Skin Cancer

Jul 22, 2011|

Dr. Ilene Rothman and a melanoma survivor discuss skin cancers.

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Automatically Generated Transcript (may not be 100% accurate)

This is Roswell. Rookie by Roswell Park Cancer Institute. Your team opinion or your total options. Your host him -- Welcome back to Roswell listen comprehensive look at all aspects of cuter here treatment diagnosis and research from a comprehensive source Roswell Park Cancer Institute here in both. -- in New York I'm Tim Wenger today we're going to talk about skin cancer the most common of all cancers and we'll go. Very in depth we'll talk about handing we will talk about melanoma the most dangerous of of the skin cancers with doctor Eileen Rothman. And more on her in just a moment and also the show coming to you from Roswell park where this week. US news and world report has once again ranked Roswell park. As one of the nation's fifty best cancer hospitals and it's 201112. Annual list. Last year Roswell as ranking 33 this year advancing. Way up the skills -- and number 27 so congratulations to. The entire team at Roswell park if you'd like to read more about. Those rankings and the listings from US news you can do so -- the Roswell site. Roswell park dot org doctor Eileen Rothman in studio today and she is an assistant professor in the department of dermatology at Roswell park. Doctor -- thank you so much for coming in appreciate the time thank you for having me congratulations on being part of that team that. Is walking right up the rankings there US news thank you it's only you know it's just one barometer but it's always it's nice satisfaction to. You know see such examiner community like Roswell -- some recognition you know indefinitely for something like that. Skin cancer I think it's. It's eye opening I think to many of us when when I read. On a fact sheet here that it's the most common of all cancers. It really is is. Remarkable one in five Americans. We'll develop skin cancer in their lifetime. And I know there are very distinct differentiation of the -- saw it -- like to spend just a few moments. What those different types are and what we need to know about them. Well there's three main types of skin cancer the most common is basal cell skin cancer -- second most common screen the sound now -- basal cell. Virtually never -- -- sciences so it's not written in time as a deadly cancer ballistic can be. To forming nonetheless this from the surgery people come on their face a lot. On so it's it's not very common. Those famous so it is another skin cancer and occasionally metastasized. But I normally usually doesn't and then melanoma which is the most Orleans skin cancer since the least common but. I'm still -- gain more and more common over the last -- 3040 years since insists that kind of skyrocketed. And how how -- become so you said there is and ten million new skin cancers. Applicant the whole group. A year. And there's it's. Thought that in 2000 Lebanon's -- 70000 new -- so it's quite common. 160 Americans -- -- non. It's remarkable incident it is indeed eye opening and something. That I think we were all aware of that we don't do much about it it seems that. You know with you know different cancers there are screening you know screenings that we go through you know it annually perhaps that are regular. Primary physician visit. Are we screening enough for these different types of skin cancers. I think awareness has increase in the American Academy of Dermatology has worked hard on that can over the past 1020 years and increasing awareness of more people are coming in to get your skin checked plus times is people who haven't you know and a family member or friend. Who was diagnosed with skin cancer and it gets some love what we're learned an income and to have themselves checked on their -- there are the American commander until she's a sponsor screenings. Also every year. So it is I think people are becoming more aware. I mean well the problem is people's. Habits in the sun haven't really changed a lot in fact -- with the availability obtain -- Hello that's gotten worse. Let's talk about melanoma -- it and I think a lot of us you know we'll look at her skin and we'll see you know certain markings that we've had for a long time. What am -- looking for. When I look at my skin my family members can what are you looking for him when you when you look at someone for you know possible trouble science. The main thing -- think about in terms of melanoma is a BC DE used to be AB CD and that He was added a few years ago. So. And shortly NSA is asymmetry. In once and we look at a mall once actually -- the other side. Dean supporters should be smooth and not monster regular C is color should be uniform color not multi colored. Indeed diameter on the history said that about six millimeters. -- started the alarm for melanoma and that's not quite a case in more than a smaller definitely smaller melanoma has been diagnosed now. And He is the new parameter which stands for evolution some change and us sought to me the most