keep-Health: All About Skin Cancer

Monday, August 2, 2010

All About Skin Cancer

The entire March issue of Archives of Dermatology appears to be dedicated to skin cancer — melanoma and non-melanoma.??

Basal cell carcinoma (BCC) represents 65% to 75% of all skin cancers. Most occur on sun-exposed parts of the face, ears, scalp, shoulders, and back. Intense short-term UVB exposure is important in the formation of BCC. Clinical features include pearly translucent flesh-colored papules or nodules with superficial telangiectasias (broken blood vessels). More active lesions may have rolled edges or ulcerated centers.

Squamous cell carcinoma (SCC) represent 30% to 65% of all cutaneous malignancies.?? SCCs are most attributable to UVB exposure, long-term or accumulative exposure over years. Clinical features include crusted papules and plaques that may become indurated, nodular, or ulcerated. SCC may arise in chronic wounds, scars, and leg ulcers. Recurrent SCC development within 3 years is 18%, a 10-fold higher incidence compared with initial SCC diagnosis in the general population.

Malignant melanoma (MM) represents the most serious of all cutaneous malignancies. It is estimated that approximately 65% to 90% are caused by UV exposure, predominantly UVA. Roughly 10% of all melanoma cases are strictly hereditary.

The ABCD rule outlines the clinical presentation and warning??signs of the most common type of melanoma:

“A” is for asymmetry (one-half of the mole does not match the other half);

“B” is for border irregularity (the edges are ragged, notched, or blurred);

“C” is for color (the pigmentation is not uniform, with variable degrees of tan, brown, or black);

“D” is for diameter greater than 6 mm (about the size of a pencil eraser).

??Prevention Tips:

Children should be taught the correct use of sunscreen.???? Sunscreen should be applied to all exposed skin at least 20 minutes before going into the sun, even if it is cloudy outside, and needs to be reapplied every 2 to 3 hours or more frequently if swimming or exercising.???? Use at least 1 oz per application, roughly equivalent to the volume of a shot glass.

Select a product that contains the highest allowable percentage of zinc oxide (25%) and titanium dioxide (25%). Both do not undergo significant chemical change or photodegradation with exposure to UV light.?? Avobenzone (3%) is the only truly effective UVA absorber available and offers the greatest photostability.

Everyone needs to wear a hat and sunglasses with 99% to 100% UVA absorption.

Exposure should be avoided between the hours of 10 AM and 4 PM when the sun is the strongest.?? Sun-protective clothing and shade are helpful in avoiding exposure.

There is no such thing as a safe tan.?? This includes those gotten in tanning salons.

keep-Health

Monday, August 2, 2010

All About Skin Cancer

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