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SKIN CANCER PREVENTION May 2011 PART ONE Background Information What is Skin Cancer? Cancer that forms in tissues of the skin Several types of skin cancer Most form in older people on parts of the body exposed to the sun or in people who have weakened immune systems 3 Sun Smart Saskatchewan May 2011 Skin Cancer Statistics – Canada Most common form of cancer in Canada An estimated 79,600 Canadians will be diagnosed with skin cancer in 2011 o 5,500 diagnosed with melanoma o 74,100 diagnosed with non-melanoma skin cancer An estimated 1,220 deaths from skin cancer will occur in 2011 o 950 from melanoma o 270 from non-melanoma skin cancer 4 Sun Smart Saskatchewan May 2011 Skin Cancer Statistics – Saskatchewan Of 8,930 new cancer cases in 2008 o 3,102 were skin cancer cases 138 melanoma skin cancers 2,964 non-melanoma skin cancers 24 people died of melanoma in 2008 5 Sun Smart Saskatchewan May 2011 What Causes Skin Cancer? Sun exposure is the main environmental cause of skin cancer o Ultraviolet radiation (UVR) is the solar wavelength involved – UVA & UVB o Most significant preventable risk factor for developing skin cancer Artificial tanning equipment – tanning beds, sunlamps, tanning lights – also emit ultraviolet radiation 6 Sun Smart Saskatchewan May 2011 Types of Skin Cancer Non-melanoma o Basal cell carcinoma (BCC) o Squamous cell carcinoma (SCC) Melanoma 7 Sun Smart Saskatchewan May 2011 Basal Cell Carcinoma (BCC) Most common form of skin cancer Occur on parts of the body excessively exposed to the sun, especially the face, nose, ears, scalp, neck, shoulders and back Seldom metastasizes (spreads) however causes considerable damage to tissue Easily treated in the early stages however can be aggressive requiring extensive treatment 8 Sun Smart Saskatchewan May 2011 Squamous Cell Carcinoma (SCC) Second most common form of skin cancer Occurs most commonly in areas frequently exposed to the sun such as, the rim of the ear, lower lip, face, bald scalp, neck, hands, arms and legs If untreated can penetrate tissue causing damage and metastasize (spread) to distant parts of the body With early detection almost always curable 9 Sun Smart Saskatchewan May 2011 Melanoma Most dangerous form of skin cancer Can cause serious illness and death Majority of melanomas are brown or black however some are skin-coloured, pink, red, purple, blue or white If treated early it is nearly curable however if not it can advance and spread 10 Sun Smart Saskatchewan May 2011 ABCDEs of Melanoma A = Asymmetry o The shape on one side is different than the other side B = Border o The border or visible edge is irregular, ragged and imprecise C = Colour o There is a colour variation with brown, black, red, grey or white within the lesion D = Diameter o Growth is typical of melanoma. It is usually more than 6 mm although it can be less E = Evolution o Look for change in colour, size, shape or symptom such as itching, tenderness or bleeding 11 Sun Smart Saskatchewan May 2011 5 Steps to Skin Cancer Self-Exam 1. 2. 3. 4. 5. 12 Using a mirror in a well lit room, check the front of your body – face, neck, shoulders, arms, chest, abdomen, thighs and lower legs. Turn sideways, raise your arms and look carefully at the right and left sides of your body, including the underarm area. With a hand-held mirror, check your upper back, neck and scalp. Next examine your lower back, buttocks, backs of thighs and calves. Examine your forearms, palms, back of the hands, fingernails and in between each finger. Finally, check your feet – the tops, soles, toenails, toes and spaces in between. Sun Smart Saskatchewan May 2011 Risk Factors for Skin Cancer Exposure to solar or artificial ultraviolet radiation Sunburns particularly during childhood and adolescence Fair or light skin pigmentation Lighter hair colour (blond or red) Lighter eye colour (blue, green, grey) Tendency to freckle, tan poorly and burn easily Family or past history of skin cancer Large number of moles or with one or more unusual moles Take medications that make one more sensitive to the sun 13 Sun Smart Saskatchewan May 2011 Vitamin D Sun is a main source of Vitamin D Amount of sun needed to make Vitamin D changes from person to person o It depends on age, diet, skin colour, where you live, time of day, and time of year o A few minutes a day is usually all that is needed for most people Prolonged sun exposure or a tan is not needed to get enough Vitamin D 14 Sun Smart Saskatchewan May 2011 Sun Smart Saskatchewan Established in June 2009 Vision – aware and engaged communities throughout Saskatchewan actively preventing skin cancer Create awareness of the risk for skin cancer from ultraviolet radiation exposure Encourage other organizations, groups and individuals to increase skin cancer prevention efforts 15 Sun Smart Saskatchewan May 2011 Questions 16 Sun Smart Saskatchewan May 2011 For More Information Contact… Sun Smart Saskatchewan via: Saskatchewan Cancer Agency Prevention Department Population Health Division 400 – 2631 28th Avenue Regina, SK S4S 6X3 P: 306-359-5877 www.saskcancer.ca 17 Sun Smart Saskatchewan May 2011