important thing for people look -- so. Wants us to tell people don't look at their skin every month and they feel like. They have no idea what they're looking for. But just looking at your skin every month -- it gradually develop a mental picture and you will notice -- something changes. Any of those AB CD or. And of itself doesn't mean you have -- -- -- -- -- of panic and means to get it checked out I was gonna she's in Moscow and I'll look and -- Yeah -- AB CD you know nobody you know any evolution might be more of -- you know hair raising. You know symptom but. So I mean if anyone's listening out there and are looking themselves over they don't need to panic -- -- And they should get checked out or maintain those are those are reasons -- -- checked. We might very well look at it knows dermatologists look at his skin lesion. That brought you -- -- saying that it's fine of course it does bring people and then sometimes they find something else you know -- Those -- the premise for melanoma but. You know faceless dollar scanner -- skin cancer richer more common there essentially -- -- -- source of our he'll lean or a little. Shiny growth on the skin. At times it is usually some exposed areas -- face. Years. There's a lot we know about different kinds of cancers and there's a lot we don't know what do we know about what causes melanoma -- one person gets it and find someone else might not. Well there's definite risk factors that were aware of and then there's there's certainly unknowns like with any other cancer. We do know that there's some in some -- some hereditary component. History. Sun damage. Particularly. As personal moment goes severe sunburn and blistering sunburn even one can increase your risk. I'm people who have chronic sun exposure socialist or something like cars more. Someone who works outside like -- a farmer someone you know anyone who -- -- and and and then now -- -- have a definite. Information that's handing potentially increase the risk of melanoma there was a study on a couple of years ago. There's been an impartial evidence that there was an good studies. Bigger study a couple of years ago that showed that tanning increases your risk of melanoma by -- Sony 5%. So -- it's you know and now we know that. Doesn't mean men on people necessarily stopped and everyone still wants that. A lot of people still of that and it's hard to change people's habits. And even more making of the word on them. You know the least changed to have something you know when we go out. In the Sinai a lot of the sun and you know I I just one minute I could burn if I don't put something on a minute I'm under fair. Some people just naturally -- you know -- the -- of the complexion that -- themselves. Are they safer than I am I mean is how does that work from a complexion standpoint in you know you know say unprotected skin. -- Supersonics and silly and a darker skin types of content can skin cancer. As easily and and it certainly don't burn as easily plan. On the other hand you know you don't wanna be complacent and. Beyond a darker skinned person can still can't just wink and skin cancers can -- melanoma. Com this is unknown factors as well people get melanoma and places that are covered it look and melanoma on palms and soles. And the sun can actually damage the skin. Fine even if you're not burning so -- hand if you have attend. That's a sign this into and damaged you know so even in dark -- person -- that are here in the sun very important for everybody. News since yeah our society with with you know appearances in the sun seems to be you know pretty superficial and indeed in many regards. -- what do you think -- and they noticed recently medication. You know -- Florida on the beach and as I was running on the beach looking at. I mean. You could -- walked across people -- so. Crowded and one you know and they're just laying there in the sun and you know everybody doesn't have sun screen -- -- what do you think about what you think when you see those images or in person. You know I I used to being here and Exxon worship prayer when Aniston you know kid and teenager and into my twenties. And you know now. You know certainly since He entered colleges and aliens -- -- on scene when that happens to people from sun damage. You know I think you just have to change your mindset. And I feel you know now I -- I go to the beach now I try to avoid the military. I don't spend all my time working on an even ten -- turnover I can sit and read a book. -- so it's it's an annoyance a little deliberating you don't have to you know you're not thinking about trying to against us hand. I'm so you want you know you can still enjoy your subject and so go to the beach. On the unit you know not going to military wants an underground and you wanna be -- applying sunscreen every two hours. Doesn't ruin the enjoyment and you know you're protecting yourself. And it will get entertaining and just a minute -- one more on this and they quote unquote natural. Tending or burning. Ability sun screens. You know many of us use them. I think you're gonna recommend that