JOY FEELINGS MAGAZINE March 2016 | Page 19

As the most common cancer in the United States, cancer attracts lots of media exposure, especially during the sun-kissed summer months. But here's a fact that often escapes notice:Melanoma can surface in some of the most unusual places. Like under your toenails. Or behind your ears. Many of us know that cancerous spots can appear in areas that get direct sun, like the face, arms and neck. But body parts that aren't so visible, or as closely inspected, can also harbor unseen spots that may go undetected and, therefore, escape early intervention. "Under the nails is a very concerning area, especially with the common use of gel manicures," which use a product that hardens by curing under ultraviolet lamps, says Dr. Laura Farrington, Medical Oncologist at our hospital outside Chicago. "The direct exposure of UV rays to the hands and nails, especially regularly, may increase the risk of melanoma and other skin cancers in those areas." Even the bottoms of your feet, palms of your hands and your eyelids can be vulnerable to skin cancer. Likewise, your scalp, underarms and groin may not see much of the sun, but cancer can develop there, too. Routine checkups are key to early intervention, Dr. Farrington says. "The scalp is actually a common site for melanomas," she says. "It is also important to have regular gynecological exams, because even though the pelvic area does not have much exposure to the sun, melanoma can still occur, and it may be difficult to check yourself." For hard-to-see body parts, try using a hand mirror or asking your loved ones for help. Your hairdresser can also prove instrumental in checking your scalp and behind your ears during your regular visits. If you get massages, ask your therapist to look for unusual moles, spots or patches, especially on your back. See your doctor if anything changes or looks suspicious. Skin cancer affects people of all demographics, regardless of their skin color or pigmentation. That's why it is important that everyone wears sunscreen, including African-Americans, who "can still get melanoma, although the risk is lower," says Dr. Laurence Altshuler , Director of Oncology