About this blog...

Welcome to The Melanoma Updates Blog. This blog is intended to inform and update you on the latest developing information and technology on skin cancer prevention and detection. Dr. Bezozo, President and CEO of MoleSafe http://www.molesafe.com USA, is encouraging conversations on the topic of melanoma - the most threatening and deadliest form of skin cancer that is increasingly diagnosed each year in the U.S. Understanding first-hand how scary the disease is, Dr. B would like to hear your stories and questions about melanoma, while developing conversations that help the at-risk population manage their melanoma concerns.

*MoleSafe USA is the only early detection skin cancer system that detects melanomas up to 15 times earlier than all other traditional examinations done throughout the country.

Have some skin in the game

July 26th, 2010

There are many blogs on the personal experience and epiphanies of those confronting cancer, but we were all moved by the sometimes serious, sometimes lighthearted and always inspiring blog by melanoma patient, Alethea Ayers who writes Me and Melanoma. This 36 year old mother  in Cyprus takes us through her world of dealing with skin cancer while balancing life with a toddler with the ups and downs of battling a disease:

alethea-Author: Me and melanoma

I see people all the time now with sunburn from mild to quite severe and I want to ask them if they know what they could potentially be doing to themselves.  A friend of mine said she used baby oil recently. I said I used to use that. Look at me now. She promised she wouldn’t do it again. I hope she doesn’t.   You see until this happens to you, you take many things for granted too, like our skin. We pay little or no care to what we subject it to when we spend hours in the sun just to get a tan and laugh and joke about our silly tan lines and our white bottoms afterwards.  I have to say I dont miss the white bottom but I do miss being sun kissed. Now I feel like I’m being sun bashed. lol  You cant get a skin transplant. Once you get melanoma you cant un-get it!

Mrs. Ayers writes with a charming candor that may help the healthy as well as those sharing her challenge to keep a good perspective:

One day at a time, one bus ride [to radiation therapy] at a time one zapping at a time.  I go to bed early most evenings so I’m never knackered in the mornings although it takes me time to actually oil my my facial muscles to smile first thing.  So poor hubby gets grumparse Alethea whilst everyone on the bus gets to see me awake and chirpy Alethea. By the time I get back its time to get my son from day care.  He is such a happy baby (gets it from me lol) I don’t have time to feel sorry for myself.

In another entry she mentions her belated understanding of how day to day sun exposure that we may not even think of can creep up on us, such as hanging an arm out the window while driving.  It’s a good reminder that defensive driving should include sunscreen!  And checking that arm regularly — and other places where you may unconsciously get day to day exposure – as a more frequent part of your skin self-exam is a good idea, as mentioned by Dr. Richard Besser of Good Morning America:

No matter what your skin color, you have to check your skin regularly for signs of skin cancer. The first place to check is any area that is sun-exposed: your face, neck, ears, hands and your back and legs if you’re at the beach. Don’t forget your arm if you hang it out the window while you’re driving. Balding men should check their scalps — even the skin exposed by the part in your hair.

As Mrs. Ayers reminds us, please don’t take your skin for granted.

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MoleSafe’s Melanoma Screening Is Newsworthy

July 12th, 2010

We are very excited by the excellent overview Dr. Max Gomez and WCBS-TV in New York provided on the latest in skin cancer screenings, and in particular the MoleSafe method.  If you’re not an early bird or not in the metro area and missed the segment on the morning news this week, here’s a link so you can view it again.  You can also read a transcript of the news story for more details.

Maddie-CBStv

While getting your picture taken in a hospital gown is not most people's idea of a flattering photo shoot, especially when it includes unusual poses, but it could be a life saver.

If you’ve been reading this blog, you may also have recognized our own Maddie Pallamary, RN, from the MoleSafe Millburn location, who conducted the patient examination.  I’m very proud of the calming, professional and informative style that Maddie clearly exhibits, as do all of our staff clinicians and physicians around the country, and which is so reassuring to new patients.

It is truly exciting to have such an esteemed institution as NYU Langone Medical Center as MoleSafe’s first U.S. hospital partner. But whether it is there in New York City, or Albuquerque, Savannah…or any of our now 6 locations, please consider getting this potentially lifesaving screening for you and your loved ones.

We truly hope future news coverage about Melanoma will be about its decline vs our ongoing battle to raise awareness and skin cancer prevention.

