Sun Damage Is Serious!

     As the Baby Boomers hit their 60's, they are paying for a life time of tanning.  Skin cancers are at the highest numbers since statistics have been kept, pigment disorders are prevalent, teen- agers are even being diagnosed with deadly melanoma and the multi-billion dollar cosmetics industry is raking in the profits for "Anti Aging Skin Care and Make Up"!  The health industry in the United States has virtually ignored educating the public so on this page, as well as our skin care center in Portland Oregon, we strive to promote good health, new information  and protection strategies everyone can use.


80% of sun damage occurs before we are 18 years old

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Information about an aggressive new form of skin cancer 


Joy-Marie at 59 - no Botox, no Injections, No Facial Surgeries!  Just good, simple, daily skin care practices and products.

   

Esthetician Joy-Marie, 59+ years busy! Sunscreen user since 1983!

Founder of Joie de Vie - Expert Skin Care 

Practitioner with a Holistic approach to smooth, healthy and resilient complexions.  

Be safe, learn early detection strategies

See your dermatologist  for a skin cancer check up

Pick up plenty of sunscreen products for your family

Tell family and friends to learn about skin cancer

Sun Worshipper?  Read about Krill Oil...


Cancer Drug 'Rida' on FDA Fast Track 

June 6, 2011    The details of an experimental drug that may reduce the risk of disease progression or death for patients with advanced sarcoma, with Harvey Berger, ARIAD Pharmaceuticals chairman/president /CEO.  

Sarcomas are a group of cancers of connective tissue of the body for which there are currently limited treatment options. Sarcomas can arise anywhere in the body and are divided into two main groups– bone tumors and soft-tissue sarcomas.

About Ridaforolimus

Ridaforolimus is an investigational targeted and potent small-molecule inhibitor of the protein mTOR, a protein that acts as a central regulator of protein synthesis, cell proliferation, cell cycle progression and cell survival, integrating signals from proteins, such as PI3K, AKT and PTEN, known to be important to malignancy.

Sun Screen Debate Continues: November 2011 (since July 2010 I've been gathering this for you to stay updated...jmp)

here's a synopsis of media....  

From Mercola.com, November 2011:

There are two primary types of UV rays from sunlight, the vitamin-D-producing UVB rays and the skin-damaging UVA light. Both UVA and UVB can cause tanning and burning, although UVB does so far more rapidly. UVA, however, penetrates your skin more deeply than UVB, and may be a much more important factor in photoaging, wrinkles and skin cancers.

A study in Medical Hypotheses suggested that indoor workers may have increased rates of melanoma because they're exposed to sunlight through windows, and only UVA light, unlike UVB, can pass through window glass. At the same time, these indoor workers are missing out on exposure to the beneficial UVB rays, and have lower levels of vitamin D.

Researchers wrote:

"We hypothesize that one factor involves indoor exposures to UVA (321–400nm) passing through windows, which can cause mutations and can break down vitamin D3 formed after outdoor UVB (290–320nm) exposure, and the other factor involves low levels of cutaneous vitamin D3.

After vitamin D3 forms, melanoma cells can convert it to the hormone, 1,25-dihydroxyvitamin D3, or calcitriol, which causes growth inhibition and apoptotic cell death in vitro and in vivo.

… We agree that intense, intermittent outdoor UV overexposures and sunburns initiate CMM [cutaneous malignant melanoma]; we now propose that increased UVA exposures and inadequately maintained cutaneous levels of vitamin D3 promotes CMM."

To put it simply, UVB appears to be protective against melanoma -- or rather, the vitamin D your body produces in response to UVB radiation is protective.

As written in The Lancet:

"Paradoxically, outdoor workers have a decreased risk of melanoma compared with indoor workers, suggesting that chronic sunlight exposure can have a protective effect."


2010 - From the Environmental Working Group: After reviewing the evidence, EWG determined that mineral sunscreens have the best safety profile of today’s choices. They are stable in sunlight and do not appear to penetrate the skin. They offer UVA protection, which is sorely lacking in most of today’s sunscreen products. Mexoryl SX (ecamsule) is another good option, but it’s sold in very few formulations. Tinosorb S and M could be great solutions but are not yet available in the U.S. For consumers who don’t like mineral products, we recommend sunscreens with avobenzone (3 percent for the best UVA protection) and without the notorious hormone disruptors oxybenzone or 4-MBC.

