during peak sun hours Avoiding tanning beds Performing monthly skin self-exams Scheduling routine skin checks with a Dermatologist, especially if you've had melanoma before If you notice a new mole or changes in an existing one, don't wait to have it evaluated. The Importance of Early Detection The single most important factor in melanoma outcomes is early detection. When melanoma is found before it spreads, treatment is often straightforward and highly successful. Once it reaches lymph nodes or distant organs, treatment becomes more complex, although significant advances in immunotherapy and targeted therapies have greatly improved outcomes for many patients. Knowing your skin, paying attention to changes, and seeking prompt medical care for suspicious lesions can make a life-saving difference. If you've been diagnosed with melanoma, regular follow-up care, protecting your skin from further sun damage, and working closely with your healthcare team are essential. With today's advances in melanoma treatment, many patients—even those with more advanced disease—have more effective treatment options than ever before. If you notice a suspicious mole or changes in your skin, don't delay seeking evaluation. Early diagnosis remains one of the most powerful tools in preventing melanoma from spreading and protecting your long-term health. Don't wait! Call Lumen Dermatology at 352-830-1500 and schedule your consultation today. Lumen Dermatology supports early skin cancer detection through comprehensive and thorough screenings, helping patients receive prompt diagnosis and treatment for the best possible outcomes.

Melanoma is a serious form of skin cancer that develops in melanocytes, the cells responsible for producing skin pigment. While excessive exposure to ultraviolet (UV) radiation from the sun or tanning beds is a major risk factor, many people wonder whether melanoma can run in families. The answer is yes—melanoma can be hereditary, although most cases are not directly inherited. Understanding Hereditary Melanoma Most melanoma cases occur sporadically, meaning they develop due to a combination of environmental exposures and random genetic changes over time. However, approximately 5–10% of melanomas are considered familial or hereditary. In these cases, inherited genetic mutations increase a person's susceptibility to developing melanoma. Individuals with hereditary melanoma often have: Multiple family members diagnosed with melanoma Melanoma diagnosed at a younger age than usual Multiple primary melanomas occurring in the same individual A family history of certain other cancers, such as pancreatic cancer, breast cancer or brain tumors Genes Associated with Hereditary Melanoma Researchers have identified several genes linked to an increased risk of melanoma. The most well-known is the CDKN2A gene, which helps regulate cell growth and division. Mutations in this gene can impair the body's ability to control abnormal cell growth, increasing melanoma risk. Other genes that may contribute to hereditary melanoma include: CDK4 BAP1 MITF POT1 TERT Not everyone who inherits these mutations will develop melanoma, but their lifetime risk is significantly higher than that of the general population. Signs That Melanoma May Run in Your Family You may have an increased likelihood of hereditary melanoma if: Two or more close relatives have been diagnosed with melanoma A family member developed melanoma before age 50 Multiple melanomas have occurred in one person Melanoma and and related cancers such as pancreatic cancer, breast cancer, and brain tumors appear together in the family history Family members have numerous atypical or unusual moles If these patterns are present, genetic counseling may help determine whether genetic testing is appropriate. Genetic Testing and Counseling Genetic testing can identify inherited mutations associated with melanoma risk. Before testing, healthcare providers often recommend meeting with a genetic counselor who can: Assess family cancer history Explain the benefits and limitations of testing Interpret test results Discuss screening and prevention strategies Testing is generally considered when there is a strong family history rather than for individuals with a single melanoma diagnosis and no affected relatives. Reducing Melanoma Risk Whether melanoma is hereditary or not, preventive measures remain essential: Protect Your Skin from UV Radiation Use broad-spectrum sunscreen with SPF 30 or higher Wear protective clothing, hats, and sunglasses Seek shade during peak sunlight hours Avoid indoor tanning devices Perform Regular Skin Checks  Monitor your skin for changes using the ABCDE rule: A symmetry B order irregularity C olor variation D iameter larger than 6 mm (however, some early or evolving melanomas can be smaller) E volving or changing appearance Schedule Professional Skin Examinations Individuals with a family history of melanoma may benefit from regular dermatologic screenings and mole mapping. Living with a Family History of Melanoma Having a family history of melanoma does not mean you will definitely develop the disease. It simply indicates a higher risk. Early detection and consistent sun protection significantly improve outcomes. People with hereditary risk can often reduce their chances of advanced disease through regular monitoring, lifestyle modifications, and appropriate medical care. Conclusion Melanoma can be hereditary, but inherited genetic factors account for only a small percentage of all cases. Families with multiple primary melanoma diagnoses occurring in the same individual, early-onset disease, or associated cancers may benefit from genetic counseling and enhanced screening. Understanding your family history and practicing diligent sun protection are among the most effective ways to safeguard your skin health and detect melanoma early, when treatment is most successful. If you are looking to address skin concerns or just maintain overall good skin health, look no further than Lumen Dermatology. Lumen Dermatology is a premier destination for advanced skin care and Dermatological expertise. Call us at 352-830-1500 and schedule your consultation today!

