When most people think about skin cancer, they immediately picture the face, arms, or shoulders. These are the areas we see in the mirror and tend to protect with sunscreen or clothing. But there’s one part of the body that is often forgotten, yet consistently exposed to harsh ultraviolet (UV) radiation: the neck.

Living in Western Australia, where we experience some of the highest UV radiation levels in the world, makes this oversight even riskier. The neck is a high-impact site for skin cancers, particularly Basal Cell Carcinomas (BCCs), the most common type of skin cancer I encounter in screenings

Why the Neck Is So Vulnerable

The skin on the neck is thinner than other parts of the body, making it more susceptible to UV damage over time. Unlike the face, which many people consciously protect with hats, sunscreen, or skincare products, the neck often misses out on this daily protection. Collars don’t always cover it, and sunscreen application frequently stops at the chin line.

In Western Australia, with our long summers and outdoor lifestyle—whether it’s time at the beach, fishing on the coast, gardening, or simply walking between car parks—the neck is almost always exposed. Cumulative sun exposure over decades often results in damage that appears later in life as visible skin cancers.

A Real Example: BCC on the Neck

Recently, I screened a gentleman who had a Basal Cell Carcinoma (BCC) on the back of his neck. It is presented as a small, pinkish lesion with subtle surface changes. While some people might mistake this for a pimple, an insect bite, or a scratch that hasn’t healed, it was in fact a skin cancer.

This is a reminder that skin cancers don’t always appear dramatic or alarming. On the neck, they often go unnoticed because the area isn’t easy to self-check. Many of my clients only become aware of changes when a family member, partner, or hairdresser spots something unusual.

Common Types of Skin Cancers Found on the Neck

1. Basal Cell Carcinoma (BCC):

The most common cancer in this region. Appears as pearly bumps, pinkish sores, or scaly patches. Slow-growing but can become locally invasive if untreated.

2. Squamous Cell Carcinoma (SCC):

Appears as rough, scaly patches or raised, tender lumps. More aggressive than BCCs and may spread if not treated early.

3. Melanoma:

Less common than BCCs or SCCs but the most dangerous. Can present as a new dark mole or a change in an existing spot.

Western Australia: The UV Capital

Here in WA, we’re constantly reminded of our high rates of skin cancer, which are among the highest in the world. Our clear skies, long summers, and outdoor lifestyle make prevention and early detection critical. The neck and ears are two of the most frequently overlooked areas during sun protection routines, yet they are consistently among the most common sites where I find skin cancers during screenings.

How to Protect Your Neck

1. Apply Sunscreen Generously:

Extend sunscreen application below the chin, covering the full neck. Reapply every two hours if outdoors.

2. Wear Protective Clothing:

Collared shirts or lightweight scarves can provide shade. Wide-brim hats protect both the face and neck better than caps.

3. Be Aware of Reflection:

Water, sand, and concrete reflect UV rays upward, increasing exposure.

4. Check Your Neck Regularly:

Use a mirror or ask someone to check the back of your neck.

Why Early Detection Matters

The earlier a skin cancer is identified, the easier it is to manage. BCCs, for instance, can be treated effectively if detected early, preventing them from spreading deeper. The challenge with neck cancers is that they can be easily missed. That’s why regular professional skin checks are so important.

As a Skin Cancer Screening Practitioner at skinchx.com.au, I’ve seen how subtle lesions on the neck can develop into significant concerns if ignored. My role is to carefully assess these high-impact sites and ensure suspicious lesions are investigated further.

Final Thoughts

The neck is a hotspot for skin cancer in Western Australia—hidden in plain sight, often neglected, yet constantly exposed to our harsh UV environment. Protecting and monitoring this area should be as much a priority as shielding your face.

If you’ve noticed any spots, sores, or changes on your neck that don’t heal, or if you simply haven’t had a full skin check recently, it’s worth taking the time to book in. Skin cancer caught early is far easier to treat—and prevention and awareness are your best defence.