 Scientists have called for parents to avoid using oxybenzone on children under 18 years old  due to absorbtion,  hormone disruption  and toxicity concerns (both for humans , animals and environmental health). 

Americans have been learning to dutifully apply sunscreens, hoping to ward off signs of premature aging, wrinkles, age spots and skin cancer.  Now there are questions whether the quidelines for sun protection ratings, ingredients and research created by the FDA back in 1978, are adequate or misleading. Considering the vast amount of research on the subject since then and the Environmental Protection Agency’s December 2009 announcement to update their guidelines (which hadn’t been attended to since the same time period, by the way), its causing a lot of us in the skincare industry to wonder, what have they been doing with tax payer dollars all this time? In 2010, 114,900 Americans were diagnosed with melanoma: the most dangerous form of skin cancer.  (2011, Dr. Mercola thinks that lesser skin cancers were actually reported as melanoma, skewing the statistics...)


The US Food and Drug Administration, meanwhile, has also been criticized for failing to approve new ingredients that are available in Europe.

Research is also questioning the safety of certain ingredients that have been widely used for years. Just recently, Senator Charles Schumer of New York called on the Food and Drug Administration to investigate reports suggesting a possible link between skin cancer and retinyl palmitate, now found in many sunscreen products.

This ingredient, a synthetic derivative of Vitamin A, has been in “anti-aging” skin care products for many years now and there has been controversy regarding the use of it in daytime products for just as long.  So to see it in sun protection products is very disturbing to an esthetician like myself that has warned consumers for over a decade now to read labels and watch for this – use retinol/retinolic acid, (Retin-A® the prescription cream), Retinyl Palmitate in night creams only.  Recently available data from an FDA study indicates retinyl palmitate, when applied to the skin in the presence of sunlight, may speed the development of skin tumors and lesions (NTP 2009). This evidence is troubling because the sunscreen industry adds vitamin A to 41 percent of all sunscreens.However, to be fair, the media has confused the category of “sun protection or sunscreens” with “daytime moisturizers” that just happen to have spf ratings due to the public demand for double duty: moisturize and protect.  The classification of Sun Protection should be specific to products men, women and children over age 6 months need to be applying to sun exposed skin for outdoor activities  (note: babies in particular should be protected from UV exposure by way of avoidance of sun exposure, protective clothing and umbrellas, not chemicals).

 May 24, 2010. EWG’s fourth annual Sunscreen Guide gives low marks to the current crop of sunscreen products, with a few notable exceptions. EWG researchers recommend only 39 – 8 percent – of 500 beach and sport sunscreens for this season. (*Note – update on database status)

The reason? A surge in exaggerated SPF claims above 50 and new disclosures about potentially hazardous ingredients, in particular recently developed government data linking the common sunscreen ingredient vitamin A to accelerated development of skin tumors and lesions.

Industry’s lackluster performance and the federal Food and Drug Administration’s failure to issue regulations for sunscreens lead EWG to warn consumers not to depend on any sunscreen for primary protection from the sun’s harmful ultraviolet rays. Hats, clothing and shade are still the most reliable sun protection.

Products with high SPF ratings sell a false sense of security because most people using them stay out in the sun longer, still get burned (which increases risk of skin cancer) and subject their skin to large amounts of UVA radiation, the type of sunlight that does not burn but is believed responsible for considerable skin damage and cancer. High SPF products, which protect against sunburn, often provide very little protection against UVA radiation.

Few people use enough sunscreen to benefit from the SPF protection promised on the label. Studies show that people typically use about a quarter of the recommended amount. Because sunscreen effectiveness drops off precipitously when under-applied, in everyday practice a product labeled SPF 100 actually performs like SPF 3.2, an SPF 30 rating equates to a 2.3 and SPF 15 translates to 2. Moreover, FDA scientists say SPF claims above 50 cannot be reliably substantiated.

