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Sun Spots or Skin Cancer? How To Tell the Difference

Sun spots are usually harmless — but some skin cancers can look like one. How to tell.

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Written & reviewed by Dr Rupinder Singh Walia — MBBS, FRACGP, Dip. Dermatology (Cardiff, UK) · AHPRA MED0001647256 · special interest in skin cancer medicine & dermoscopy
The signs that mean “get it checked”
New
a new, unusual spot
Changing
size, shape or colour
Growing
getting bigger
Bleeding
or crusting, or itching
Won’t heal
a sore that keeps returning
Any one of these is worth a doctor’s eye — skin cancer is often painless early on.

Sun spots — also called solar lentigines, age spots or liver spots — are flat brown marks from years of UV exposure. They are harmless and do not turn into cancer. The catch is that an early melanoma or a lentigo maligna can occasionally look like one, so a spot that looks or behaves differently from your others is worth a doctor’s eye.

Sun spots (solar lentigines): Flat brown marks from years of sunSun spots (solar lentigines)Flat brown marks from years of sun
Clinical image · Wikimedia Commons, CC BY-SA 4.0. Example only — appearances vary; see a doctor for any concerning spot.

Can a sun spot turn into cancer?

No — a true sun spot cannot turn into skin cancer. Solar lentigines are simply clusters of pigment from UV exposure and have no cancer potential. The real risk is the reverse: mistaking an early melanoma for a harmless sun spot, because both can be flat and brown. So the useful question isn’t “will this become cancer” — it’s “is this actually a sun spot, or something pretending to be one?”

What does a harmless sun spot look like?

A harmless sun spot is flat, evenly coloured, stable, and looks like your other sun spots. In 18 years of skin-cancer medicine, the reassuring ones nearly always share these features:

Sun spots on the face — and “white” sun spots

The face is the most common place to notice sun spots, and facial ones follow the same rule: flat, even and stable is reassuring. The face is also where an early lentigo maligna appears, so a facial patch that is slowly enlarging, darkening or turning uneven deserves a look rather than being dismissed as “just a sun spot”.

Small white spots on sun-exposed skin — often the shins and forearms — are usually a separate, harmless condition where the skin has simply lost pigment in tiny patches. They are not cancer and need no treatment, though, like brown sun spots, they are a reminder of cumulative UV. Have any white or pale area checked if it becomes scaly, grows, or will not heal.

Sun spot vs melanoma: how to tell them apart

A harmless sun spot is regular on every measure; a melanoma tends to break the pattern (the ABCDEs).

FeatureHarmless sun spotWorth checking
ColourOne even brownSeveral colours, black or red
BorderSmooth, well-definedIrregular or notched
ShapeRound, symmetricAsymmetric
Over timeStableGrowing, itching or bleeding

When should I get a sun spot checked?

See a doctor about a pigmented spot if it is changing, uneven or multi-coloured, has an irregular border, is growing, itches or bleeds, or simply stands out from your other spots — the “ugly duckling”. When in doubt, have it looked at: melanoma is highly treatable when it is caught early. See also age spots and liver spots.

Can sun spots be removed?

Yes — harmless sun spots can be faded cosmetically with topical treatments or in-clinic options. But it is sensible to have a spot confirmed benign by a doctor first, so you are never treating over something that deserved a proper look.

Not sure? Get it reviewed

Upload a photo and Dr Walia will provide written next-step advice from the submitted photographs, including when an in-person examination is appropriate. Get your spot reviewed — $49, or check it free with our AI first.

If a clinician has confirmed the marks are harmless and your concern is cosmetic, read about sun protection for pigmentation.

Not a diagnosis; a doctor’s opinion on a photo cannot rule skin cancer in or out.

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Are age spots, liver spots and sun spots the same thing?

Yes. These common names usually refer to solar lentigines: flat, evenly pigmented marks that develop on sun-exposed skin over time. The name “liver spot” describes the colour and does not mean there is a liver problem.

When a supposed age spot needs assessment

A genuine solar lentigo is usually stable and evenly coloured. Arrange an in-person examination if a mark is new, changing, spreading, irregular, multi-coloured, bleeding, itching or unlike your other spots. Melanoma and lentigo maligna can sometimes resemble a flat sun spot, and a photograph cannot safely settle that distinction.

Worried about a mole, mark or changing skin area?

Most skin-cancer advice tells you to watch for change. Skin360AI helps you keep photos of one or more spots connected over time. A spot can be a mole, freckle, mark, lump, sore, patch or any skin area you want to watch. It is not a diagnosis and cannot rule skin cancer in or out.

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If a lesion is new, changing, bleeding, non-healing or worrying you, arrange an in-person GP or skin-cancer clinic assessment.

Related guides

Skin cancer: types & signs →Basal cell carcinoma (BCC) →What melanoma looks like →Nodular & amelanotic melanoma →Lentigo maligna (sun-spot melanoma) →Squamous cell carcinoma (SCC) →Is my mole skin cancer? →A$49 online mole photo review →What does skin cancer look like? →How much is a skin check? →Free AI skin check online →Skin360AI photo follow-up →

Check and watch the spots you care about over time

Use the free AI-assisted skin check to save photos of moles, marks, lumps, sores, patches or other skin areas you want to watch. A photo record is not a diagnosis or a cancer all-clear.

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A structured photo record is not a diagnosis, cannot exclude skin cancer and does not replace an in-person examination.
Medically reviewed by Dr Rupinder Singh Walia (MBBS, FRACGP, Diploma in Dermatology — Cardiff University, UK; AHPRA MED0001647256). Last reviewed August 2026. This information is general and is not a diagnosis; it cannot rule skin cancer in or out. See your GP or a skin-cancer clinic in person for anything that concerns you.
From the author. This guide reflects the approach in Dr Walia’s book, The Skin Cancer Guide Your Doctor Wants You to Read — a plain-language guide to catching skin cancer early.
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