Transcript SKIN CANCER

SKIN CANCER
Senior Health-Bauberger
Actinic Keratosis
• Common for anyone who spends time
in the sun, the greater the exposure the
greater the risk
• Also known as sun spots or
precancerous spots
Symptoms
• Mole that changes size, shape, or color and
has tenderness, itching, or pain around it
• Scaly, dry, rough patches of skin
• Crusty bump
• Red, pink, tan
• May itch, pricking sensation
• Lies flat on skin of head and neck, raised
on arms and hands
Location
• Most likely appears on:
– Face
– Ears
– Bald scalp
– Neck
– Back of hands
– forearms
Why is it dangerous?
• Can be first step in developing skin
cancer
• If not treated early, can be lifethreatening
• Most aggressive and dangerous form
is actinic cheilitis (appears on lips)
What is the cause?
• Sun exposure
• Sun damage accumulates over time,
even brief exposure
• Everyone is exposed to UV rays, they
bounce off of sand, snow, etc
• 80 % of UV rays can pass through
clouds
Who’s at risk?
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Everyone…
Individuals in their mid to late 20’s
Anyone with less protective pigment
People who are:
–Fair-skinned
–Blonde or Red-headed
–Have blue, green, or gray eyes
How common is it?
• 1 in 6 will develop actinic keratosis
• Older people are more likely to get it
than younger (cumulated skin
exposure)
• More than ½ of the avg. person’s sun
exposure occurs before age 20
• Anyone who has had a moderate to
severe sunburn before age 12 is at high
risk
Treatment
• Curettage/Electrodesiccation
– Most common treatment, physician
scrapes the lesion and takes biopsy to
be tested for malignancy
• Shave Removal
– Scalpel is used to shave the keratosis
and obtain specimin for testing, lesion is
destroyed
Treatment
• Crysosurgery
– Lesion is frozen by liquid nitrogen, no
anesthesia required, no bleeding
• Dermabrasion
– Removal of upper layers of skin by sanding,
redness and soreness occurs at first
• Topical Medications
– Two medicines used when multiple lesions
exist, monitored by doctor, redness and flaking
occur
Treatment
• Chemical Peeling
– Top layers of skin taken off by
trichloroacetic acid (while under
sedation), skin regrows over about 7
days
• Laser Surgery
– Carbon dioxide laser beam is used
on lesion, a rarely used treatment but
can be especially effective for lesions
on the lips
Prevention
• Limit the time you spend in the sun
(especially between 10 a.m. and 4 p.m.)
• Cover up with protective clothing
• Wear sunscreen with SPF 15 or greater
• Avoid artificial tanning (400% greater
risk of developing melanoma)
• Perform regular skin self-examinations
Melanoma
• Melanoma is the most serious type of skin cancer.
• It begins in skin cells called melanocytes.
• Melanocytes are the cells that make melanin,
which gives skin its color and protects the deeper
layers of the skin from harmful UV rays.
• When people spend time in the sun or in tanning
booths, the melanocytes make more melanin and
cause the skin to tan.
• If the skin receives too much ultraviolet light, the
melanocytes may begin to grow abnormally and
become cancerous. This condition is called
melanoma.
Melanoma
• The first sign of melanoma is often a change in the size,
shape, or color of a mole. It can also appear on the body as
a new mole.
• In men, melanoma most often shows up:
– on the upper body, between shoulders and hips
– on the head and neck
• In women, melanoma often develops on the lower legs.
• In dark-skinned people, melanoma often appears:
– under the fingernails or toenails
– on the palms of the hands
– on the soles of the feet
• These are the most common places on the body for
melanoma to appear, but it can appear anywhere.
Advanced Melanoma
• the cancer has spread from where it
started to another part of the body
• Melanoma may have already spread
when it is diagnosed
• Melanoma may spread to another area
even after treated at the original area
(recurrent cancer)
Melanoma can spread…