Watch Your Back: AAD Emphasizes Prevention and Detection of Melanoma on the Back

The back is the most common site for melanoma but is a difficult area for patients to self-inspect. In recognition of skin cancer awareness month in May, the American Academy of Dermatology (AAD) has released a new infographic emphasizing sun protection and examination of suspicious lesions on the back.

Melanoma has a high cure rate when spotted early, but research has shown that thicker melanomas, which can require more advanced treatment, are more frequently found on parts of the body that are difficult to self-inspect such as the back. Results from a 2015 survey conducted by the AAD indicated that many people do not regularly check the back for suspicious lesions. Only 36% of 1019 survey respondents said they examined the back for signs of skin cancer at least once a year, and only 35% asked someone else to help them examine hard-to-see areas of the body.

Sun protection on the back also is commonly neglected because this area can be difficult to reach, according to the AAD. Survey results indicated that 37% of respondents rarely or never applied sunscreen on the back during sun exposure, and 43% rarely or never asked someone else to help them apply sunscreen on the back. Although 1 of 3 melanomas in men is found on the back, survey results indicated that men were less likely than women to use sunscreen on the back or ask someone else to help them apply sunscreen.

In their patient education campaign “Who’s Got Your Back?” the AAD recommends checking all areas of the skin regularly and asking a family member or friend to help examine the back and other hard-to-see areas. Also, apply a broad-spectrum, water-resistant, SPF 30+ sunscreen on the back with the help of a family member or friend.

If there is no one else around to help apply sunscreen on the back, Dr. Vincent A. DeLeo, Cutis Editor-in-Chief, suggests using spray sunscreens that work when held in an upside-down position or applying sunscreen to gauze or a cloth pad that can be attached to a back scratcher or wooden spoon to act as an extension of the arm. Photoprotective clothing also is important, according to Dr. DeLeo. “It doesn’t have to be specially made clothing. Just a T-shirt with a close weave. Hold it up to the light, and if you can’t see light through it, it will probably block UV rays,” he notes.

Throughout the year, remind your patients to watch their back. Share the new AAD infographic with them, which can be obtained on the AAD Web site.