| Fun
and Sun. The two are synonymous. And it's about
time-after months of dreary gray skies and drab,
rainy weather. We can hardly wait to head for the
beach, lie out by the pool, show off that new swimsuit
and suntan.
But before you go, keep this
in mind:
The American Cancer Society
estimates that about 55,100 new melanomas will
be diagnosed in the United States during 2004.
And about 7,910 people in the US are expected
to die from the disease.
Therefore, to protect yourself
from skin cancer, take precautions and forgo that
summer tan.
Malignant Melanoma
Melanoma lesions are ragged,
blotchy moles that appear on the skin. If left
untreated, they can metastasize (spread) throughout
the body, sometimes killing people within months.
The average five-year cure rate is 89 percent,
and the five-year cure rate for early, superficial
melanoma is 96 percent. Melanoma is diagnosed
at a localized stage 82% of the time. The survival
rate at the regional stage is 60%, and at the
distant stage, 14%. In contrast, basal cell and
squamous cell carcinoma are less dangerous. They
rarely spread. But these cancers still kill around
2,200 people a year.
The relative 5-year survival
rate for patients with basal cell carcinoma is
more than 99%. The overall 5-year survival rate
for patients with squamous cell carcinoma of the
skin is more than 95%.
Who is at risk, and what can
be done about it?
Genetics and the immune system
play a role, but solar radiation is more likely
the major cause of this disease.
And solar radiation is just
that-radiation, the most dangerous cancer-causing
agent. When solar radiation burns the skin, injured
cells can mutate. These abnormal cells in turn
can divide and spread just as overexposure to
radiation from X-rays or a leaking nuclear power
plant (such as Chernobyl) can cause cancer.
If you're Caucasian, you are
more susceptible to sun damage because your light
skin makes less melanin, the pigment that colors
your skin. Melanin acts as a barrier to UV rays
by absorbing them and converting them to heat
before they penetrate the skin.
So the lighter your skin and
the faster you sunburn, the greater your risk.
Equally important, melanoma is not only caused
by years of sun exposure, but also by at least
one incident of a severe sunburn during childhood.
And most people get 50 to 80 percent of their
lifetime exposure while they are children, under
age 18. So you can protect your children from
cancer in adulthood by carefully shielding them
from solar radiation now.
Shielding our bodies from solar
radiation begins with knowing "the sun is
bathed in light," says Michael J. Martin,
M.D., Attending Physician, Department of Medicine,
University of California, San Francisco. That
light scatters and bounces off surfaces. So even
if you're under an umbrella at the beach all afternoon,
the sun can reflect solar radiation back to you.
Here's a simple guide to let
you know your personal risk, and prevention measures
you can take:
Your Risk
You are at greater risk of malignant
melanoma if you have fair skin, burn within 10
to 20 minutes of sun exposure, have had a severe
sunburn as a child, and have a family history
of melanoma and atypical moles. If you're Chinese,
Filipino or Hispanic, you're still at risk because
compared with blacks, whose risk is negligible,
your skin produces less melanin. However, even
blacks, who have the most melanin in their skin,
can get melanoma on their lips, soles of their
feet and palms of their hands. To give you an
idea of your risk according to your race, in California
in 1998, the total number of new cases per 100,000
by race is as follows:
| Whites
(non-Hispanic) |
2,314 |
| Hispanic |
84 |
| Black |
5 |
| Asian
/ Pacific Islander |
23 |
|
| Total |
2,818
|
Protecting Yourself
To lower your risk of malignant melanoma, determine
your skin type by how fast you burn in the sun,
and how poorly you tan. Then, determine when and
where to avoid intense solar radiation, take measures
to protect your skin from too much sun, and examine
your skin for signs of precancerous lesions and
skin cancer. Specifically:
Watch or read the weather report,
looking for the UV index. The index shows on a
scale from 1 to 10 how intense solar radiation
is at a given time of day.
Limit sun exposure between 10
a.m. and 4 p.m, particularly during the summer.
What's more, be cautious if you are in areas near
the equator such as Florida, or at high altitudes
such as Colorado, where UV radiation is more intense.
Use your shadow as a guide. The shorter your shadow-as
when the sun is overhead-the greater your exposure
to UV radiation.
Wear a sunscreen that has at
least a Sun Protection Factor (SPF) of 15 with
broad-spectrum protection (blocks both UVA and
UVB radiation). Better yet, if you are at greater
risk of melanoma, wear a sunscreen that offers
an SPF of 30. The SPF is the number of minutes
you can stay in the sun without burning, multiplied
by the sunscreen lotion's SPF number. (For example,
10 minutes-times-SPF equals a period of 2.5 hours
in the sun without burning.)
Pay particular attention to
areas of the skin that tend to receive more direct
sunlight such as the nose and shoulders. And since
solar radiation can penetrate three feet into
the water, if you swim in pools or surf in the
ocean, wear waterproof, sweat-proof sunscreen.
Cover up with clothing that
has dark, tightly woven fabric, and wear a wide-brimmed
hat and sunglasses that filter UVA and UVB rays.
Detecting the Cancer
It's simple as ABCD. Look at
the mole. Is it Asymmetrical, where two sides
don't match up? Is the Border irregular? Does
a Color vary on the same mole? Is the Diameter
greater than six millimeters or one-quarter inch?
Likewise, look for changes in color, shape, size,
texture, elevation. When performing a self-exam,
use a mirror if necessary, and don't forget to
check hidden areas such as between the toes and
on the scalp.
If you have symptoms of skin
cancer, consult a physician before subjecting
yourself to more sun damage. Otherwise, play in
the sun, but play it safe.
About The Author:
Diana Clarke is web editor of The
Sun and Your Skin - Health and Science Information
on Life and Light. For more articles, visit: http://www.yourskinandsun.com/articles.html
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