Former Australia captain Michael Clarke, one of the country’s most decorated batters, is once again facing a difficult battle off the cricket field—skin cancer. The 43-year-old recently revealed on Instagram that he had another cancerous growth removed from his nose. Sharing a picture after the surgery, Clarke posted: “Skin cancer is real! Especially in Australia. Another one cut out of my nose today. A friendly reminder to get your skin checked. Prevention is better than cure but in my case, regular check-ups and early detection is key. So grateful that @drbishsoliman_ got it early.” 

This is not the first time Clarke has undergone such a procedure. His tryst with skin cancer began in 2006, just two years after he made his debut for Australia, and over the years he has had several growths removed.  

In an interview with The Daily Telegraph in 2023, Clarke admitted that the condition frightens him, particularly because of his responsibilities as a father. “It does scare me. I am a dad – I don’t want to go anywhere. The most important thing in the world is making sure I help my seven-year-old daughter, and I guess set a good example for her,” he had said.  

He also pointed to the occupational hazards faced by cricketers. “Imagine fielding all day in India, out there for eight hours in the sun, a lot of the guys are wearing the baggy green cap, so you are not protecting your ears or your face. You’ve got short-sleeved shirts, so your arms and the tops of your hands (are exposed).” 

Between 2004 and 2015, he scored over 16,000 international runs, led Australia to the 2015 World Cup and a 5-0 Ashes triumph, and secured his legacy as one of the game’s greats. Clarke’s battle underscores not only the risks athletes face from long hours in the sun but also the growing threat of skin cancer worldwide.  

What is Skin Cancer, its symptoms and treatment? 

Skin cancer is the abnormal growth of skin cells that typically develops in areas exposed to the sun but can also appear on less obvious parts of the body. It is the most common form of cancer globally and can vary greatly in severity depending on the type.  

Broadly, it is classified into three major categories: basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. Basal cell carcinoma is the most common, usually appearing on the face and neck as small, shiny bumps or patches. It rarely spreads but can cause significant local damage if ignored. Squamous cell carcinoma, which often shows up as rough or scaly patches, is more aggressive and can spread if untreated. Melanoma, though less common, is the deadliest form of skin cancer because of its high potential to metastasize. It often begins in an existing mole or appears as a new pigmented spot, and its rapid growth makes early detection crucial. Rare but serious types such as Merkel cell carcinoma (MCC) are also diagnosed, with Australia recording the highest incidence of MCC in the world. 

The causes of skin cancer are strongly linked to prolonged exposure to ultraviolet (UV) radiation from the sun or tanning beds. Fair-skinned individuals, who have less melanin and therefore less natural protection from UV rays, are particularly vulnerable. Other factors include family history, genetic predisposition, weakened immunity, and environmental conditions such as living closer to the equator, where the sun’s rays are more intense.  

Symptoms can range from unusual new growths and sores that do not heal, to changes in existing moles such as irregular borders, variations in colour, or a sudden increase in size. Treatments depend on the type and severity of cancer and may involve surgical excision, freezing with liquid nitrogen, radiation, chemotherapy, or immunotherapy. However, dermatologists emphasise that the best approach is preventive care and early detection through regular skin checks. 

Skin cancer around the world 

Australia unfortunately records the highest skin cancer rates in the world. Its geographical proximity to the equator means intense UV radiation, and coupled with a largely fair-skinned population, the risk becomes even greater. Statistics suggest that two out of three Australians will undergo at least one excision for skin cancer during their lifetime.  

A 2024 study revealed that the country also has the highest reported incidences of non-melanocytic skin cancers globally. Deaths from such cancers have increased more than five-fold in the 50 years between 1971 and 2021, with most deaths linked to squamous cell carcinoma. Alarmingly, it is estimated that one in 260 cutaneous SCCs will metastasize and cause death. 

