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  • May 9, 2008

 

SKIN CANCERS

AND HOW TO PREVENT THEM

  


Statistics:

Skin Cancer is the most common form of cancer in the United States.   This year, more than 60,000 Americans will be told they have a malignant melanoma, the most deadly form of skin cancer.  About 26,000 Americans will die of melanoma this year. Remember, skin cancer is very slow to develop. However, when caught early, most skin cancers can be cured.  The sunburn you receive this week may take 20 years or more to become skin cancer.

 

Causes of Skin Cancer

 

Sunburn and Sunlight

Most people receive 80% of their lifetime exposure to the sun by 18 years of age.   Very simply, sunburn and UV light can damage your skin, and this damage can lead to skin cancer. There are, of course, other determining factors, including your heredity and the environment you live in. However, both the total amount of sun received over the years, and overexposure resulting in sunburn can cause skin cancer.

Tanning is your skin's response to UV light. It is a protective reaction to prevent further injury to your skin from the sun. However, it does not prevent skin cancer.

 

Heredity

If there is a history of skin cancer in your family, you are probably at a higher risk. People with fair skin, with a northern European heritage appear to be most susceptible. 

Environment

The level of UV light today is higher than it was 50 or 100 years ago. This is due to a reduction of ozone in the earth's atmosphere (the Ozone Hole). Ozone serves as a filter to screen out and reduce the amount of UV light that we are exposed to. With less atmospheric ozone, a higher level of UV light reaches the earth's surface.

One factor that actually reduces UV is cloud cover. Climates and micro-climates with regular cloud cover may have a 50% lower level of UV light. The actual amount is affected by the density of the clouds.

UV Safety Recommendation Chart

UV Index Burning time without protection SENSITIVE SKIN / CHILDREN Sun Protection Factor
9 and more
Extreme
LESS than
15 minutes
Do not expose yourself.  Wear clothing, a broad-brimmed hat, sunglasses, and frequently apply sunblock cream with sun protection factor 40. SPF 40
every half hour
7 to 8
Very high
20 minutes Do not expose children.  Favor staying in the shade.  Wear a hat, sunglasses, a shirt, and apply sunblock cream with sun protection factor 40. SPF 40
every hour
5 to 6
High
25 minutes Do not expose young children.   Wear a hat, sunglasses, a shirt, and apply sunblock cream with sun protection factor 25. SPF 25
every hour
3 to 4
Medium
40 minutes Wear a hat, sunglasses, and apply sunblock cream with sun protection factor 15. SPF 15
every hour
1 to 2
Low
60 minutes Wear sunglasses and apply sunblock cream with sun protection factor 8. SPF 8
every hour

WARNING!  Sunblock and sunscreen products are NOT meant to allow a longer exposure time, but to limit the risks of solar exposure.

Tips for skin cancer prevention

Melanoma risk factors include light skin color, family history of skin cancer, atypical moles and freckles, and a history of severe sunburn occurring early in life. The American Academy of Dermatology, National Cancer Institute and the Centers for Disease Control and Prevention (CDC) recommend the following tips for safer skin:
    Seek the shade between 10 am and 4 pm
    Do not burn
    Do not forget the SPF lip balm
    Use a sunscreen with an SPF of 15 or higher every day.  Look for one that blocks UVA and UVB rays.
    Apply 1 ounce (2 tablespoons) of sunscreen 30 minutes before going outside.  Reapply every two hours or immediately after swimming or excessive sweating.
    Cover up with clothing, including a broad-brimmed hat and UV blocking sunglasses.
    Keep newborns out of the sun and use sunscreen on babies older than 6 months.
    Examine your skin regularly to become familiar with existing growths, so that you will notice any changes.
    See your physician yearly for a professional skin exam.

 

A Diagnosis of Skin Cancer

More than 1 million skin cancers are diagnosed annually. The sunburn you receive this week may take 20 years or more to become skin cancer.

Skin cancer is a disease in which cancer (malignant) cells are found in the outer layers of your skin. Your skin protects your body against heat, light, infection, and injury. It also stores water, fat, and vitamin D.