we do but what do we know about sun screen and and how it helps in perhaps preventing. Any skin cancer and particularly melanoma. Tom will sunscreen you wanna note that in the number on the sunscreen -- everybody's familiar with the SPF or sun protection factor. It applies to the ultraviolet B rays of the sun has ultraviolet and me and the race. Both are damaging ultraviolet B racing -- were burning rays. Ultraviolet a rays penetrate deeper and do damage -- skin and more so. In more recent years they're also increase and and to make sunscreens -- on broad spectrum war. Covering ultraviolet a and B so the number applies to two ultra -- be ranked at least number thirty or above. Went to get about -- doesn't make that much difference you don't want to really go. Below fifteen or 3015 is. Number fifteen sunscreen a block out of on 93% of the sun's rays. Number 30 o'clock and 997%. Ego above that weekend -- lancry nations more it's not. Doing multiple things. Isn't isn't important to look for their broad spectrum BA and B and very importantly it may be out there but I've certainly seen broad spectrum -- is more important more and more sunscreens are blocking ultraviolet day. And actually. They've been trying to get done better labeling on sunscreens and as of next year. Is not going to be any number any number number about 51 of all. And it's gonna they're gonna saying you know water resistant or not water resistant. Hi. Sun protection -- -- sun protection. So really it was going to be a little clearer. Lessons -- -- -- -- waterproof water resistant and makes people think like I can just put this on and once let them go on the line or another problem. That really it means that is good for about forty minutes in the water actually -- commonly wanna re -- and. -- interest letting you wanna reply if you're waving your skin cancer real key is to put enough -- have to put on about every 23 hours from. -- -- of it is that the issuing no close your heart and into this entire subjects. Hard if you will is. Tanning and need these tanning facilities are everywhere they're inside health clubs which is kind of an oxymoron. Yeah you know they're on every street corner in busy areas. An extremely popular among younger demographics. Tanning beds are the safe way to get a -- right. That's -- tennis industry wants. Associations I know of course. Some other tanning industry as a five billion dollar industry and sound that it's and so statistics recently that in a million people a day tan right now in this country. So it's. Yeah they're not they're not safe what you're doing is you're getting in more concentrated -- an appearance -- so it's at least as damaging as the sun. If not in some cases more dependable so they use. So the literature and then they put down of course. Would make you believe it's a safer way to go but. Especially damaging. Is available at times have people entertaining online. -- World Health Organization recently elevated him into its highest cancer category. Which is carcinogenic to humans. They used to be said probably carcinogenic to humans now it's in the same category. As like arsenic can. Plutonium and nicotine. So episodes right up -- husbands. And well known there's been studies showing that it increases the risk an anomaly we just talked about you hear this all the time probably from people like me very fair -- they burned He easily and Andy North exposure to the -- I'm gonna go away in a week -- -- in a month I wanna go to the tanning place just like you get. That quote unquote safe based hand in hand when I'm on -- crews are my trip to -- beach vacation and I won't burn. And would you say. In and let's hear this say you know ten times today that people. -- but I don't go to any Jessica -- -- -- Tammy who for a convocation and. The -- to the base tan is a total fallacy because. When you go to a tanning beds prior to going on vacation at a few things happen first shall we -- goes tanning bed. Your damaging -- we -- -- damages your scans your damaging your skin more. The best. Affecting you can guess from then turned to sun protection we going irritation. -- about number it's like having like a number eight sun screen. What's filters out less than half of the sun's rays to Begin its a lot less. So on -- going onto yourself any good and you're also. -- giving yourself the feeling that you command line around the sun when you go on vacation -- getting Sunday hours before. He's on vacation you feel more complacent and you anymore sun -- pressing -- don't go -- than before are we going to vacation. And enjoy yourself and and you sun protection if you really want to look tan. The safe way to go as the -- most tanning creams are strings. Those are perfectly safe. My Hewlett hands and don't protect you from the skin tone stunting is from the sun aiming to -- -- He has -- Some screen time. Are perfectly safe -- and from a lifestyle perspective I see an awful lot and I know I think that one of them that they'll largest demographic data they use tanning facilities. Our our young people when I'm in -- time you know teenagers high