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Detection and Self Examination

BREAKING
NEWS!
January 31st,
2007, Boston, MA
SHADE® Foundation and HealthiNation release
“Skin Cancer Self-Exam Video”
To watch the new video Click
Here
As well as using a broad-spectrum sunscreen
with SPF 15 or higher, a yearly scheduled full-body exam by your
dermatologist is key to prevention. Melanoma can occur on parts
of the body that are not exposed to the sun.
It takes a trained eye to spot a melanoma
in its early stage. You should also examine yourself regularly.
The best time to do this is after a bath or shower standing in front
of a full-length mirror. Use a hand mirror to help you see difficult
to reach areas. Contact your Doctor at once if you see any odd-looking
mole.
Skin Cancer and Melanoma
Facts
- Over half of all new cancers are skin cancers.
- More than 1 million new cases of skin cancer
will be diagnosed in the United States this year.*
- About 79 percent of the new skin cancer cases
will be basal cell carcinoma, 15 percent are squamous cell carcinoma,
and 5 percent are invasive melanoma. The other 1 percent represents
rare types of skin cancer, such as Merkel cell carcinoma, adnexal
carcinoma(s), dermatofibroma fibrosarcoma protuberans, etc.
- Both basal cell carcinoma and squamous cell carcinoma
have a better than 95 percent cure rate if detected and treated
early.
- An estimated 10,590 people will die of skin
cancer this year, 7,770 from melanoma and 2,820 from other skin
cancers.*
- There will be about 105,750 new cases of melanoma
in 2005 – 46,170 in situ (noninvasive) and 59,580 invasive
(33,580 men and 26,000 women).* This is a 10 percent increase
in new cases of melanoma from 2004. In 2005, at current rates
one in 34 Americans have a lifetime risk of developing melanoma
and one in 62 Americans have a lifetime risk of developing invasive
melanoma.
- One American dies of melanoma almost every hour
(every 68 minutes). In 2005, 7,770 deaths will be attributed to
melanoma – 4,910 men and 2,860 women.* Older Caucasian males
have the highest mortality rates from melanoma.
- The incidence of melanoma more than tripled among
Caucasians between 1980 and 2003.
- More than 73 percent of skin cancer deaths are
from melanoma.
- Melanoma is more common than any non-skin cancer
among women between 25 and 29 years old.
- Invasive melanoma is the fifth most common cancer
in men and the sixth most common cancer in women.* **
- 1 in 5 Americans will develop some form of skin
cancer during their lifetime.
- Five or more sunburns double your risk of developing
skin cancer.
*Source: American Cancer Society’s 2005 Facts
& Figures
**Excluding basal cell carcinoma and squamous cell carcinoma, which
together are the most common cancers in both sexes.
* Information taken from American Academy of Dermatology www.aad.org
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High Risk Individuals
Despite the importance for everyone to practice
sun safe practices, some individuals are at a higher risk of developing
skin cancer. These risks include:
- Light hair color and blue, gray or green eyes.
- Fair complexion and/or freckles.
- Sun sensitivity (skin that burns easily).
- Taking prescription medications that increase
sun sensitivity.
- Family history (one or more close relatives with
skin cancer).
- Several moles on your body.
- Presence of a congenital mole (since birth).
- One or more large or irregularly pigmented lesions.
- Suppressed immune system.
- Exposure to certain chemicals, such as arsenic,
and to radiation therapy.
- Excessive exposure to the sun and repeated blistering
sunburns before the age of 15.
*Information taken from the Cancer Research and
Prevention Foundation www.preventcancer.org
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A Guide to Skin Cancers
Skin cancer is an important issue and one that we
should be aware of and educated about. Skin cancer is not only a
threat to our appearance but also to our lives. Examining our skin
regularly is the best way to detect any early warning signs. Most
of the “spots” on our skin—freckles, moles, and
birthmarks—are normal, but some may be skin cancers. It is
important to look for any new growths or changes when examining
our skin.

Basal Cell Carcinoma |
Basal cell carcinoma (BCC) and squamous
cell carcinoma (SCC) are the most common skin cancers, affecting
more than 1.3 million people in the United States each year.
Both are caused primarily by long-term sun exposure and typically
appear in those areas that are exposed to the sun. The rim
of the ear and the lower lip are especially susceptible to
SCC.