Globally, the burden of skin cancer is not evenly distributed. A recent review highlighted that cases are more frequent in regions with a majority of light-skinned populations, such as North America, Oceania, and Europe, but mortality rates tend to be higher in Asia. This paradox exists because while fair-skinned populations are more likely to develop the disease, awareness and early detection are widespread, reducing fatality rates. In contrast, Asia has fewer cases but higher death rates, largely due to late diagnosis and limited access to treatment. Basal cell carcinoma remains the most common form worldwide, followed by melanoma and squamous cell carcinoma. Squamous cell carcinoma, however, is the deadliest form of non-melanocytic skin cancer. In addition, Merkel cell carcinoma, though rare, has a particularly high mortality rate, and again, Australia has the highest incidence of this cancer. 

Other cricketers who battled skin cancer 

Clarke’s struggle is not an isolated case. Cricket, as a sport played outdoors for long hours under often harsh sunlight, has seen several of its players diagnosed with skin cancer. Richie Benaud, one of Australia’s most beloved cricketers and later an iconic commentator, battled skin cancer toward the end of his life. He became an advocate for sun-safe practices and often reminded players and fans of the dangers of excessive sun exposure. 

Andy Flower, the former Zimbabwe captain and later England’s head coach, was diagnosed with skin cancer on his cheek. Successful surgery and recovery turned him into a vocal supporter of regular skin checks. Today, Flower continues to contribute to the game and recently celebrated success as head coach of Royal Challengers Bengaluru in the Indian Premier League. 

England’s wicket-keeper batter Sam Billings underwent two operations in 2022 to remove a malignant melanoma on his chest. He credited a routine screening in Kent for catching the disease early, and has since urged fans and fellow cricketers to be mindful of changes in their skin.  

In Australia, young women’s cricketer Lauren Cheatle has faced the disease twice by the age of 25. Diagnosed with skin cancer on her neck in 2024, just three years after her first experience, Cheatle has spoken candidly about the shock of learning she had melanoma at only 23. Her openness has helped spread awareness, particularly among young athletes who may wrongly assume the disease affects only older people. 

What experts say? 

Dr Jyoti Mehta, Radiation and Clinical Oncologist at Onco Life Cancer Centre, Pune, explained: “The main cause is continuous exposure to sunlight, particularly ultraviolet (UV) radiation. Both UVA and UVB rays penetrate deeply, and since athletes like cricketers spend long hours in the sun, often without reapplying sunscreen, their risk is much higher.” 

Dr Mehta explained that the symptoms of skin cancer can include the appearance of a new mole or changes in an existing mole’s size, shape, or colour. She added that persistent redness, sores that fail to heal, itchy patches of skin, or lesions that bleed or produce pus are also important warning signs that require medical attention. 

While Indians have comparatively higher melanin, which offers some natural protection, Dr Mehta cautioned: “Yes, Indians are at a lower risk compared to fair-skinned populations, but that doesn’t mean they cannot develop skin cancer. The problem in India is under-recognition—patients often ignore early lesions, especially when symptoms blend with their natural skin tone. This leads to delayed diagnosis and late-stage detection.” 

“Standard treatment usually involves surgical removal of the lesion. The stage of the cancer depends on the thickness and depth of the tumour, classified through systems like Breslow and Clark’s. Small tumours under 1 mm thickness can often be treated with surgery alone, while advanced stages may require radiation, targeted therapy, or immunotherapy,” she added.  

Dr Mehta also stressed the importance of sunscreen, describing it as the most effective preventive tool against the cancer of skin. She recommended that everyone, whether in India or abroad, use a broad-spectrum sunscreen with SPF 50 that offers protection against both UVA and UVB rays. According to her, sunscreen should be applied at least 30 minutes before sun exposure and reapplied every two to three hours, particularly after sweating. 

She further advised the use of protective gear, noting: “Athletes and outdoor workers should wear sunglasses with UV protection, wide-brimmed hats, or even carry umbrellas when possible. They are crucial for your protection.” 

 Also read: Vitamin D deficiency and skin cancer: Is your sunscreen sabotaging your body’s defense?