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Everything you need to know about skin cancer . . .

 

What is the skin?

Skin Cancer Resource Center

The skin is the largest organ of the body. It covers the internal organs and protects them from injury, serves as a barrier between microbes -- such as bacteria -- and internal organs, and prevents the loss of too much water and other fluids. The skin regulates body temperature and helps rid the body of excess water and salts. Certain cells in the skin communicate with the brain and allow for temperature, touch, and pain sensations.

What is Non-melanoma (Basal or Squamous Cell) Skin Cancer?
Most skin cancers are classified as non-melanoma, usually occurring in either basal cells or squamous cells. These cells are located at the base of the outer layer of the skin or cover the internal and external surfaces of the body.

Most non-melanoma skin cancers develop on sun-exposed areas of the body, like the face, ear, neck, lips, and the backs of the hands. Depending on the type, they can be fast or slow growing, but they rarely spread to other parts of the body.

What is Melanoma Skin Cancer?
Melanoma is a cancer that begins in the melanocytes – the cells that produce the skin coloring or pigment known as melanin. Melanin helps protect the deeper layers of the skin from the harmful effects of the sun.

Melanoma is almost always curable when it is detected in its early stages. Although melanoma accounts for only a small percentage of skin cancer, it is far more dangerous than other skin cancers, and it causes the majority of skin cancer deaths.

How many people are affected by skin cancer?
Skin cancer is the most common of all cancers. It accounts for nearly half of all cancers in the United States. More than one million cases of non-melanoma skin cancer are found in this country each year. The American Cancer Society estimates that about 53,600 new melanomas were diagnosed in the United States during 2002.

Who survives skin cancer?
For basal cell or squamous cell cancers, a cure is highly likely if detected and treated early. Melanoma, even though it can spread to other body parts quickly, is also highly curable if detected early and treated properly. The five-year relative survival rate for patients with melanoma is 89 %. For localized melanoma, the five-year survival rate is 96 %; survival rates for regional and distant stage diseases are 61 % and 12 % respectively. About 82 % of melanomas are diagnosed at a localized stage.

How many people will die from skin cancer?
The American Cancer Society estimates there were about 9,600 deaths from skin cancer in 2002: 7,400 from melanoma and 2,200 from other skin cancers.

What are the risk factors for skin cancer?
Risk factors for non-melanoma and melanoma skin cancers include:

  • Unprotected and/or excessive exposure to ultraviolet (UV) radiation
  • Fair complexion
  • Occupational exposures to coal tar, pitch, creosote, arsenic compounds, or radium
  • Family history
  • Multiple or atypical moles
  • Severe sunburns as a child

What are the signs and symptoms of skin cancer?
Skin cancer can be found early, and both doctors and patients play important roles in finding skin cancer. If you have any of the following symptoms, tell your doctor:

  • Any change on the skin, especially in the size or color of a mole or other darkly pigmented growth or spot, or a new growth
  • Scaliness, oozing, bleeding, or change in the appearance of a bump or nodule
  • The spread of pigmentation beyond its border such as dark coloring that spreads past the edge of a mole or mark
  • A change in sensation, itchiness, tenderness, or pain
    Can skin cancer be prevented? The best ways to lower the risk of non-melanoma skin cancer are to avoid intense sunlight for long periods of time, and to practice sun safety. You can continue to exercise and enjoy the outdoors while practicing sun safety at the same time.
  • Avoid the sun between 10 a.m. and 4 p.m.
  • Seek shade: Look for shade, especially in the middle of the day when the sun's rays are strongest. Practice the shadow rule and teach it to children. If your shadow is shorter than you, the sun’s rays are at their strongest.
  • Slip on a shirt: Cover up with protective clothing to guard as much skin as possible when you are out in the sun. Choose comfortable clothes made of tightly woven fabrics that you cannot see through when held up to a light.
  • Slop on sunscreen: Use sunscreen with a sun protection factor (SPF) of 15 or higher. Apply a generous amount (about a palmful) and reapply after swimming, toweling dry, or perspiring. Use sunscreen even on hazy or overcast days.
  • Slap on a hat: Cover your head with a wide-brimmed hat, shading your face, ears, and neck. If you choose a baseball cap, remember to protect your ears and neck with sunscreen.
  • Wear sunglasses with 99-100 percent UV absorption to provide optimal protection for the eyes and the surrounding skin.
  • Follow these practices to protect your skin even on cloudy or overcast days. UV rays travel through clouds.

For “Everything You Need to Know About Skin Cancer,” go to the Skin Cancer Resource Center.

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