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BECOME A SKIN CANCER DETECTIVE May 2013 HEALTH E-NEWS Do Not Forget These Other Great Resources: Healthwise® Handbook, the 24-Hour Nurse Line, Nurse Online Chat, Audio Health Information Library® and you can go online to www.express-health.com for links to reliable health information. Challenge: Perform a full head to toe skin examination to yourself and continue this practice every month to detect any changes you may notice. SOURCES: Skin Cancer Foundation: www.skincancer.org Early detection of any cancer is crucial and skin cancer is no exception. If skin cancer is identified early it is almost always curable. If you know what to look for and perform monthly head to toe self examinations, you will have a greater chance of beating the odds. PRE-CANCERS Actinic Keratosis: Also known as solar karatoses, is the most common form of pre cancer. They are scaly, crusted lesions that are at times elevated and resemble a wart. You will most likely find these on sun exposed areas, like back of hands, face, and bald heads. Many become red but some are pink, tan, or flesh toned. Dysplastic Nevi: Benign, but unusual moles that look like Melanoma. People with this pre cancer are at an increased risk of developing melanoma or may already have melanoma. CANCERS Basal Cell Carcinoma (BCC): BCC is the most common form of skin cancer found. They are lesions formed on the basal cells of the skin forming deep in the epidermis, or outermost layer of skin. They look like open sores, red patches, pink growths, shiny bumps, or scars. Squamous Cell Carcinoma (SCC): SCC is the second most common form of skin cancer found. They appear similar to BCC in that they look like open sores, red patches elevated on the skin like warts. The difference is they originate on the squamous cells, which are the outermost layer of the epidermis. Melanoma: The most dangerous form of skin cancer caused when exposure to UV rays triggers genetic mutation in the skin resulting in malignant tumors. These tumors originate in the pigment and create growths on the skin that appear to be abnormal moles. The majority of Melanomas are black or brown but can be pink, red, blue, white or skin colored. As you can see, it is difficult to identify a normal skin lesion from an abnormal sign of cancer. It is recommended to have an annual full body skin examination by your physician or dermatologist, in addition to performing monthly self skin evaluations. Be sure to examine your entire body not ignoring between fingers and toes, the scalp, and the genitals. Follow the ABCDE’s and the ugly duckling rules to help identify cancerous skin growths. 8200 Haverstick Road, Suite 150 Indianapolis, Indiana 46240 MAIN: 317.573.7600 FAX: 317.573.7667 TOLL-FREE: 888.573.1568 www.express-health.com www.spectrumhs.com THE ABCDE’S: A = Asymmetry: Any skin growth where its two halves do not match. B = Border: Any skin growth with uneven or notched borders. C = Color: Any skin growth that appears pearly, translucent, tan, brown, or multicolored with reds and blues. D = Diameter: Any skin growth with a diameter larger than the eraser of a pencil or larger than 6mm (1/4 in). E = Evolution: If you notice any change in a skin growth’s size, color, elevation, shape, or any other trait. Also, any symptom such as itching, bleeding or crusting is a sign of danger. THE UGLY DUCKLING RULE: Refers to the “ugly duckling” in a group of skin lesions. If one mole, freckle, or skin growth of any kind looks obviously different from the rest, this is likely a sign of skin cancer.