If you have recently been diagnosed with a non-melanoma skin cancer, or if you are monitoring suspicious spots on your skin, you likely have many questions about how these conditions evolve. One of the most common questions our providers at Lumen Dermatology hear is "Can basal cell carcinoma or squamous cell carcinoma turn into melanoma?" The short answer is, no. Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) do not "transform" or mutate into melanoma. However, the full answer is more nuanced and involves understanding how skin cancer develops, the shared risk factors between these types, and why having one type of skin cancer significantly increases your risk for others. Understanding the Difference Between Skin Cancer Types To understand why one type of skin cancer cannot turn into another, we must look at the specific cells involved. Your skin is composed of different types of cells, and cancer is named based on which cell the mutation begins in. Basal Cell Carcinoma (BCC) - Basal cell carcinoma is the most common form of skin cancer. It begins in the basal cells, which are located at the bottom of the epidermis (the outermost layer of skin). BCCs often look like open sores, red patches, pink growths, or shiny bumps. They are slow-growing and very rarely spread to other parts of the body. Squamous Cell Carcinoma (SCC) - Squamous cell carcinoma is the second most common form of skin cancer. It originates in the squamous cells, which make up most of the upper layers of the epidermis. SCCs can appear as scaly red patches, open sores, or elevated growths with a central depression. Unlike BCC, SCC has a slightly higher risk of spreading to local lymph nodes if left untreated. Melanoma - Melanoma is one of the most dangerous forms of skin cancer. It develops in the melanocytes, the cells responsible for producing pigment (melanin) that gives skin its color. Because melanoma begins in a completely different cell type than BCC or SCC, a basal cell cannot "turn into" a melanocyte-derived cancer. Why the Confusion Exists: Collision Tumors and Field Cancerization While BCC and SCC do not turn into melanoma, there are clinical scenarios that can make it appear as though they have. 1. Collision Tumors - In rare cases, two different types of skin cancer can develop right next to each other or even on top of one another. This is known as a "collision tumor." For example, a patient might have a basal cell carcinoma and a melanoma in the exact same location. To the naked eye, it may look like one spot is changing types, but microscopically, they are two distinct cancers growing in tandem. 2. Field Cancerization - In sun-drenched areas like Wildwood and The Villages®, many residents have "field cancerization." This occurs when a large area of skin has been chronically damaged by ultraviolet (UV) radiation. In these "fields" of damaged skin, it is common for multiple types of skin cancers and precancers (actinic keratoses) to pop up independently of one another. The Real Risk: Shared UV Damage Even though basal cell carcinoma doesn't turn into melanoma, being diagnosed with BCC or SCC is a major red flag for your future health. One of the primary causes of all three major skin cancers is exposure to UV radiation from the sun or tanning beds. If you have been diagnosed with a non-melanoma skin cancer, it is proof that your skin has reached a threshold of DNA damage. Research indicates that individuals who have had non-melanoma skin cancer are at a statistically higher risk of developing melanoma later in life. This isn't because the first cancer "spread" or "changed," but because the environmental factors that caused the BCC or SCC — namely sun damage — are the same factors that trigger melanoma. Warning Signs: When to Seek a Dermatologist Because you can have multiple types of skin cancer at once, it is vital to know what to look for. While BCC and SCC often look like sores that won't heal or scaly patches, melanoma follows the ABCDE rule: A - Asymmetry: One half of the spot does not match the other. B - Border: The edges are irregular, ragged, or blurred. C - Color: The color is not uniform and may include shades of brown, black, pink, or red. D - Diameter: The spot is larger than 6mm (about the size of a pencil eraser). E - Evolving: The spot is changing in size, shape, or color. If you notice a "new" growth appearing near a previous skin cancer site, do not assume it is a recurrence of the same type. It requires a professional evaluation and likely a biopsy to confirm the pathology. Prevention and Monitoring at Lumen Dermatology Living in Central Florida means our skin is under constant siege from the sun. Whether you are golfing, gardening, or enjoying the Florida lifestyle, your cumulative sun exposure adds up. For patients who have a history of basal cell or squamous cell carcinoma, we recommend: 1. Professional Skin Exams: At least once or twice a year, depending on your history. 