school kids kids kids that are still under the influence one let's think of their parents AM what do you say. Right now to a -- listening who knows that there teenager is weekly if not more going to attaining pleased. Well one thing I say and I -- a -- time is and the parent often goes. With that team. So yeah I think so is very important as an example you know -- sense. -- teenager or some Chinese community or even young child. And there are parent is there are looking very -- clearly -- and so I think it's you know. You know. We sometimes teenagers. Sometimes like to think that they don't follow parents examples put all the data shows that anything where from smoking to tinian and they do so. It's very important set an example him. Have your actions match your wounds. Whoever made the T shirt that says no fear on it right they were very smart idea that's that's the mindset that. You know they're trying to of the united you alone that they were trying to break down when it goes to. The use of tanning and stuff that's an important -- also remember is that. You know chances -- teenagers I mean you're -- a cancer -- -- when you're seventy. It can mean you're gonna get -- room in your teens or your twenties as it. You know very quickly can -- damaging scanned and melanoma is potentially deadly so. -- -- right now as the most common cancer and most common skin cancer the most common cancer in age between France 229. And the second most common cancers and age group fifteen to 29. -- So you know it's a significant. Significant grants. But doctor Rothman I -- -- vitamin. That we're vitamin. Maybe not recently but in the lake and in western new York and the northeast. Him. And it doesn't say they're bad you know the vitamin. In northern climates. And people who use sun screen going to have a little bit lower vitamin -- level. And there was. Publication a few years accident suggests that people who lot of sun for fifteen minutes together vitamin. And a lot of -- grab onto that idea including tanning industry you know I'm concerned touting change for vitamin C. But the American Academy of Dermatology and the skin cancers. The society's. All recommend that you gave vitamin. So it's a safer or do we already know that tanning and the sun can cause skin cancers home. One active in the Safeway is gonna -- something to do that. On this thing I'll mention is that. New York has a legislation. Proposed sets not passed yet but. To possibly become the first state to actually ban. Tanning and teens. So. The American carriage or talk to him and on skin cancer American skin cancer society would like to ban -- completely. But -- is short of that African famine in -- so. -- now in New York there's a band for age under age fourteen and nineteen and and then. Fourteen to seventeen have to get parental permission so to build us up for a vote is. That they'll be banned under age eighteen so and the experience that. It's like chipping away at you know the whole smoking and tobacco thing how it took years and years and we made a lot of progress there it's almost like a similar battle -- read -- now. With -- a different version. We have. Very young woman with us today Kim. Tell me Kim how are you. Tell me your story I guess from beginning to and how you found out that you read something be concerned about. I was actually very young at the time my it was when He too. Actually think I was to anyone you're still young -- -- I -- -- just to clarify. Youngest person there will now that the that the rather than I was to anyone at this time and I had and -- enter college. Because it was the thing to do and I did an currently have a lot of education. And skin cancer and melanoma. Especially non melanoma. And I'm very aware of my body's -- didn't notice that I had some holes that didn't really look like the other ones that I had before. And my husband and especially my boyfriend at the time was encouraging me to go get them checked out either -- a primary doctor -- dermatologist. And I was really ignoring it. I did read an article in thinking it was Glamour Magazine at the time about the EB fees and skin cancer. And that I think sparked -- that. To get them looked at. They did -- some of the ABC's. I mean it was pretty rounds. Like a typical animal atlas and a symmetric by any means but it did have a little black area and it. Almost like a little -- and it was just different than normal animals that I have had because I am a fair person. Insulated get them checked out and it turned out that two areas on my my warm melanoma. And I had to go and for -- pretty extensive surgery to have more of the area and taken out that it was an actress for. Anymore. And I didn't have to go through chemotherapy or anything like that it was able to and just have. Extensions done. But since and I've -- extremely careful. On to watch my skin and to catch tax and once every 3 months and I am to six months and now once a year. Were you surprised I mean here you were going to these I'm assuming you you were talking He said tanning re going to elect of a professional tanning center is