Skin cancer is the most prevalent of all cancers. Estimates
vary on its occurrence but it is estimated that approximately 700,000 Americans
develop skin cancer every year.
Sun avoidance is the best defense against skin cancer. The
principal cause of skin cancer is almost universally accepted by medical experts
to be overexposure to sunlight, especially when it results in sunburn and
blistering. Other less important factors would include: repeated medical
and industrial x-ray exposure; scarring from diseases or burns; occupational
exposure to such compounds as coal and arsenic, and family history.
Prevention is a matter of guarding the skin against the known
causes. Since the sun and its ultraviolet rays would seem to be the main
culprit, the most effective preventative method is sun avoidance. Limit
the exposure of the skin to harmful rays by covering up and using sunscreens
with at least a 30 SPF rating.
Early detection is the surest way to a cure. It is a simple
routine to inspect your body for any skin changes. Actinic keratosis and
each of the skin cancers depicted below can be readily detected. If any
growth, moles, sore or discoloration appears suddenly or begins to change, see
your dermatologist.
In addition to the types of skin cancers
illustrated here, be alert for a precancerous lesion called actinic kerotisis.
These small scaley spots are most commonly found on the face and back of the
hands in fair-skinned individuals who have had significant sun exposure.
If they are not treated, some of them may become skin cancer, requiring more
extensive treatment. If they are diagnosed in the early stages, actinic
keratosis can be removed by cryotherapy (freezing), applying a topical form of
chemotherapy or by other outpatient procedures.
There are three
forms of skin cancer:
1) Basal cell carcinoma:
This tumor of the skin usually appears as a small, fleshy bump or nodule on the
head, neck and hands. Occasionally these nodules may appear on the trunk
of the body, usually as flat growths. Basal cell carcinomas seldom occur
in dark-skinned persons; they are the most common skin cancers found in
Caucasians. It has been found that people who have this cancer frequently
have light hair, eyes and complexions, and they do not tan easily. These
tumors do not spread quickly. It may take many months or years for one to
reach a diameter of one half inch. Untreated, the cancer will begin to
bleed, crust over, then repeat the cycle.
Although this type of cancer rarely metastasizes (spread to other
parts of the body), it can extend below the skin to the bone and cause
considerable local damage.
2) Squamous cell carcinoma: These tumors may appear
as nodules or as red, scaly patches. Squamous cell carcinoma is the second
most common skin cancer found in Caucasians. It typically is found on the
rim of the ear, the face, the lips and mouth. It is rarely found on
dark-skinned persons. This cancer will develop into large masses.
Unlike basal cell carcinoma, it can metastasize. It is estimated that
there are 2,300 deaths from non-melanoma skin cancers every year. The cure
rate for both basal cell and squamous cell carcinoma is 95%, when properly
treated.
3) Malignant melanoma: It is projected that this most
virulent of all skin cancers developes on the skin of 32,000 Americans
annually. And every year an estimated 6,800 Americans will die from
melanoma. It is important to note that the seath rate is at last
declining, because patients are seeking help earlier. Melanoma, like its
less agressive cousins, basal cell and squamous cell carcinomas, is almost
always curable in its early stages.
Melanoma has its beginnings in melanocytes, the skin cells that
produce the dark protective pigment called melanin. It is melanin
that is responsible for suntanned skin, acting as partial protection
against the sun. Melanoma cells usually continue to produce melanin, which
accounts for the cancers appearing in mixed shades of tan, brown and
black. Melanoma has a tendency to spread, making it essential to treat.
Melanoma may suddenly appear without warning, but it may also
begin in or near a mole or dark spot in the skin. For that reason it is
important that we know the location and appearance of the moles on our bodies so
any change will be noticed.*
* American Academy of Dermatology
To learn more about what to look for when examining your skin for
melanoma, click on the hyperlink below:
The
ABCD's of Melanoma