2. Monthly Self-Checks: Use a mirror to check your skin from head to toe. 3. High-SPF Sunscreen: Use a broad-spectrum SPF 30+ daily and SPF 50+ for extended outdoor time, even on cloudy days. 4. UPF Clothing: Incorporate sun-protective clothing into your outdoor wardrobe. Schedule Your Skin Cancer Screening Today Understanding the nuances of skin cancer can be life-saving. While a basal cell won't turn into a melanoma, the presence of any skin cancer means your skin requires expert, ongoing surveillance. At Lumen Dermatology , we specialize in the detection, treatment, and long-term management of all forms of skin cancer. Our team provides comprehensive care to Wildwood and The Villages® community, utilizing the latest diagnostic tools to ensure your skin stays healthy. Don't wait for a spot to change. Contact Lumen Dermatology at 352-830-1500 today to schedule your comprehensive skin examination. Let us help you stay ahead of skin cancer.

For business professionals and active residents in Central Florida, the outdoor lifestyle is a primary draw. However, the geographic reality of living in The Villages and Wildwood is an increased exposure to high-intensity ultraviolet (UV) radiation. While the benefits of an active lifestyle are numerous, they come with a significant clinical responsibility: the proactive monitoring of skin health. Melanoma is the most serious form of skin cancer, yet it is highly treatable when identified in its earliest stages. For the discerning resident of The Villages and Wildwood understanding the nuances of melanoma symptoms is not merely a health precaution—it is an essential component of professional longevity and personal wellness. The Clinical Evolution of Melanoma Melanoma develops in the melanocytes, the cells responsible for producing melanin. Unlike basal cell or squamous cell carcinomas, melanoma has a higher propensity to spread to other parts of the body if not intercepted early. In a high-UV environment like Florida, the cumulative damage to cellular DNA can lead to rapid mutations. Recognizing these changes requires more than a casual glance. It requires a systematic approach to skin surveillance. As a leader in Dermatological excellence, Lumen Dermatology emphasizes that professional skin cancer screening is the gold standard for early detection, but the first line of defense is often the patient’s own awareness. The ABCDE Framework: Executive-Level Assessment Medical professionals utilize the "ABCDE" rule to help patients categorize suspicious lesions. When performing a self-examination, residents should look for the following characteristics: Asymmetry: One half of the mole or birthmark does not match the other. Border: The edges are irregular, ragged, notched, or blurred. In early melanoma, the pigment may appear to "leak" into the surrounding skin. Color: The color is not uniform. You may see shades of brown or black, sometimes with patches of pink, red, white, or blue. Diameter: The spot is larger than 6 millimeters across (about the size of a pencil eraser), although melanomas can sometimes be smaller. Evolving: The mole is changing in size, shape, or color. This is often the most critical indicator for those who have many existing moles. The Role of Subungual and Amelanotic Melanomas It is a common misconception that melanoma only appears as a dark mole on sun-exposed skin. To maintain comprehensive health standards, one must be aware of atypical presentations: 1. Amelanotic Melanoma: These lesions lack pigment and may appear pink, red, or skin-colored. Because they lack the typical "dark" appearance, they are frequently dismissed as harmless bumps or scars. 2. Subungual Melanoma: These appear as dark streaks under a fingernail or toenail. They are often mistaken for bruising or fungal infections, but any persistent vertical band of pigment in the nail bed warrants professional investigation. Strategic Takeaways for Residents To manage your skin health with the same rigor you apply to your professional endeavors, adhere to the following protocols: Monthly Self-Surveillance: Use a full-length mirror and a hand mirror to check all areas of the body, including the scalp, the soles of the feet, and between the toes. Professional Baseline: Every adult living in Florida should have a baseline skin exam. This allows your Dermatologist to create a "map" of your skin for future comparison. UV Management: High-quality, broad-spectrum SPF 30+ is non-negotiable. Combined with UV-protective clothing and avoiding peak sun hours (10 AM to 4 PM), this significantly reduces the risk of new mutations. Immediate Action on Change: If a lesion itches, bleeds, crusts, or feels tender, it has moved beyond a cosmetic concern and into the realm of clinical necessity. Prioritize Your Skin Health Governance Early detection is the most effective strategy for managing melanoma. For the residents of The Villages and Wildwood, staying ahead of skin cancer is a matter of proactive health governance. If you have noted a changing mole or if it has been more than a year since your last professional evaluation, do not delay. Contact Lumen Dermatology at one of our two convenient locations today to schedule your comprehensive skin cancer screening.