This year, new concerns have arisen about a form of vitamin A called retinyl palmitate, found in 41 percent of sunscreens. The FDA is investigating whether this compound may accelerate skin damage and elevate skin cancer risk when applied to skin exposed to sunlight. FDA data suggest that vitamin A may be photocarcinogenic, meaning that in the presence of the sun’s ultraviolet rays, the compound and skin undergo complex biochemical changes resulting in cancer. The evidence against vitamin A is far from conclusive, but as long as it is suspect, EWG recommends that consumers choose vitamin A-free sunscreens.

So here's our own commentary:  What is the most desirable sunscreen product?  One that uses minerals like Zinc Oxide and Titanium Dioxide but not nano-sized particles, not micronized.  One that does not have any fragrance added ( not only because many products listing "fragrance/parfum" are hiding the dangerous Phthalates and because popular perfumes containing Bergamot cause hyperpigmentation to sun exposed areas of skin doused with colognes, after shaves, perfumes or perfumed lotions).  One with the simplest list of ingredients.  Remember, since you have to reapply any sunscreen every 1-2 hours depending on activity and exposure, spf 15-28 (where the natural ingredients range) is adequate.

When people use sunscreens that are natural in formula, and apply appropriately, diligently, they not only prevent skin cancers but the signs of premature aging due to sun and air pollution, without adding the ingredients that mess with our hormones, immune system or perpitrate free radical activity in the epidermis.  Don't forget, there's plenty of concern as to environmental issues around personal care and pharmeceutical ingredients in the watershed : they go down the drain from the shower, sink and toilet attached to your old skin cells!  So much for exfoliation...

"Unfortunately these natural formulas aren't being produced in great volume because the demand has been for high spf numbers and outrageous claims that the mainstream cosmetic companies have barraged us with in advertisements.  Even as I've been scouring the marketplace for natural skin care products, I find in September of 2011, instead, these big name brands at healthfood stores, children's stores and product displays and all mainstream drugstores.  Why do these rich brands still have questionable ingredients on their products?  It irritates me to no end that celebrities like Oprah, Ellen and Julia Roberts promote products that are dangerous while touting their concerns for pets and children and homemade baby food and dog food!  Read Campaign for Safe Cosmetics research online."  JMP

 


A very important reason to get annual check ups for skin cancer is that new forms are being discovered and the symptoms may vary a great deal!  If you've been a sun worshipper, you may need to do this twice a year to be safe.  Aggressive forms of cancer need to be treated early to save your life.  Here are exhibits of newly discovered type of skin cancer, Merkel Cell Carcinoma.  It's very aggressive, looks like a simple bruised lump under the skin and quickly spreads.  Three times as deadly as melanoma, rarely diagnosed as cancer, this is dangerous.  Read up about Merkel Cell Carcinoma.carcinomas on the head

RISK FACTORS FOR MERKEL CELL CARCINOMA: OVER 50 YEARS OLD, SUN TANNING FREQUENTLY (INDOORS OR OUTSIDE).

 

when allowed to grow undiagnosed...under the arm


Avoid using sun screen products near the eyes unless they are specifically formulated for such use.  Spf over 8 can sting the eyes even when applied 1" away - as chemical sun protection ingredients give off gas/fumes as they warm up on the skin.  Avoid getting any below the eye brows and above the cheekbone, wash hands before applying eye products.  Then apply sunscreen to the rest of the face.  Take special care with children that they don't rub sunscreen into their eyes.

Photo Damage" in relation to the skin usually refers to pigmentation changes (more accurately called hyper pigmentation) and sun damage (solar photo damage).  These are two closely related issues which manifest in color changes, wrinkles, flat and raised spots, deep facial lines, sagging tissue, crows feet around the eyes and other signs we refer to as "aging" of the skin.  While both result from sun exposure, each has other triggers as well.  The risk of skin cancer is a danger of unprotected exposure to the sun (and tanning beds) over time.  The increased occurrences of skin cancers have researchers around the world very concerned in 2006.  Lets look more closely at the issues because to be informed is to have a choice in the matter, are you going to take steps to protect yourself and your family to increase longevity and health?!  Or will you become a statistic in a treatable and preventable disease?

