Comprehensive Skin Exam for a 50-Year-Old Female with Family History of Non-Melanoma Skin Cancer
by: Ashley Baldree
At Village Dermatology in Katy and Houston, Texas, we understand that a strong family history of skin cancer requires extra vigilance. This case highlights the importance of annual full body skin examinations in patients with a family history of non-melanoma skin cancer.
Case Overview
A 50-year-old female presented for her first visit to our clinic for a full body skin examination. She reported no personal history of skin cancer but has a family history of basal cell carcinoma on her mother’s side. She expressed interest in routine monitoring for suspicious lesions and guidance on skin protection.
Clinical Examination
A thorough dermatologic examination was performed, including the scalp, face, trunk, extremities, hands, feet, nails, and skin folds. A dermatoscope was used for precise lesion assessment. Findings included:
Lentigines – reticulated light tan macules in sun-exposed areas (left and right malar cheeks, mid-forehead).
Seborrheic keratoses – pigmented, waxy papules and flat lesions on the left anterior shoulder, left forearm, and left calf.
Cherry angiomas – bright red papules scattered on the trunk and extremities.
No suspicious lesions for malignancy were detected.
Assessment and Plan
Family history of non-melanoma skin cancer
Counseling on sun protective strategies including daily broad-spectrum SPF 30+ sunscreen and protective clothing.
Education on monthly self-skin checks to monitor for new or changing lesions.
Annual professional skin exams recommended.
Lentigines
Discussed treatment options including sunscreen, topical lightening agents, retinoids, chemical peels, and laser therapy.
Seborrheic keratoses
Reassurance given; no treatment required unless lesions become irritated.
Cherry angiomas
Benign; removal possible for cosmetic reasons.
Why This Matters
Patients with a family history of skin cancer, even without personal history, have an increased lifetime risk. Early detection through preventive skin exams is the best defense against skin cancer. Regular visits to a board-certified dermatologist in Katy or Houston can make the difference between early treatment and late detection.
Key Takeaways for Skin Health
Perform self-skin checks monthly.
Use SPF 30+ sunscreen daily, reapplying every 2 hours with ongoing sun exposure.
Wear wide-brimmed hats and sun-protective clothing when outdoors.
Schedule annual dermatology visits for professional skin evaluations.
