While skin cancer is commonly associated with sun exposure, a dermatologist is urging the public to be aware of a lesser-discussed risk – genital skin cancer. Affecting both men and women, this rare but serious condition often goes undiagnosed due to a lack of awareness and its tendency to mimic other skin conditions.
Dr Emily Alfonsi from Shade Skin warned that delayed diagnosis was common, as people may feel embarrassed to seek medical advice or mistake symptoms for less serious issues like eczema, ingrown hairs, or genital warts.
She said: “Many people don’t realise that skin cancer can develop in areas never exposed to the sun, including the genitals. Early detection is crucial, but unfortunately, due to the stigma around discussing these symptoms, many cases are diagnosed at a later stage.”
Signs of genital skin cancer
Dr Alfonsi highlighted key warning signs that could indicate genital skin cancer:
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Non-healing sores or ulcers that persist for more than a few weeks
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Skin changes, including dark patches, redness, or thickening of the skin
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Unusual bleeding, discharge, or persistent itching
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Lumps, warts, or growths that appear suddenly and do not go away
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A new mole or changes in an existing mole in the genital area
Who is at risk of genital skin cancer?
Although genital skin cancer can affect anyone, certain factors increase the risk:
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HPV Infection – Some strains of the human papillomavirus (HPV) are linked to an increased risk of squamous cell carcinoma in the genital area
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Smoking – Weakens the immune system and contributes to chronic skin irritation
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Older Age – While more common in those over 50, younger individuals can also develop genital skin cancer
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Weakened Immune System – Conditions such as HIV or immunosuppressive treatments can increase vulnerability
The importance of early detection
Dr Alfonsi stressed that awareness and regular self-checks are essential in catching genital skin cancer early: “If you notice any unusual changes, don’t ignore them or feel embarrassed—see a doctor. The sooner skin cancer is diagnosed, the better the outcome.”
How to reduce your risk
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Regularly check your skin, including less visible areas
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Use barrier protection to reduce HPV transmission
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Quit smoking to lower your risk of developing squamous cell carcinoma
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Consult a dermatologist or GP if you experience persistent changes
Dr Alfonsi said: “Genital skin cancer may be rare, but it is real, and the lack of awareness means cases are often diagnosed too late. I encourage people to speak openly about their health and seek medical advice if they notice any concerning symptoms.”