When I consult with new clients, I ask "how much sun do you get?"  and commonly the reply is "not much, I don't lay out in the sun".  When I ask them to list how many minutes they commute to work a day, work in the garden, ride a bike, take a walk, walk to the store, they are shocked at how the minutes add up for daily exposure!  Try this list yourself today and see what your answer would be!

Bad weather offers no refuge either. At the beach or on the slopes, for example, even on cloudy, cool, or overcast days, dangerous ultraviolet rays travel through clouds to reflect off sand, water, or snow.  Sun elevation: the higher the sun in the sky, the higher the UV radiation level. Thus UV radiation levels vary with time of day and time of year. Latitude: the closer to equatorial regions, the higher the UV radiation levels. Cloud cover: UV radiation levels are highest under cloudless skies but even with cloud cover, they can be high. Altitude: at higher altitudes, a thinner atmosphere absorbs less UV radiation.  Ozone: ozone absorbs some of the UV radiation that would otherwise reach the Earth's surface. Ground reflection: grass, soil and water reflect less than 10% of UV radiation; fresh snow reflects as much as 80%; dry beach sand about 15% and sea foam about 25%.  Did you know that a T shirt only gives you an SPF of 3?  Many burns happen through white T shirts - just look at men who work outdoors.  Now think about being stuck in traffic in your car with no hat on, no sun screen handy to apply while you sit there bathed in Ultra Violet light.

Read up on SPF research because right now the statistics are that the difference between SPF 30 and anything higher is only the value of SPF 3.  Screens loaded with chemicals may actually be harmful, especially with children, as they react with the sun, the heat, your skin, your moisturizer, your make up and your perspiration.  Patch test a new product on your neck, under your ear and check it over the course of 3 hours to see if rashes or bumps or irritations occur.  Keep your receipt and return to store if this is the case. 


It’s the fastest growing and most common form of cancer in the U.S. One in five Americans will develop it during his or her lifetime. And one person dies from a form of it almost every hour. What is it? Skin cancer. July 2010, estimated deaths at over 8750 from melanoma and 11790 from other forms of skin cancer.

   Generally, your risk of developing skin cancer increases as you age because the effects of sun damage accumulate over time. Until recently, the more treatable non-melanoma skin cancers were considered a problem for people over age 50. However, the occurrence of these cancers in younger adults has increased sharply.  Recently I spoke with a dermatologist who has had teen-agers come to his clinic with melanoma in late stage!  Teach your children to check their skin and create a healthful lifetime habit to save their lives.  Melanoma is the most diagnosed form of cancer in American women ages 24-29.  Young men are being diagnosed as young as 16 - especially out West from working outdoors on farms, ranches, construction...Their age group,15-29, melanoma is #2 most common skin cancer.

   More than 1 million Americans will be diagnosed with skin cancer this year, and the number of cases has tripled in women under 40 over the last three decades.  There are more new skin cancer cases each year than breast, prostate, lung and colon cancer combined

   Mayo Clinic researchers have documented the increase by tracking skin cancer incidence in adults under age 40 in southern Minnesota. Between 1976 and 2003, the incidence of basal cell skin cancers -- a non-melanoma skin cancer -- roughly tripled in women, to more than 30 women per 100,000. The rate slightly increased among men, from about 23 to nearly 27 per 100,000.  

   Typically, 90 percent of non-melanoma cancers develop on sun-exposed skin such as the head and neck. In the Mayo Clinic study, only 60 percent of the cancers were found on sun-exposed skin, leading to the suspicion that visits to the tanning booth might account for those cancers.

 


RISK FACTORS FOR MELANOMA SKIN CANCER:

Check Ups: annual mole checks by your dermatologist even if you do not live in a sunny region or even if you protect your skin by using sun screen products.  Twice a year if you spend a lot of time in the outdoors (this includes snow sports so don't think cold, snowy regions or vacations aren't risky).  If you have had a history of skin cancer, ask your doctor how often you need to be checked and schedule your appointments! Make your birthday an annual day of check ups for health!  Many doctors and hospitals have Free Cancer Screening events so watch your local newspaper for listings or call your local dermatologist. When you book any appointment to see a dermatologist for a skin cancer screening make sure you emphasis "full body check".  Otherwise they may schedule you for "a" mole check up meaning the doctor has only booked out enough time to look at 1.  Be specific.  You could also bring in a "map" you've drawn of your face, body to circle suspicious moles you have noticed. 