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The View Offers a Better Outlook for Melanoma Screenings

July 6th, 2010

The NYU Post-Graduate Medical School and the highly esteemed Ronald O. Perelman Department of Dermatology, which is the first U.S. hospital to have embraced the MoleSafe method, hosted Advances in Dermatology last month for dermatologists and dermatologic surgeons and residents.  The goal of the 2-day symposium was to feature findings and lectures with an “unbiased and provocative perspective.”  For that reason, I’m particularly proud that the MoleSafe protocol and our revolutionary “View Software” was included in a morning dedicated to information on melanoma and advances in early detection.

The Right View

“View” lets physicians examine images WHILE the patient is in the office for an exam, which enables not only a more thorough exam by the doctor, but more information back to patients in real-time. [Read more in my post from November, when View was unveiled at the International Dermoscopy Society Conference.]

Previously, even with a dermatoscope, doctors reviewed only a few moles and could never be fully confident that their naked eye scrutiny discerned some of the finer, or questionable moles. For dermatologists who refer patients to MoleSafe for a comprehensive and state-of-the-art screening, this software is available for use in their offices at no charge. We just feel it is imperative to bring the opportunity for the best options for melanoma detection to as many patients as possible…and View enables a more clear, super enlarged view of all moles for doctor review, with the ability to pause on any questionable areas and compare the patient’s actual skin along side the macro images that have been delivered to the screen.

Based on the feedback we’ve gotten, this looks to be revolutionizing doctor/patient relationships and the very process of screening for  earlier detection of melanomas, especially among high risk patients.

We encourage all of our readers to review the MoleSafe web site FAQs, and to take advantage of the increasing ways and places to get the most efficacious skin cancer examination… and help us make early, accurate detection a team effort among patients, their doctors, and technology.

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More exciting news from MoleSafe

July 1st, 2010

UPDATE: New Yorkers, set your DVR and Don’t Miss MoleSafe with Dr. Max Gomez

This Thursday (new date), 7/8, at 5:45A and 6:45A hours, please look for my interview with Dr. Max Gomez on WCBS-TV (channel 2), when we’ll discuss advances in melanoma detection and our new clinic at  NYU LANGONE MEDICAL CENTER, the first Hospital in the United States to offer MoleSafe’s cutting-edge Melanoma detection service.

New Jersey MoleSafe associate appointed Chairman of Governor’s Cancer Prevention Task Force

As noted in the Asbury Park Press, our own Dr. Jarrod Kaufman, a surgeon on staff at CentraState Medical Center in Freehold Township which recently added the MoleSafe program to their screening services, has been appointed New Jersey chairman of the American College of Surgeons Commission on Cancer (CoC) Cancer Liaison Program. He is also the chairman of the melanoma work group of the New Jersey Governor’s Task Force on Cancer Prevention, Early Detection and Treatment. We are proud such an esteemed physician is a proponent of our screening services.

Oh – and one more note:  MoleSafe is proud to welcome not only CentraState Medical Center to our family of MoleSafe screening locations, but now Nancy N. and J. C. Lewis Cancer & Research Pavilion at St. Joseph’s/Candler in Savannah, GA as well.  Check out all of our locations and get an appointment to get checked out today.

Tanning and Taxes

Cancer prevention is a timely topic with the big summer holiday upon us.  But it’s not just sun-protection while having outdoor fun that is getting press. CBS Evening News was one of many covering the new 10% sales tax that kicked in today on tanning salons.  See the full story here at the 13:35 mark.

Have a fun and sun-smart holiday weekend!

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To Top it Off…

June 21st, 2010

It was heartening to see a steady stream of people purchasing hats at one of the street fairs in New York City this weekend.  I hope it was an enjoyable Father’s Day weekend for you, and that perhaps many of you bought dad a life-preserving HAT for sun protection in lieu of a tie?

To Top it Off: Sun Safety

To Top it Off: Sun Safety

FYI, at these fairs it’s easy to negotiate for a discount if you buy more than one, so consider a hat for yourself, too!

Another good thing to do for yourself and a loved one is to have regular  skin cancer screenings.

What topped off my weekend though was  also the opportunity to share this story about digital dermoscopy and MoleSafe’s thorough melanoma screenings, thanks to recent press on AssociatedContent.com.   Please share this info with all your friends and relatives as we enter into the season of “fun in the sun.”

Just don’t forget your hat.

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What’s in a name? If it’s “ipi,” a lot!

