Skin cancer symptoms you can’t see

Lumps beneath your skin

You can’t see them. But if you feel lumps beneath your skin—especially in areas like your groin, armpit, or neck—those may be an indication of skin cancer that has spread to your lymph nodes, says Jeremy Davis, MD, a clinical instructor and surgeon at UCLA Health. (Here are five totally normal reasons your breasts feel lumpy.)

“It’s not common, but there are situations where your immune system takes care of the primary mole or skin lesion even though the cancer itself has metastasized,” he explains. “So the cancer started on your skin, but you never saw it.”

A good rule of thumb: If you find a lump anywhere, see your doctor.

Abdominal pain

Along with your lymph nodes, melanoma can spread to your liver. If that happens, you may experience pain in the “upper right quadrant” of your abdomen, Davis says. He’s quick to add that this sort of pain is related to many health conditions, some of which aren’t too scary (like gallstones). So don’t freak out—but do see a doctor.

Breathing problems

Once a melanoma has metastasized, it could also spread to your lungs, Davis says. “If it goes to the lungs, it could present as shortness of breath or a persistent cough,” he explains. If you’re experiencing those symptoms, “the odds are against it being melanoma,” he says. (Asthma or bronchitis is more likely.) “But you still want to get checked out.”

Achy joints

Along with your lymph nodes, lungs, and liver, your bones are one of the places a melanoma may spread—even if your skin symptoms have resolved themselves, Davis says. If that’s the case, you may experience arthritis-like symptoms like joint pain. If you can’t figure out why your knees or hips are aching, see your doctor to sort it out.

Blurry vision

Melanoma cancers begin in the melanocytes, pigment-producing cells found mostly in your skin, Davis says. “But melanocytes are also found in the eyes and other parts of the body, so in rare cases you can have primary cancers turn up in one of those locations,” he says.

If you develop a melanoma in or around those cells in your eye, blurry or impaired vision may be one of your first symptoms, he explains. “You might also see pigments or discolorations in the iris of the eye,” he says. (These are the eight worst things you can do to your eyes.)

When melanoma strikes your eyes or other non-skin melanocytes, it has nothing to do with sun exposure, Davis says. “It may in some cases be related to a genetic syndrome, but it’s usually sporadic,” he adds.

Cramps

Add melanoma to the list of diseases that can cause gut-related symptoms. Your gut—like your eyes—contains melanocytes, and so it, too, can house a hidden melanoma. “Diarrhea, constipation, cramps, or pain are all possible,” says Davis. Consider this just one more reason why you shouldn’t ignore your tummy troubles.

Headaches

Like your eyes and gut, your brain contains melanocytes, and so it could be hiding a hidden melanoma. Headaches, seizures, or cognitive problems are all possible symptoms, Davis says. These same symptoms could crop up if you have a melanoma that started on your skin and has since spread to your brain, he adds.