  Click here to learn how to do self exams monthly.


     Photo-protective clothing is also entering the mainstream as it grows more affordable and fashionable. Experts say people should buy clothes that were at least a SPF of 30. These fabrics usually hold up well in the wash for a few cleanings and  there are laundry additives to wash sun protection into clothing. Tightly woven fabrics like denim and polyester keep the rays from penetrating the skin.  Check out the internet for the many reputable brands that sell these.


Melanin Makes Skin Vulnerable To Harmful Ultraviolet Rays

Science Daily Blondes and redheads not only are more susceptible to skin cancer, but the source of their skin and hair pigmentation, melanin, actually magnifies the damaging effects of ultraviolet (UV) rays, according to a study published online this week in the Proceedings of the National Academy of Sciences.

Melanin filters out UV radiation, but the melanin in hair follicles, particularly in light hair, actually increases the sun damaging effects of UV rays and causes cell death in the hair follicle, said Douglas Brash, principal investigator and professor of therapeutic radiology, genetics and dermatology at Yale School of Medicine.

Brash said he had been curious why people with dark hair and fair skin were not as vulnerable to skin cancer as fair skinned blondes and redheads. "I wondered if it was related to the melanin," he said.

Brash's laboratory used mice engineered with pigmentation for yellow or black hair, as well as albino mice with no pigment at all. The researchers then irradiated the mice with UV rays that are about the same as what breaks through the ozone layer, affecting humans.  The cell death was concentrated around the hair follicles, which are the only location of melanin in mice. Dying cells were particularly pronounced in the yellow-haired mice and was absent in albinos.

"What this tells us is that melanin is not only good for you, it also can be bad. It depends on the color of your particular melanin," Brash said. "Even red melanin can vary widely, depending on whether your ancestors were Irish, Swedish or Dutch, and some of these variations are known to be associated with greater risk for skin cancer."


BBC News              Dark Skin Does Not Block Skin Cancer

  All sunscreen products must be reapplied every hour to 2 hours depending on activities or location to water, which washes off the active ingredients. 

  Apply a visible film of sun screen products, and for darker complexions, look for the new "invisible" lotions that don't leave white streaks.

Contrary to common perception, people with dark skin are more likely to die from skin cancer than those with fairer skin, warn US researchers.

Although the disease is less common, when it does occur it is typically more aggressive and diagnosed later, which leads to more deaths, they explain.  The Cincinnati University work is a warning to anyone who wrongly assumes skin tone makes some immune to cancers.  Experts advise people of all races to protect their skin from sun damage.

Misconception

Lead researcher Dr Hugh Gloster said: "There's a perception that people with darker skin don't have to worry about skin cancer, but that's not true.  "Minorities do get skin cancer, and because of this false perception most cases aren't diagnosed until they are more advanced and difficult to treat.

"Unfortunately, that translates into higher mortality rates."

He said it was true that the extra pigment in darker skin did afford some added protection against the sun's harmful UV rays and that darker skin is, therefore, less susceptible to sunburn.  But he said this should not lull people with darker skin into a false sense of security.  Dark skin has increased epidermal melanin which provides a natural skin protection factor (SPF) - a measure of how long skin covered with sunscreen takes to burn compared with uncovered skin.

Very dark, black skin has a natural SPF of about 13 and filters twice as much UV radiation as white skin, for example.

Sun protection

However, health experts advise people to use sunscreen with an SPF of at least 15.  Dr Gloster told a meeting of the American Academy of Dermatology in San Diego that doctors should make sure that all of their patients, regardless of race, use sunscreen and self-check for skin cancers.

This study shows that even people with darker skin need to be aware of the signs of skin cancer
Ed Yong, cancer information officer at Cancer Research UK

Malignant melanoma, the most aggressive form of skin cancer, can present differently in different races.  Fairer-skinned people may notice a change in a sun-exposed mole, whilst darker-skinned people might develop the cancer on areas protected from the sun such as the soles of the feet.