The skin has two main layers and several kinds of cells. The top layer of skin is called the epidermis. It contains three kinds of cells: flat, scaly cells on the surface called squamous cells; round cells called basal cells; and cells called melanocytes, which give your skin its color.

Monitor your moles--The ABCDE's of skin cancers

Asymmetry - benign moles are typically round,.  Melanoma (cancerous and malignant) lesions are typically irregular in shape.
Border - benign moles have smooth, even borders.  Melanoma lesions often have uneven borders.
Color- benign moles are usually a single shae of brown.  Melanoma lesions often contain many shades of brown or black.
Diameter-benign moles are usually less than 6 millimeters (1/4 inch) in diameter.  Melanoma lesions are often more than 6 millimeters in diameter.
Evolving- benign moles usually do not change size over time.  Melanoma lesions often grow in size or change in height rapidly.  Change in size, shape, symptoms (itching, tenderness), surface (crusting, bleeding) or shades of color should be considered suspicious.

 

BASAL CELL & SQUAMOUS CELL

There are several types of cancer that start in the skin. The most common are basal cell cancer and squamous cell cancer.

Skin cancer is more common in people with light colored skin who have spent a lot of time in the sunlight. Skin cancer can occur anywhere on your body, but it is most common in places that have been exposed to more sunlight, such as your face, neck, hands, and arms.

Skin cancer can look many different ways. The most common sign of skin cancer is a change on the skin, such as a growth or a sore that won't heal. Sometime there may be a small lump. This lump can be smooth, shiny and waxy looking, or it can be red or reddish brown. Skin cancer may also appear as a flat red spot that is rough or scaly. Not all changes in your skin are cancer, but you should see your doctor if you notice changes in your skin.

MELANOMA

Melanoma is a disease of the skin in which cancer (malignant) cells are found in the cells that color the skin (melanocytes). Melanoma usually occurs in adults, but it may occasionally be found in children and adolescents. Your skin protects your body against heat, light, infection, and injury. It is made up of two main layers: the epidermis (the top layer) and dermis (the inner layer). Melanocytes are found in the epidermis and they contain melanin, which gives the skin its color. Melanoma is sometimes called cutaneous melanoma or malignant melanoma.

Melanoma is a more serious type of cancer than the more common skin cancers, basal cell cancer or squamous cell cancer, which begin in the basal or squamous cells of the epidermis.

Like most cancers, melanoma is best treated when it is found (diagnosed) early. Melanoma can spread (metastasize) quickly to other parts of the body through the lymph system or through the blood. (Lymph nodes are small, bean-shaped structures that are found throughout the body; they produce and store infection-fighting cells.) You should see your doctor if you have any of the following warning signs of melanoma: change in the size, shape, or color of a mole; oozing or bleeding from a mole; or a mole that feels itchy, hard, lumpy, swollen, or tender to the touch. Melanoma can also appear on the body as a new mole. Men most often get melanoma on the trunk (the area of the body between the shoulders and hips) or on the head or neck; women most often get melanoma on the arms and legs.

 

Remember, prevention is the best form of treatment. Seeing your doctor for a yearly skin exam is the first step.
 
Top of Page

http://www.cdc.gov/ChooseYourCover/skin.htm - Who Is At Risk for Skin Cancer

http://www.cdc.gov/chooseyourcover/ -   Choose your Cover from this Interactive chart  about what to use to prevent sun burns from the Centers for Disease Control and Prevention (CDC).

http://213.86.179.35/default.html  -  from the U.S. Department of Health - What type of skin do you have?  Does it burn easily?

SKIN CANCERS

http://www.skincancer.org/self_exam/look_for.php  -  Photographs of what to look for.

http://www.drmelton.com/Chicago/skincancerpictures/  - Photographs of different skin abrasions or cancers

http://www.skincancer.org/self_exam/spot_skin_cancer.php - How to spot a skin cancer.

http://www.skincancer.org/melanoma/index.php - Information about melanomas.

http://www.cancer.gov/templates/doc_pdq.aspx?cdrid=62909  -  National Cancer Institute

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