currently missing its alliance. And there are warnings there and other definitely iron so you are aware that this could be a problem. I was aware of but I don't think that I really knew enough. Four had enough for now usher really understand what that would mean. And I think like most young people you don't feel like you fit into that group of something could happen TO. So I definitely think I had them mentality. I've explained you I was -- -- and I knew some of the warnings but generally understand all of that and I think it has beaten. It's. Such a part of our culture to have darker scanner have a little bit of eighteen and and in college. Kalish a life that's really what's surrounding you know it was interesting I was just reading a study done by I think it was San Diego State University. They did a study in found in more tanning salons and most US cities than Starbucks or McDonald's. And I can really see that because they really aren't every corner. And a lot of colleges now actually have that as one of their amenities and that and that's a scary thing because young women I don't think know enough. You know it in high school on health class we didn't have any kind of information on that's. I noticed that you PH in the new facility just up. The student housing facility part of this a tinian sending him and the Palestinians and -- open 24 hour -- -- of their health clubs and everything. Yeah I did their health club I go to I see the people streaming in and now all day long and it is mainly younger people for the and north I don't discriminate because I know how they don't only just but. I think you know and another say that I read about it was seven for sun. It's tanning salon customers are between the ages of sixteen and 29. And how much of a factor doctor Rothman is that I mean I wanna get into some of the you know -- screening and screening ourselves from you know all mr. sun itself but. The the artificial. Tanning that's going on out there is an unbelievable in going to tell you growing. Problem I guess. Interestingly the and it's in the group of young adults between the ages of twice for between nine. Melanoma is now the most common cancer not -- must come asking consumers the most common cancer. And the second most common cancer in and teenagers fifteen through vanished when He five. So. That is there are studies that that to show that. Indoor tanning does increase the risk of melanoma so I think that's definitely a factor. Do you think it's at all safe for anyone I mean anybody out there that it's listening right now that either goal is to -- senator and I don't wanna. You know we're not gonna name names and am angered we've run out and industry or anything but. I mean if I suddenly wake up tomorrow and say I'd like to attaining what -- your your your guidance B. Well there's actually no such thing as safe tanning and facts American come into your mentality is trying to antenna. At least regulating industry. Probably is not really there's no really benefit from. That the industry holds. I did see something great recently. During this month. The American Academy of Dermatology is going to be running commercials similarly -- from the cancer society. And smoking and things where there going to. Promote messages from young women about the dangers fifteen -- int thirteen inning. And I watch a preview of it on YouTube and I thought it was certainly interesting. And I hope that it does reach a lot of young people especially young women -- going to. Tell me about your treatment east that you had multiple surgeries. My dead I had one major surgery for two. Areas of melanoma one on the back my calf and I had one and the -- my thigh which both were areas of sun exposure. I did have. Areas after that that I had look at that worse severely atypical areas. So of those who are actually malls that didn't quite look like mine melanoma. Malls they were varying. Typical home. That you might see -- anybody that's fair even not fair. But they were a little bit raised -- of concerns so when we did remove them and they did have a typically areas which meant it left untreated they kind of turned into an island. So I do try to being. Very cautious. And my outdoor activity now. And I do -- my body quite that my used to actually win. This was first happening I would take. Pictures and I would watch. You know any development that was -- means that that was a -- that I can check myself to see if anything would change had change or any new growth had come up and there. That is Roswell list thanks for joining us and in studio today we've been speaking with Kim a melanoma survivor. And also doctor Eileen Rothman an assistant professor department of dermatology here at Roswell park. You can get more information and your other programs that Roswell park dot org. If you have questions call the toll free line 8877. Ask our PCI. That's 8772757724. -- Listen to Roswell this Sunday mornings at 630 young WB -- Rocky by Roswell Park Cancer Institute your team opinion for your total options on line at Roswell this god of war. Hanging. And hanging do you. Then.