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The Truth About Skin Cancer and Melanoma

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Slide 1 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure “The Truth About Skin Cancer and Melanoma”
Slide 2 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Your Skin The Body’s Largest Organ Skin cancer begins in the cells... Normal cells grow and divide to form new cells and millions die every day. When the process goes haywire, the cells don’t die, they form a mass of tissue called a tumor. Skin has two main layers… Epidermis – outer layer Top layer comprised of flat cells called Squamous. Beneath squamous cells are small round Basal cells which help protect the body, Melanocytes make up the bottom layer and produce the pigment melanin that causes the skin to tan. Dermis Beneath epidermis layer and contains blood vessels and glands.
Slide 3 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure What is Skin Cancer? An abnormal overgrowth (tumor) of certain skin cells that can result in: Benign tumors (local, non life-threatening); or Malignant tumors (invasive or spreading) Some skin cancers can become deadly! Prevention and early detection is the key!
Slide 4 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Why is Skin Cancer Awareness Important? Skin cancer is the most common type of cancer in the U.S. – more than 1 million cases yearly. Only one blistering sunburn, especially at a young age, more than doubles the chance of developing melanoma skin cancer later in life. 75% of all skin cancer deaths result from melanoma. One death occurs nearly every hour in the U.S. from melanoma.
Slide 5 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Why Is Skin Cancer Awareness So Important To Youth? Skin cancer can strike at any age. People under age 30 are developing melanoma faster than any group, soaring by 50% in women since 1980. Melanoma is the #2 most common cancer for ages 15-29; and, the #1 cancer among young adults 25-29. Exposure to tanning beds before age 30 increases a person’s risk of developing melanoma by 75%. Skin cancer can be disfiguring and deadly.
Slide 6 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Provides light – visible spectrum to “see” Infrared - keeps us warm Photosynthesis - essential to plant growth Make us feel good – elevates mood Convert into electricity source Sun’s “Healthy Rays”
Slide 7 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Sun’s “Unhealthy Rays” Sunburn and tanning – short-term damage Prematurely aged skin – long-term damage Wrinkles - loss of skin elasticity Eye damage and cataracts Dark patches - age spots or liver spots) Actinic Keratoses - pre-cancerous lesions that look dry, scaly, and rough-textured Skin cancers!
Slide 8 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Causes of Skin Cancer Ultraviolet (UV) Radiation from the sun Tanning booths Genetics – family history Chemical agents – exposure to coal, creosote, arsenic
Slide 9 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Am I at Risk for Skin Cancer? Personal Risk Assessment Sunburn easily - or use of tanning beds Many moles, freckles or birthmarks Frequent outdoor sports/work/activities Childhood sun exposure; serious sunburn Fair skin Red or blonde hair; light colored eyes Family history
Slide 10 - Ethnicity & Skin Cancer Melanoma is uncommon in African Americans, Latinos, and Asians, but is frequently fatal due to late detection Squamous cell carcinoma is most common to African Americans and Asian Indians Basal cell carcinoma is most common to Caucasians, Hispanics, Chinese, Japanese and other Asian populations The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure
Slide 11 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Ultraviolet (UV) Radiation Invisible form of electromagnetic energy emitted from the sun and tanning beds Ozone layer above the earth helps shield us from UV rays: Most UVB rays (that cause sunburn) are absorbed by ozone layer; Harmful UVA rays, however, which penetrate deeper into the skin causing damage, are not absorbed by the ozone. Source: EPA SunWise
Slide 12 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure UVA Radiation Penetrates deep, a tan is the body’s imperfect defense Injures skin’s DNA, causes cumulative damage Equal intensity all daylight hours, penetrates clouds and glass Key role in skin cancers, especially melanoma UVB Radiation Chief cause of sunburn & skin reddening Damage to skin’s more superficial layers Intensity varies by season, location and time of day Key role in skin cancers Ultraviolet (UV) Radiation
Slide 13 - Did You Know? The U.S. Department of Health and Human Services, and the World Health Organization, classify Ultraviolet (UV) radiation from the sun and tanning beds as a human carcinogen! The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure
Slide 14 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Types of Skin Cancer Three primary types of skin cancer Basal Cell - Usually occurs on areas of the skin that have been exposed to the sun, - Sore that oozes or bleeds - A pink pearly bump Squamous Cell - May occur on parts of skin that have not been exposed to the sun, - Open sore that doesn’t heal Melanoma - Ugly - Irregular outline - Uneven color (black, brown and tan) - Growing - raised or elevated
Slide 15 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Types of Skin Cancer Basal Cell Carcinoma The most common skin cancer in U.S. (75% +) Found mostly on exposed areas – face most common; also back, shoulders, neck, ears, hands Highly treatable, rarely spreads or fatal Can be disfiguring if permitted to grow Symptoms A sore that oozes or bleeds, a red or irritated area, a yellow or white area (scar-like) and a pink pearly bump.
Slide 16 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Types of Skin Cancer Squamous Cell Carcinoma Is the most common skin cancer for people of dark skin – occurs in areas not exposed to sun – e.g. legs and feet Fair skinned people – occurs in sun exposed areas of body, such as head, ears, face and mouth Usually confined to the epidermis, but untreated can metastasize to distant tissues and organs, and can be fatal Can possibly evolve into melanoma Symptoms A bump that turns into an open sore that’s red or crusty, gets larger and/or a sore that won’t heal.