Choosing a skin cancer treatment is a significant health decision, particularly for active retirees in Central Florida who enjoy a lifestyle defined by outdoor recreation, golf, and community engagement. In regions like Lady Lake and neighboring planned developments like The Villages, high cumulative sun exposure makes vigilance regarding non-melanoma skin cancer (NMSC) a top priority. When diagnosed with basal cell carcinoma (BCC) or squamous cell carcinoma (SCC), patients often find themselves at a crossroads: Mohs surgery vs SRT (Superficial Radiotherapy). While Mohs has long been the gold standard for high-risk areas, modern advancements in Superficial Radiotherapy (SRT) have introduced a sophisticated, non-invasive alternative that many patients find better aligns with their quality of life. At Lumen Dermatology, we believe that an informed patient is an empowered one. This guide explores the benefits of SRT as an alternative to Mohs surgery to help you determine which clinical path aligns with your health goals, aesthetic expectations, and active Florida lifestyle. What is SRT? Understanding Modern Superficial Radiotherapy Superficial Radiotherapy (SRT) is a non-surgical treatment modality specifically designed to treat non-melanoma skin cancers. Unlike traditional radiation used for internal organs, SRT uses low-energy X-rays that go no deeper than the thickness of the skin. This precision allows it to destroy malignant cells while keeping the underlying muscle, bone, and healthy tissue intact. For many residents in the Lady Lake area, the word "radiation" might sound intimidating. However, SRT is fundamentally different from the high-dose radiation used in oncology wards. It is a localized, superficial treatment that offers a high cure rate without the need for an operating room. The Benefits of SRT as an Alternative to Mohs Surgery While Mohs surgery is known for its high cure rate and tissue-sparing techniques, it is still a surgical procedure that involves scalpels, local anesthesia, and physical recovery. For many patients, SRT offers several distinct advantages that make it the preferred choice for treating basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). 1. No Cutting, Stitches, or Scars - The most immediate benefit of SRT is its non-invasive nature. Because the X-rays penetrate the skin to target the tumor, there is no need for incisions. This means: No Scalpels: No physical removal of tissue is required. No Stitches: You won't have to worry about suture removal or wound dehiscence. Minimal Scarring: While Mohs surgeons are highly skilled at reconstruction, any surgery leaves a linear scar. SRT generally results in excellent cosmetic outcomes with no surgical "line" or indentation. 2. Painless Treatment Process - SRT is a completely painless procedure. Each session lasts only a few minutes and is often compared to the experience of getting a standard dental X-ray. There are no needles involved (unless a topical numbing agent is used for comfort), making it an ideal option for patients with "needle phobia" or those who wish to avoid the discomfort of local anesthetic injections. 3. No Downtime for Active Lifestyles - For the active resident in The Villages or surrounding Lake County communities, post-operative restrictions can be a major drawback of surgery. Mohs surgery often requires days—or even weeks—of limited activity to ensure proper healing and avoid bleeding. With SRT, there are virtually no lifestyle restrictions. You can continue your daily routine, whether that involves: Swimming in community pools Playing 18 holes of golf Driving and attending social engagements Exercising without fear of "popping a stitch" 4. Reduced Risk for Patients on Blood Thinners - Many retirees in Central Florida take anticoagulants or anti-platelet medications (blood thinners) for cardiovascular health. Surgery while on these medications carries a risk of hematoma (bleeding under the skin) or prolonged wound healing. SRT poses zero risk of bleeding, making it a significantly safer alternative for patients who cannot easily pause their medication regimens. When SRT is the Historically Better Choice: Clinical Considerations While Mohs is excellent for the face, there are specific scenarios where SRT might actually be the superior clinical choice based on the location of the tumor and the patient's physiology. Healing