Skin damaged by factors other than the sun
may also be vulnerable to both cancers. These factors include
burns and scars, open sores that resist healing, inflammatory
skin conditions, and areas exposed to radiation or chemicals
such as arsenic and petroleum by-products. |
Squamous Cell Carcinoma |
BCCs and SCCs are easily treated when they are detected
at an early stage. However, the larger a tumor grows, the more dangerous
and potentially disfiguring it may become and the more extensive
the treatment must be
While BCCs seldom spread to vital organs, they can
cause major damage-even the loss of an eye, ear, or nose. Certain
rare forms can become lethal if not treated promptly.
In general, SCCs are more threatening than BCC’s
and have a much greater chance of spreading and becoming life threatening
if untreated.
Five Signs of BCC
These are the five most typical characteristics of BCC. Frequently,
two or more of these features appear in the same tumor.
1. A shiny bump or nodule, that is pearly or translucent
and is often pink, red or white. The bump can also be tan, black
or brown, especially in dark haired people, and can be confused
with a mole.
2. An open sore that bleeds, oozes, or crusts
and remains open for 3 or more weeks. A persistent, nonhealing
sore is a very common sign of an early basal cell carcinoma.
3. A scar like area that is white, yellow or
waxy and often has poorly defined borders. The skin itself appears
shiny and taut. Although a less frequent sign than others, it
can indicate the presence of an aggressive tumor.
4. A pink growth with a slightly elevated rolled
border and a crusted indentation in the center. As the growth
slowly enlarges, tiny blood vessels may develop on the surface.
5. A reddish patch or irritated area frequently
occurring on the chest, shoulders, arms or legs. Sometimes the
patch crusts. It may also itch or hurt. At other times, it persists
with no noticeable discomfort.
Four Signs of SCC
SCCs usually appear as thick, rough, scaly patches that may bleed
if bumped. The skin around them typically shows signs of sun damage
such as wrinkling, pigment changes, and loss of elasticity. They
often appear as:
1. A wart-like growth that crusts and occasionally
bleeds.
2. An open sore that bleeds and crusts and persists
for weeks.
3. A persistent, scaly red patch with irregular
borders that sometimes crusts or bleeds.
4. An elevated growth with a central depression
that occasionally bleeds. It may rapidly increase in size.
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ABCDs of Melanoma
Melanoma is the deadliest form of skin cancer. It
is most often caused by intense, intermittent exposures to the sun-especially
exposures that occur before age 18. In the past two decades, as
outdoor recreational activities have increased and fashions have
left more skin exposed, melanoma incidence rates have more than
tripled. In its earliest stages, melanoma is readily treatable.
Left untreated, it will spread to vital organs, frequently becoming
life threatening.
Most people have some brownish spots or growths.
Almost all of these are normal. But growths that change noticeably
in size or have irregularities in shape and color could be melanomas.
It is important to check the skin from head to toe
every month, staying alert for lesions that have the “ABCD”
signs of melanoma: Asymmetry, Border
irregularity, Color variability, and Diameter
larger than a pencil eraser.
Asymmetry
One half doesn't match the other half. |
Border Irregularity
The edges are ragged, notched or blurred. |
Color
The pigmentation is not uniform. Shades of brown. tan and
black are present. Dashes of red, white and blue add to the
mottled appearance. |
Diameter
The width is greater than 6 millimeters (about the size of
a pencil eraser). Any growth of a mole should be of concern. |
Reproduced with the permission from the American
Academy of Dermatology.
Asymmetry-
Most melanomas are asymmetrical: A line through the middle would
not create matching halves. Common moles are round and symmetrical.
Border
Irregularity- The borders of early melanomas are
often uneven and may have scalloped or notched edges. Common moles
have smoother, more even borders.
Color
Variability- Varied shades of brown, tan or black
are often the first sign of melanoma. As melanomas progress, the
colors red, white, and blue may appear. Common moles usually are
a single shade of brown.
Diameter-
Early melanomas tent to grow larger than common moles-generally
to at least the size of a pencil eraser
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Self
Examinations
PRACTICE
FREQUENT SELF-EXAMINATIONS
REMEMBER:
PROMPT SURGICAL EXCISION OF AN EARLY MELANOMA
OFFERS AN EXCELLENT CHANCE OF A CURE. IF YOU HAVE ANY QUESTIONS
ABOUT A MOLE, SEE A DERMATOLOGIST.
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Examine your body front and back in the mirror,
then right and left sides with arms raised. |
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Bend elbows and look carefully at forearms,
upper underarms and palms. |
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Look at the backs of your legs and feet, the
spaces between your toes and on the sole. |
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Examine the backs of your neck and scalp with
a hand mirror. Part hair for a closer look. |
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Finally, check your back and buttocks with
a hand mirror. |
* Information Taken from American Academy of Dermatology
www.aad.org
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