Skin Cancer Symptoms, Diagnosis, and Treatment at VitalSkin Dermatology

Skin Cancer Care That Helps You Act Early

A new or changing spot on your skin can feel alarming. The good news is that skin cancer, when caught at an early stage, is among the most treatable conditions in dermatology. Prompt evaluation matters, and at VitalSkin Dermatology and affiliate locations, diagnosis and treatment happen under one roof, so you never have to wonder what comes next.

What Is Skin Cancer?

Skin cancer is the uncontrolled growth of abnormal skin cells, most often triggered by cumulative UV exposure from the sun or tanning beds. It is the most common cancer diagnosed in the United States, yet it is also one of the most treatable when caught early.

Early-stage skin cancer may appear as a new spot, a sore that won’t heal, or a mole that changes in size, shape, or color. On darker skin tones, these changes can be easier to miss, sometimes appearing as a dark streak under a nail or a spot that blends with surrounding skin. Any change worth noticing is worth having evaluated.

Our board-certified dermatologist and advanced practice providers can assess a suspicious area, confirm a skin cancer diagnosis, and outline a clear treatment path, whether that means a simple in-office procedure or a more targeted approach like Mohs surgery. The sooner you have a spot examined, the more options you have.

Skin Cancer Symptoms and What They Can Look Like

  • New or changing spots
    One of the most common early-stage skin cancer warning signs is a new spot, growing, or visibly changing in size, shape, or color over weeks or months. Don’t wait to see if it resolves on its own.
  • Irregular borders or uneven color
    Suspicious skin lesions often have ragged, notched, or blurred edges. You may also notice multiple shades of brown, black, red, white, or blue within a single spot, which can be a sign of melanoma.
  • Sores that bleed or won’t heal
    A spot that bleeds easily, crusts over, and then returns without fully healing is a key skin cancer symptom that warrants prompt evaluation. This pattern is especially common with basal cell carcinoma.
  • Itching, tenderness, or pain
    Skin cancer does not always look dramatic. A patch that itches persistently, feels tender, or causes unusual sensation in an otherwise normal-looking area can still signal a problem.
  • Symptoms vary by skin tone
    On darker skin tones, skin cancer can appear as a dark brown or black spot, a streak under a nail, or a lesion on the palms or soles. These presentations are often missed or diagnosed later, making professional screening especially important.
  • Location matters
    Suspicious spots can appear anywhere, including areas rarely exposed to the sun, such as the scalp, between the toes, under the nails, and on the genitals. If something looks or feels different, have it checked

How Skin Cancer Is Diagnosed

A skin cancer diagnosis starts with a straightforward clinical exam. Knowing what to expect at each step can make the process feel far less uncertain, and at VitalSkin Dermatology and affiliate locations, our dermatologists walk you through every stage.

Full-Body Skin Exam

Your provider will carefully examine your skin from head to toe, looking for spots, lesions, or changes that may signal early-stage skin cancer. This includes areas that are easy to miss on your own, such as the scalp, between the toes, and under the nails. On darker skin tones, suspicious spots may appear as dark brown or black patches, non-healing sores, or lesions on the palms and soles, so your provider will look for these patterns specifically.

Dermoscopy

If a spot looks suspicious, your dermatologist may use a handheld device called a dermoscope to examine it more closely. This tool magnifies the lesion and reveals structural details that are not visible to the naked eye, helping your provider distinguish between harmless spots and those that warrant further evaluation.

Skin Biopsy

When a lesion requires a definitive answer, your provider will perform a biopsy. A small tissue sample is removed under local anesthesia and sent to a pathology lab. Most patients find the procedure quick and well-tolerated. Results typically return within one to two weeks.

Review of Results and Next Steps

Once your results are confirmed, your dermatologist will explain what they mean in plain terms, including whether early detection applies to your case and what treatment options are available. You will leave with a clear plan, not just a diagnosis.

Staging and Prognosis: What Early Stage Skin Cancer Means

When your doctor discusses staging, they are describing how far the skin cancer has progressed. Stages range from 0 to IV, with lower numbers indicating disease that is more localized and easier to treat. Most skin cancers caught early fall into Stage 0 or Stage I, meaning the abnormal cells have not spread beyond the original site.

Early-stage skin cancer diagnosis carries a significantly better prognosis. For basal cell and squamous cell carcinomas detected at an early stage, five-year survival rates are very high with appropriate treatment. Melanoma detected at Stage I also responds well to treatment, which is why timely skin cancer screening matters so much.

The earlier a suspicious spot is evaluated, the more treatment options are available to you and the less extensive those treatments typically need to be. Prompt diagnosis can mean the difference between a minor procedure and a more complex course of care.

Main Types of Skin Cancer and How Treatment Differs

Not all skin cancer is the same. The type you have directly shapes the treatment your dermatologist will recommend. Understanding the differences helps you ask better questions and feel more confident moving forward.