Challenges on the Lower Extremities As we age, blood flow to the lower legs (shins and calves) decreases. This can make surgical wounds in these areas notoriously difficult to heal. "Stasis ulcers" or chronic open wounds are a known risk of surgery on the lower legs of older adults. SRT avoids this risk entirely by keeping the skin barrier intact, making it a preferred treatment for SCC or BCC located on the shins. Complex Contours of the Nose and Ears While Mohs is frequently used on the face, some tumors located on the delicate curves of the ear or the bridge of the nose can be difficult to reconstruct surgically without altering the patient's appearance. SRT treats these contours evenly without the need for skin grafts or complex "flap" surgeries. Comparing the Experience: What to Expect During SRT Understanding the logistical differences between Mohs surgery vs SRT can help you plan your schedule effectively. Mohs Micrographic Surgery Superficial Radiotherapy (SRT) Duration Single day (several hours) Multiple short visits (over weeks) Invasiveness Surgical (incisions & stitches) Non-invasive (no needles) Pain Level Moderate (post-op soreness) Painless Recovery 1–2 weeks of wound care No recovery period required Cosmetic Result Linear or curved scar No scar; possible slight pigment change SRT typically involves a series of short treatments—usually 2 to 3 times per week for several weeks. While this requires more frequent visits to our Lady Lake office, each visit is incredibly brief, allowing you to get back to your day in less than 30 minutes. Aesthetic Outcomes and Long-Term Healing At Lumen Dermatology, we understand that maintaining your appearance is part of your overall quality of life. While Mohs surgery aims for a minimal scar through careful reconstruction, SRT provides a different aesthetic path. Following SRT, the treated area may initially look like a mild sunburn. As the area heals, the cancer cells die off and are replaced by healthy tissue. In some cases, the treated spot may eventually appear slightly lighter than the surrounding skin (hypopigmentation), but there is no surgical indentation or "puckering" of the skin. For many patients, this preservation of the natural skin contour is a major benefit of choosing SRT. Navigating Your Skin Cancer Treatment Options in Florida Central Florida’s climate demands a proactive approach to dermatological health. When considering skin cancer treatment options in FL, it is essential to partner with a practice that offers a comprehensive suite of solutions. At Lumen Dermatology, we do not believe in a "one size fits all" approach. When you visit our facility near The Villages, we assess: The Pathology: We review the biopsy results to ensure the tumor type is an appropriate candidate for SRT. The Patient Profile: We review your medical history, including any history of slow healing or keloid scarring. The Lifestyle Factor: If you have an upcoming travel commitment or are a primary caregiver for a loved one, the "no-downtime" nature of SRT might be the deciding factor for your care plan. Why Choose Lumen Dermatology for Your SRT Treatment? Clinical excellence in Dermatology requires a blend of surgical precision and advanced technology. At Lumen Dermatology, we serve the Lady Lake and Central Florida community with an executive-level commitment to patient outcomes. Our team understands the specific needs of residents in planned communities—valuing efficiency, clarity, and superior aesthetic results. We are proud to offer SRT as a cornerstone of our skin cancer program, providing a gentle yet highly effective alternative to traditional surgery. Whether you are looking to avoid the risks associated with blood thinners or simply want to avoid a surgical scar, our team is here to guide you through every step of the process. Take the Next Step in Your Care Your skin health is an investment in your longevity and confidence. If you have been diagnosed with skin cancer or are concerned about a new lesion, consult with a specialist who understands the nuances of modern, non-surgical treatment. Contact Lumen Dermatology in Lady Lake today to schedule your consultation. Let us help you navigate your skin cancer treatment options with the expertise and personalized care you deserve. Schedule Your Consultation Today!

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!