There are over 70,000 new cases of skin cancer diagnosed each year in the UK, making it the most common type of cancer.

Ed Yong, cancer information officer at Cancer Research UK, said: "This study shows that even people with darker skin need to be aware of the signs of skin cancer.  "Although those most at risk of skin cancer are people with fair skin, lots of moles or freckles or a family history of the disease, it is also important for black people to check their skin regularly.  "Black people are most likely to develop skin cancers on the palms of their hands or the soles of their feet."

"Checking your skin for unusual changes is crucial as it can mean that the disease can be spotted earlier, when it is easier to treat."


Sunscreen lotions may not protect against skin cancer, according to a study by British doctors...Study published July 2006:

They have found some leading brands fail to stop the sun's damaging rays from penetrating the skin.   Writing in the Journal of Investigative Dermatology, they said further research is needed to see what, if any, creams are effective.   The doctors said staying out of the sun or covering up when outside is the best way to protect against skin cancer.

Editor's note, January 2008:  did the study investigate the fact that people may just not be applying the products according to manufacturers instructions?  I have noted thousands of customers, friends, relatives and acquaintances over the past 25 years who just don't take it seriously and are lax in using their products, if they even own a sunscreen.

August 2008:  USA news agencies have alerted the media that top selling American brands have sold ineffective sunscreens to us for years!  That these companies suggested in their advertising and labeling that their sunscreens last all day.  This is not true of any product worldwide today.


Sunscreen Can Damage Skin if Applied Infrequently  - Study published August 29, 2006 (and backed up in August 2008 with new study findings).

     When used properly, sunscreens are proven to prevent skin damage. But if not applied often enough, a sunscreen can actually enhance skin damage, according to a new study.   

Ultraviolet (UV) radiation from the sun is absorbed by skin molecules and generates reactive oxygen species, or ROS molecules, which cause visible signs of aging by damaging cell walls and the DNA inside them. Too much sun, especially in childhood, increases the risk of skin cancer.   Sunscreens contain UV filters that block radiation from penetrating below the outer skin later, called the epidermis.   But over time, the filters themselves penetrate deeper into the skin, allowing more UV radiation in.   Then things get worse.

In the new study, scientists found that three widely used, FDA-approved UV filters (octylmethoxycinnamate, benzophenone-3 and octocrylene) actually generate ROS in skin when exposed to ultraviolet radiation. So the sun damage  is multiplied when the sunscreen has been on too long.   "Sunscreens do an excellent job protecting against sunburn when used correctly," said chemist Kerry Hanson of the University of California, Riverside. "This means using a sunscreen with a high sun protection factor [SPF] and applying it uniformly on the skin. Our data show, however, that if coverage at the skin surface is low, the UV filters in sunscreens that have penetrated into the epidermis can potentially do more harm than good."  Hanson and colleagues applied sunscreen to model skin tissue and imaged its travels into deeper layers and the effects.  "More advanced sunscreens that ensure that the UV-filters stay on the skin surface are needed," Hanson said.  Also, the researchers note that while most sunscreens block one wavelength-band of ultraviolet radiation, called UVB, few block the deeper-penetrating UVA. The federal government just approved in July a UVA blocker for use in the United States.

Meanwhile, the scientists have passed along the advice of the Skin Cancer Foundation, which recommends reapplying sunscreen every two hours, and especially after sweating or swimming.

September 2008: It has been brought to my attention that to get a sunscreen product mentioned in the Skin Cancer Foundation's periodical, a manufacturer is required to make substantial contributions to the fund raising of this organization.  jmp


   Patented sunscreen  Mexoryl is the only chemical known to block all UVA rays and some UVB rays.  Mexoryl can protect skin from sunburn by itself, but it must be combined with other active sunscreen agents to gain an official SPF rating. Sunscreens based on mexoryl have been available in Canada, Europe, and other parts of the world since 1993, and became available in the USA in 2006.  Available only in brands owned by L'Oreal Cosmetics, holders of the US Patent.   

I prefer broad spectrum, natural ingredients like Zinc Oxide and Titanium Dioxide, minerals,  which are actually good for your skin and safety studies have always been credible.  I will advise my clients to purchase a Mexoryl product if they are vacationing in the tropics, mountain climbing or going to the desert for several days, but generally speaking, research scientists continue to back the effectiveness and safety factors of these 2 mineral sun screens.   jmp


   There are new tools to help stay safe in the sun, including so-called "sunscreen pills."