Basal Cell Carcinoma (BCC

The most common form of skin cancer, BCC grows slowly and rarely spreads to other parts of the body. It often appears as a pearly bump, flat scar-like lesion, or pink growth. Because it tends to stay localized, treatment options like surgical excision or Mohs surgery are highly effective when caught early.

Squamous Cell Carcinoma (SCC)

SCC develops in the outer layers of the skin and can look like a rough, scaly patch, a firm red nodule, or an open sore that won’t heal. It carries a higher risk of spreading than BCC, especially in patients who are immunocompromised. Early-stage skin cancer diagnosis gives you the best chance for straightforward treatment and a favorable outcome.

Melanoma

Melanoma is less common but more aggressive. It can arise in an existing mole or appear as a new dark or multicolored spot. On darker skin tones, melanoma may appear as a lesion under a nail, on the sole of the foot, or in areas with less sun exposure, which is why a full-body skin cancer screening matters regardless of your complexion.

Actinic Keratosis

Actinic keratosis is a precancerous skin change often caused by long-term UV exposure. Treatment may include cryotherapy, topical medications, photodynamic therapy, or ongoing monitoring to reduce the chance of progression.

How to Lower Your Risk of Skin Cancer

Regular skin self-exams can help you notice new spots, changing moles, or lesions that look different from surrounding skin. While not every change is cancerous, becoming familiar with your skin can make it easier to identify concerning developments and seek evaluation sooner. Many skin cancers are more treatable when detected in their earlier stages.

Also, professional skin cancer screenings provide an additional layer of evaluation that self-exams cannot replace. Rather than waiting for a spot to raise concern, scheduling an annual skin exam gives a dermatologist the chance to catch changes early, before they become noticeable to you.

Dermatologists are trained to identify subtle warning signs that may be difficult to recognize on your own and can monitor suspicious lesions over time. Depending on your personal risk factors, medical history, and family history, more frequent screenings may be recommended.

Self-Exam Steps and Questions to Ask Your Dermatologist

A monthly self-exam is one of the most effective tools for catching skin cancer early, when treatment outcomes are typically most favorable. Use a full-length mirror in good lighting, and ask a partner to help check areas you cannot easily see, such as your scalp, back, and behind the ears.

Work through your body systematically: start at your scalp and face, move to your neck, chest, and arms, then check your torso, legs, and the soles of your feet. Look for any new spots, changes in size or color, asymmetry, or slow to heal. On darker skin tones, pay close attention to the palms, soles, nail beds, and mucous membranes, where skin cancer is more likely to appear.

When you see a dermatologist, arrive prepared with specific questions. Ask what type of skin cancer you may have, what stage it appears to be, and which treatment options are most appropriate for your situation.

Ask what follow-up schedule is recommended after treatment and what warning signs should prompt an earlier visit. Bringing a written list of questions helps you make the most of your appointment and move forward with a clear plan.

Skin Cancer Treatment Options

Not every skin cancer is treated the same way. Your care plan depends on the type, size, location, and stage of the cancer. At VitalSkin Dermatology, our board-certified dermatologists evaluate all of these factors to recommend the most effective approach for your specific situation.

Mohs Surgery

Mohs is a precise, tissue-sparing technique performed by fellowship-trained surgeons. It is often recommended for cancers on the face, ears, or hands, or in cases where preserving healthy tissue is a priority. Mohs offers the highest cure rates for many common skin cancers.

Surgical Excision

The affected tissue is removed along with a small margin of surrounding skin. Excisions are commonly used for basal cell carcinoma, squamous cell carcinoma, and early-stage melanoma when the lesion is well-defined.

Cryotherapy

Liquid nitrogen is used to freeze and destroy abnormal cells. This option may be appropriate for superficial or precancerous lesions, including actinic keratoses, when caught at an early stage.

Superficial Radiation Therapy

Superficial radiation therapy uses targeted radiation to treat certain non-melanoma skin cancers near the surface of the skin. It may be considered when surgery is not the preferred option based on the diagnosis, location, or patient needs.

What Goes Into Dermatological Cancer Treatments

Imiquimod and Aldara Treatments

Imiquimod, also known by the brand name Aldara, is a topical medication that helps activate the immune response against abnormal skin cells. It may be used for actinic keratoses and select superficial skin cancers when appropriate.

Chemotherapy and Medication-Based Treatments

Some superficial skin cancers, precancerous lesions, and areas of sun-damaged skin may be treated with topical medications such as fluorouracil or imiquimod. Traditional chemotherapy is different and is usually reserved for more advanced cancers managed with an oncology care team when needed.

Mole and Skin Cancer Screening

Mole and skin cancer screenings help dermatologists identify suspicious moles, lesions, or skin changes that may require monitoring, biopsy, or treatment. These screenings support early detection and ongoing skin health.