Slide 17 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Types of Skin Cancer Melanoma The most dangerous and deadly type. Can develop on ANY part of the body (arms, legs and trunk are the most common) Approximately 75 percent of all skin cancer deaths are from melanoma When detected early, considered highly treatable
Slide 18 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Melanoma Symptoms A mole, freckle, or new/existing lesion, that changes color, size or shape. May have an irregular outline and may be more than one color. See a spot, see a change, see a doctor!
Slide 19 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure About Moles Ordinary Moles: Very Common - Most people have between 10 and 40 moles, Shape - Usually round or oval, can be flat or raised Color - Usually pink, tan, brown, or flesh colored. Atypical Moles: About one out of every ten people have at least one unusual mole which may look and act differently. Risk of melanoma if higher number. Check moles regularly and see your doctor if any mole looks unusual, grows larger or changes in color or shape. Know the skin you’re in!
Slide 20 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Early Detection Learn Your ABCD and 2 Es A – Asymmetry: one half of the mole does not match the other half. B – Border: the edges of the mole are irregular, ragged, blurred or notched. C – Color: the color over the mole is not the same. There may be different shades of tan, brown or black and sometimes patches of red, blue or white. D – Diameter: the mole is larger than 6mm (approximately ¼ inch or about the size of a pencil eraser). E – Elevation: is almost always present (a mole may also be flat). E – Enlargement: an increase in the size of a mole is one of the most important signs.
Slide 21 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Signs & Symptoms Review Any change on the skin (size, color or dark pigmented growth of 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 (dark coloring that spreads past the edge of a mole or lesion), Change in sensation (itchy, tender or painful). See a spot, see a change, see a doctor!
Slide 22 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Detection: Skin Self-Exam Inspect your skin monthly Follow the A-B-C-D and 2 Es Include hard-to-see areas (scalp, back-side, ears, toes, etc.) Perform exam in well-lit area In front of a full-length mirror
Slide 23 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Got Skin – Get Checked! Spots on the skin that are new or changing should be evaluated by a physician/dermatologist. Get checked every 3 years (or more often depending on your risk factor) between ages 20-40; then annually over the age of 40.
Slide 24 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Are You Dying for a Tan?
Slide 25 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure The Truth About Tanning Beds Tanning beds release dangerously high levels of UV radiation Primarily UVA, which penetrates deeper and is linked to melanoma. U.S. Federal Trade Commission in 2010 Reported deliberate tanning, either indoors or out, increases your risk of melanoma and non-melanoma skin cancer. World Health Organization in 2009 Moved tanning beds into their highest cancer risk category – “Carcinogenic to humans” – same as arsenic and asbestos.
Slide 26 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure More Truth About Tanning Beds Further Reported from World Health Organization Risk of melanoma is increased by 75% with exposure to tanning beds before 30 years of age. U.S. Dept. of Health & Human Services in 2009 Known to be a human carcinogen…exposure to sunlamps or sunbeds increases the risks of malignant melanoma. Besides Skin Cancer - Both UVA and UVB rays Damage the eyes and immune system; wrinkle the skin and cause premature aging. Tanning is Addictive No tan is a safe tan...
Slide 27 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure The Sunless Tan Sunless tanning products – applied correctly are a safe alternative. There are lotions, creams, gels and spray: Bronzers - wash off easily Self Tanners - using the chemical DHA approved by the FDA (Dihydroxyacetone), reacts with dead skin cells to temporarily darken the skin's appearance. The coloring gradually fades. If sprayed, avoid exposure risks around eyes, nostrils, lips or inhaling. Remember! A broad-spectrum sunscreen must still be applied out in the sun as recommended!
Slide 28 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Prevention Do Not Burn - Avoid sun tans and tanning beds Apply Sunscreen - “generously”, broad spectrum UVA & UVB protection with SPF 30 or higher Wear Protective Clothing - long sleeves, pants, wide brimmed hat, UV-protection sunglasses Wear Lip Balm - with a SPF 15 or higher Seek Shade - rays are strongest 10AM to 4PM Use Extra Caution - near water, snow, and sand as they reflect damaging rays Get Vitamin D Safely - through a healthy diet that includes vitamin supplements
Slide 29 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Sunscreen Facts Recommend SPF: 30+ (filters out 97% of UV rays) - Applies only to UVB rays - no rating for UVA rays. Should be labeled “Broad Spectrum” - Sunscreen that will protect against both UVA & UVB rays. Ingredients to look for: - Avobenzone (parsol 1789), oxybenzone, mexoryl, titanium dioxide, zinc oxide Apply generously Apply before sun exposure - about 30 minutes before going outside. Re-apply - every two hours and after swimming.
Slide 30 - The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure Key Reminders Skin cancer is on the rise and is serious Excess UV exposure is the main cause Protection is Key Very treatable if found early - watch for it! Tanning beds increase risk of melanoma! Use sunscreen outdoors Prevention begins NOW!
Slide 31 - How JMNMF is Helping The Joanna M. Nicolay Melanoma Foundation: Underwrites melanoma research at prestigious cancer centers across the U.S., to advance discovery of effective melanoma treatments and, ultimately, a cure; Distributes a comprehensive High School health curriculum to teachers re: deadly risks of melanoma skin cancer and “UV-safe” preventative practices; Manages numerous initiatives to ensure broader nat’l. awareness of melanoma prevention and detection; and, Provides essential advocacy and care resources for patients and the entire melanoma community. The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure
Slide 32 - Contact the JMNMF For more information on the Foundation or how to help – please visit our website: www.melanomaresource.org Or, contact us directly: Email: contact@melanomaresource.org Phone: (410) 857-4890 255 Clifton Blvd., Ste. 203 Westminster, MD 21157 The Joanna M. Nicolay Melanoma Foundation ...the voice for melanoma prevention, detection, care and cure