  "Basically, these pills are made up of  beta carotene and vitamin antioxidants. Antioxidants are known to help protect the skin against the DNA damage the sun can create," said Paula Bourelly, a Maryland dermatologist. "There's nothing wrong with these pills, per se. There haven't been enough studies on their effectiveness as yet, and they don't replace sunscreen."

   Dermatologist Dr. Howard Murad has a daily supplement that has proven successful with several years on the market now, PomPhenol®

  


The ABCDE's of Moles & Melanoma

   Moles, brown spots and growths on the skin are usually harmless — usually, but not always. Anyone who has more than 100 moles is at greater risk for melanoma. The first signs can appear in one or more of these moles. That's why it's so important to get to know your skin very well. Examine the skin all over your body once a month and have a physician check you over once a year.  Learn about the newest, most aggressive form of skin cancer to be identified: Merkel Cell Carcinoma and ask your doctor to look for it.

 

Asymmetry

If you draw a line through this mole, the two halves will not match, meaning it is asymmetrical, a warning sign for melanoma.

 

Border

The borders of an early melanoma tend to be uneven. The edges may be scalloped or notched.

 

Color

Having a variety of colors is another warning signal. A number of different shades of brown, tan or black could appear. A melanoma may also become red, white or blue.

 


Diameter

Melanomas usually are larger in diameter than the size of the eraser on your pencil (1/4 inch or 6 mm), but they may sometimes be smaller when first detected.

 

Evolving

When a mole is evolving, see a doctor. Any change — in size, shape, color , elevation, or another trait, or any new symptom such as bleeding, itching or crusting — points to danger.  Perform regular check ups at home, looking at the scalp, in the nostrils, the mouth and lips, behind the ears, pull the eyelids to look at the eyeballs and look between toes and fingers.  See a dermatologist as soon as possible if you have these symptoms.

 Danger Signs of Malignant Melanoma
• Change in color, especially multiple shades of dark brown or black; red, white and blue,
• Change or spreading of color from the edge of the mole into surrounding skin.
• Change in size, especially sudden or continuous enlargement.
• Change in shape, especially development of irregular margins or border.
• Change in elevation, especially sudden elevation of a previously flat mole.
• Change in the surface texture of a mole, especially scaliness, erosion, oozing, crusting, ulceration, or bleeding.
• Change in the the surrounding skin, especially redness, swelling, or new moles.
• Change in sensation, especially itching, tenderness, or pain.


Check the expiration date on all your sun protection products, including your daily moisturizer, your make up products and hair styling items that list spf on them.  While zinc oxide and titanium dioxide are minerals and do not expire, any chemical sun screen ingredients have a shelf life.  The average American has a 3 year old, worthless tube of sunscreen rolling around in a drawer or under the drivers seat of the car!


News Report 

  LAWSUIT MAY DISCOURAGE SUNSCREEN USE

The Skin Cancer Foundation Encourages Continued Use of an SPF 15 as Part of an Overall Sun Protection Program

     The suits state that manufacturers are making deliberately fraudulent and misleading claims on their labels and websites and in their advertising and seeks an injunction on the claims, compensation for consumers and other remedies, including a public education program concerning sun protection paid for by the industry.

     "The  Foundation has worked tirelessly educating the public about the importance of using sunscreen as part of a complete sun safety regimen and we are finally seeing the results of our efforts," said Perry Robins, MD, President and Founder of The Skin Cancer Foundation. "This lawsuit is especially disturbing because it may cause people to stop wearing sunscreen."   The American Academy of Dermatology suggests that, regardless of skin type, a broad-spectrum (protects against UVA and UVB rays) sunscreen with a Sun Protection Factor (SPF) of at least 15 should be used year-round.  All sunscreen agents need to be reapplied every hour or two of exposure to sun light regardless of brand, spf number or active ingredients.

Revised regulations for sunscreen labeling expected soon from FDA (American Food and Drug Administration, which regulates cosmetics for safety).

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