Fluorouracil (5FU) Treatments

Fluorouracil is a topical chemotherapy medication used to treat certain precancerous lesions and superficial skin cancers. It works directly on abnormal cells in the treated area.

Photodynamic Therapy

Photodynamic therapy uses a light-activated medication to target abnormal skin cells. It may be recommended for actinic keratoses, sun-damaged skin, and select superficial skin concerns.

Scar Removal and Surgical Scar Revision

Scar-focused treatments may help improve the appearance of scars after procedures such as Mohs surgery, excision, or biopsy. These options support post-treatment healing and cosmetic recovery rather than primary cancer removal.

Post-Treatment Follow-Up

Skin cancer treatment does not end at the procedure. Your provider will schedule follow-up visits to monitor healing, check for recurrence, and conduct ongoing skin cancer screenings to protect your long-term health.

Why Choose VitalSkin Dermatology for Skin Cancer Care

Skin cancer care starts with accurate evaluation, early detection, and clear next steps. VitalSkin Dermatology and our family of brands connect patients with board-certified dermatology providers experienced in diagnosing, treating, and monitoring skin cancers and precancerous conditions. Our skin cancer care approach includes:

  • Skin cancer screenings and full-body skin exams
  • Biopsies, diagnosis, and pathology-guided treatment planning
  • Access to Mohs surgery, excisions, topical therapies, and other advanced treatment options

With locations across Illinois, Kentucky, Indiana, Iowa, and Missouri, patients can receive care closer to home while staying connected to a broader dermatology network. This coordinated approach helps support continuity of care from the first evaluation through treatment and follow-up.

We Address Skin Cancer in IL, KY, IA, and IN

Bardstown, KY

View Location

114 Manor Dr.
Bardstown, Kentucky 40004

(502) 349-9999

Middletown, KY

View Location

13802 Lake Point Circle
Suite 102
Louisville, Kentucky 40223

(502) 245-4450

Hinsdale, IL

View Location

908 N Elm St.
#300
Hinsdale, Illinois 60521

(630) 455-1756

St. Charles, IL

View Location

2435 Dean St
Suite 2E
Saint Charles, Illinois 60175

(630) 455-1756

Champaign-Urbana, IL

View Location

1111 W. Kenyon Rd.
Suite B
Urbana, Illinois 61801

(217) 819-3376

Decatur, IL

View Location

355 E. Ash Ave.
Decatur, IL 62526

(217) 290-0668

Mattoon, IL

View Location

917 Remington Rd
Mattoon, Illinois 61938

(217) 205-3376

New Albany, IN

View Location

2857 Charlestown Rd.
Ste. 100
New Albany, Illinois 47150

(812) 398-7307

Skin Cancer FAQs

What does skin cancer look like?

Skin cancer symptoms vary, but common early signs include a new spot, a sore that won’t heal, or a lesion that bleeds, itches, or changes in size, shape, or color.

Can skin cancer look different on darker skin tones?

Yes. On darker skin, skin cancer may appear as a brown, black, or skin-colored spot rather than a pink or red lesion. It can also develop in areas with less sun exposure, such as the palms, soles, or under the nails.

When should I get a spot evaluated?

Don’t wait if a spot is new, growing, bleeding, or not healing after a few weeks. Early-stage skin cancer is highly treatable, and prompt evaluation is the most important step you can take.

What are the earliest signs of skin cancer?

Early skin cancer symptoms often appear as a new spot, a sore that won’t heal, or a mole that begins to change in color, shape, or size.

Can skin cancer look different on darker skin tones?

Yes. On darker skin, early-stage skin cancer may appear as a dark brown or black spot, a lesion under a nail, or a sore on the palms or soles rather than a classic pink patch.

What does skin cancer look like versus a normal mole?

Use the ABCDE guide: watch for Asymmetry, uneven Borders, multiple Colors, a Diameter larger than a pencil eraser, and any Evolution or change over time.

What is the early stage of skin cancer?

Early stage skin cancer means the abnormal cells are confined to the outer layer of skin and have not spread to deeper tissue or nearby lymph nodes. Caught at this point, treatment is typically straightforward, and outcomes are generally very favorable.

Is skin cancer deadly?

Most skin cancers caught early are highly treatable. Prompt diagnosis makes a meaningful difference.

What is the survival rate for skin cancer?

Survival rates for skin cancer vary significantly by type and stage. Early-stage skin cancer, when caught before it spreads, carries a much more favorable prognosis than advanced disease.

Young woman with cancer embracing her mother

Schedule Your Skin Cancer Evaluation

If you’ve noticed a spot that’s changed, grown, or simply doesn’t look right, don’t wait to get it checked. Early skin cancer diagnosis gives you more treatment options and better outcomes, and we are ready to help you take that next step with confidence.

Online Scheduling

Schedule your appointment, today!

Make an Appointment
Make an Appointment