When I was young, having a tan was a must have in order to look healthy. We never used sun screen. In fact, I don’t think it was invented yet. Those long days at the beach were spent collecting vitamin D, a tan, and a good feeling from being in the warm sun all day. It was either enjoy life or stay hidden in our fallout shelters afraid of nuclear annihilation. No wonder we lived in such bliss then.
As they grew older my dad, mom and sis developed skin cancer. It recently happened to me. As I write this, the stitches on my forehead from the removed squamous skin cancer are beginning to throb. The boil on my head that never wanted to go away tested positive for cancer and was removed.
If you’ve never had skin cancer it begins like this. When you’re young, you enjoy your time in the sun. As you get old, your skin starts looking downright motley. Like different colors of white, tan, and dark brown. Then you may get a sore or something like a boil that just doesn’t go away. In my case there was skin around the boil that felt numb. That was my clue that something was wrong.
The most common kinds of skin cancer is basal cell cancer. It affects 800,000 Americans each year. Basal cell cancers arise in the basal cells, which are at the bottom of the epidermis (outer skin layer). Until recently, those most often affected were older people, particularly men who had worked outdoors. Although the number of new cases has increased sharply each year in the last few decades, the average age of onset of the disease has steadily decreased. More women are getting basal cell cancer than in the past; however, so far this has been a mostly man’s cancer. Basal cell cancer may look like a sore that just doesn’t want to go away.
Squamous cell carcinoma is the second most common skin cancer after basal cell carcinoma. It affects more than 200,000 Americans each year. It arises from the epidermis. Although squamous cell carcinomas usually remain confined to the epidermis layer of your skin, if untreated they can penetrate the underlying tissues and spread to distant tissues and organs. When this happens, they can be fatal. Squamous cell carcinomas that metastasize most often arise on sites of chronic inflammatory skin conditions or on the mucous membranes or lips.
Melanoma is the most serious form of skin cancer. But, if diagnosed and removed while it is still thin and limited to the outermost skin layer, it is almost 100% curable. However, if the cancer advances and spreads to other parts of the body, it is hard to treat and can be deadly.
During the past 10 years the number of cases of melanoma has increased more rapidly than that of any other cancer. Over 51,000 new cases are reported to the American Cancer Society each year, and it is probable that a great many more occur and are not reported. If you have a strange-looking, irregular shaped mole, don’t mess around. Have it looked at by your doctor.
Melanoma comes in four flavors:
Superficial spreading melanoma is by far the most common type, accounting for about 70 percent of all cases. This melanoma travels along the top layer of the skin for a fairly long time before penetrating more deeply. You can identify it by the appearance of a flat or slightly raised discolored patch that has irregular borders and is somewhat geometrical in form. The color may vary, and you may see areas of tan, brown, black, red, blue, or white. Sometimes an older mole will change in these ways. Or a new mole may arise with these attributes. Melanoma can be seen almost anywhere on your body, but is most likely to occur on the areas of your back or stomach if you are a man. In women it usually appears on the legs or upper back.
Lentigo maligna is similar to the superficial spreading type, as it also remains close to the skin surface for quite a while, and usually appears as a flat or mildly elevated mottled tan, brown, or dark brown discoloration. This type of melanoma is found most often in the elderly, arising on chronically sun-exposed, damaged skin on the face, ears, arms, and upper trunk. Lentigo maligna is the most common form of melanoma in Hawaii. Lentigo maligna melanoma is the insidous form.
The third type of melanoma, acral lentiginous melanoma, also spreads superficially before penetrating more deeply into your skin. It is quite different from the others, though, as it usually appears as a black or brown discoloration under the nails or on the soles of the feet or palms of the hands. This type of melanoma is sometimes found in dark-skinned people. It is the most common melanoma in African-Americans and Asians, and the least common among Caucasians.
Unlike the other three types, nodular melanoma has usually spread by the time it is diagnosed. The malignancy is recognized when it becomes a bump. The color is most often black, but occasionally is blue, gray, white, brown, tan, red, or skin tone. The most frequent locations are the trunk, legs, and arms, mainly of elderly people, as well as the scalp in men. This is the most aggressive of the melanomas, and is found in 10 to 15 percent of cases.
If you know of anyone who has a strange-looking mole—talk them into having it looked at by a doctor. Better to have a slight scar from early removal than to be taking chemotherapy because you put it off.. Here are some websites for learning more about skin cancer.
http://www.skincancer.org/self_exam/spot_skin_cancer.php
http://www.nlm.nih.gov/medlineplus/skincancer.html