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Mission Hospital
Community Skin Cancer Screening Report for FY: 2014 - 2016
Scope: Skin cancer will affect 1 in 5 Americans. Of the skin cancers, basal cell and squamous cell carcinomas are the
most common. The most deadly skin cancer, melanoma, occurs less often but is increasing in prevalence. It has an
incidence rate in Orange County of about 40 per 100,000 populations (2005-2009). Mission Hospital’s service area
lies in sunny southern Orange County and encompasses many beach communities where sun exposure is high. The
2011 Community Needs Assessment in Laguna Beach revealed that residents in that seaside community considered
skin cancer to be one of their top concerns. Because malignant melanoma can be deadly, and because the number of
new melanoma cases has been steadily increasing over the past several decades, early detection and treatment of the
disease is critical. “The only widely proposed screening procedure for skin cancer is visual examination of the skin,
including self-examination as well as clinical examination. In asymptomatic populations, the effect of visual
examination on mortality from non-melanomatuous skin cancers is unknown.” (National Cancer Institute, 2012)
Research from the American Academy of Dermatology finds that half of all screened would not have had themselves
screened if not for the free screening. Further research by Boston University for the past ten years, shows that when
lesions detected by the screenings were compared with those reported in SEER (Surveillance, Epidemiology and End
Results Registry), screenings found cancers before they reached more advanced stages (American Academy of
Dermatology, 2011). Public skin cancer screenings can produce other benefits. The Agency for Healthcare Research
and Quality noted in 2007 that people who underwent a skin examination by a physician were more likely to perform
their own self-examinations. A case-control study detected a reduced risk of melanoma and reduced mortality from
melanoma associated with skin self-examination. And they noted that non-melanoma skin cancer, which is not usually
lethal except in transplant patients, if diagnosed early, results in less extensive surgery and/or radiation therapy on
highly visible sites such as the head and neck.” (The Agency for Healthcare Research and Quality, 2007)
Services Available
Services and interventions provided are based on the evidence-based American Academy of Dermatology yearly
guidelines for melanoma/skin cancer screenings. (“SPOTme Skin Cancer Screening--2016 Program Guidelines,” AAD,
2016.)
Two free, public skin cancer screenings are held each year—one at Mission Hospital in Mission Viejo and one
in Laguna Beach.
Being a Catholic hospital, concern for the poor and underserved is primary to the ministry of Mission
Hospital. Therefore, extensive outreach activities are performed in the low income, underserved
communities. However, the skin cancer screening is open to all and is marketed to all.
A follow-up process is developed and in place to follow-up with presumptive positive findings and
recommendations for biopsies. Medical homes will be found for those without health insurance or a
physician.
AAD skin cancer prevention printed materials are available at the screening in English and Spanish. A
prevention video including sun screen and self-exam information runs nearly continuously.
31872 Coast Hwy
T: (949) 499-1311
•
Laguna Beach, CA92651
www.mission4health.com
A Ministry founded by the Sisters of St. Joseph of Orange
Data from 2015-2016 Skin Cancer Screenings:
FY2014
October 2013
Laguna Beach Presbyterian Church
Participants: 77
Presumptive Cancer
# Found
%
Diagnosis
Basal Cell Carcinoma
12
16%
Squamous Cell
8
11%
Carcinoma
Melanoma
1
2%
Dysplastic nevus
w/recommended
Biopsy or F/U care
5
April 2, 2014
Mission Hospital, Mission Viejo
Participants: 79
Presumptive Cancer
# Found
%
Diagnosis
Basal Cell Carcinoma
12
15%
Squamous Cell
4
4%
Carcinoma
Melanoma
2
2.5%
7%
Dysplastic nevus
w/recommended
Biopsy or F/U care
6
7.5%
FY2015
September 30, 2014
Laguna Beach Presbyterian Church
Participants: 88
Presumptive Cancer
# Found
%
Diagnosis
Basal Cell Carcinoma
8
10
Squamous Cell
3
3.5
Carcinoma
Melanoma
2
2
Dysplastic nevus
w/recommended
Biopsy or F/U care
12
April 2015
Mission Hospital – Mission Viejo
Participants: 72
Presumptive Cancer
# Found
%
Diagnosis
Basal Cell Carcinoma
9
13%
Squamous Cell
1
1.5%
Carcinoma
Melanoma
3
4%
13.5
Dysplastic nevus
w/recommended
Biopsy or F/U care
8
11%
FY2016
September 17, 2015
Laguna Presbyterian Church
Participants: 79
Presumptive Cancer
# found
%
Diagnosis
Basal Cell
14
18 %
Carcinoma
Squamous Cell
1
1.2 %
Carcinoma
Melanoma
3
4%
Dysplastic Nevus
w/recommended
biopsy or f/u care
4
31872 Coast Hwy
T: (949) 499-1311
5%
•
March 28, 2016
Mission Conference Center - Mission Viejo
Participants: 83
Presumptive Cancer
# found
%
Diagnosis
Basal Cell
6
7%
Carcinoma
Squamous Cell
2
2.5%
Carcinoma
Melanoma
0
0%
Dysplastic Nevus
w/recommended
biopsy or f/u care
7
8%
Laguna Beach, CA92651
www.mission4health.com
A Ministry founded by the Sisters of St. Joseph of Orange