June 11th, 2010

What’s in a name?  If it’s ipilimumab – or “ipi” for short – it may be the first name associated with prolonged life expectancy for melanoma victims.  This new immune stimulator has been making headlines recently for its early success in increasing stage four melanoma survival rates for up to four months. While that might not sounds like a lot, it’s considered highly significant. Dr. Steven O’Day of the Angeles Clinic and Research Institute in Santa Monica, Calif., a lead investigator in the recent melanoma trial explains,

This important because this is a disease where the average survival in these patients is six to nine months, so to increase on average the survival by an additional four months is a very large difference.

And though as Dr. Charles M. Balch, a melanoma expert at Johns Hopkins, said the results of the recent clinical trials are “a single, not a home run,” he added that for this disease, which impacts almost 70,000 Americans a year and growing, “even a single was important”.  As further described in The New York Times coverage of ipi,

In a study of patients who had advanced melanoma, those who got an experimental drug lived a median of about 10 months, compared with 6.4 months for those in a control group. After two years, about 23 percent of those who got the drug were alive, compared with 14 percent in the control group.

Lung cancer and melanoma are among the hardest cancers to treat. So the studies are being viewed as significant advances, though far from cures.

Dr. O’Day, who presented the research at this month’s ASCO conference, said no prior large randomized trial in melanoma has been able to demonstrate an improved survival in this type of cancer at all.  ascocover

He calls ipilimumab “the light at the end of a long, dark tunnel.”

“These results are exciting because patients with melanoma have few treatment options,” Dr. O’Day said. “After 30 years of failed studies, we finally have an option that shows a significant increase in overall survival, an endpoint that many oncology studies strive for. This new class of inhibitors that overcome T-cell suppression offers hope to melanoma patients and oncologists alike.”

The NY Times article provides a good explanation of how T-cell suppression works to possibly slow tumor growth rate though without yet being able to “put the brakes on”:

Ipilimumab is a more general immune booster. It blocks a protein called CTLA-4 that acts as a brake on T cells, the soldiers of the immune system. It is already also being tested against lung and prostate cancer.

Still, if a tumor does not elicit a strong immune response to begin with, then just keeping the response going longer would not help much, just as lifting one’s foot from the brake usually will not make a car go faster if the accelerator is not pressed.

We at MoleSafe are heartened by this news.  As always, we encourage regular and thorough screenings to provide the best line of first defense in preventing melanoma from reaching crisis status.  Please contact us at any of our now 6 clinical screening locations.

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Discussing advances in Detecting Melanoma – On Fox News

June 3rd, 2010

I was recently invited to discuss advances in Melanoma detection on the Fox Strategy Room.  I hope you’ll take a look at this video and learn about the strides we’re making at MoleSafe.

Dr. Richard Bezozo on Fox Strategy Room 5/28/10

Dr. Richard Bezozo on Fox Strategy Room 5/28/10

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Ooh baby, Sun protection, please!

June 2nd, 2010

As we mentioned in our May 6th, 2010 post The Environmental Working Group reviews sunscreens for effectiveness, eco and health-friendly levels. Their 2010 ranking was recently released (and featured on NBC newcasts this week).  Check for your brand, and possible alternatives that may be better for you, your skin and the planet.

EWG Sun Protection Summary

EWG Sun Protection Summary

The EWG list includes child-safe sunscreens as well, which is sadly a timely topic in the face of a heartbreaking news story last week: a sunbathing British mother apparently enabled her 5-month old to get severe burns over 40% of his body via lack of sun protection.  The child was hospitalized with the blistering burn, which were potentially life threatening due to side effects of dehydration and heat-stroke.

How best to protect your children? Well, NONE of us should really be sunbathing at any age, but as stated in this BBC story:

Very young children should be kept in the shade; older children, when out in the sun, should wear protective clothing including a hat, have high factor sun cream regularly applied and drink lots of fluids to stay safe and well.

In this related video from BBC News, it’s interesting to note that most of those interviewed displayed proper protection, including hats and sunglasses.  Whether England is more aware of sun dangers or they represented the conscientious minority, we all can take a page from their stylebook and cover up.

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Sam Champion’s Skin Cancer Surgery Builds Awareness

May 24th, 2010

Sam Champion – Good Morning America’s weatherman with a reputation for good reporting as well as good looks (as extolled in lyrics of the recent Broadway musical Avenue Q, at one time!) recently put a brave face forward in being one of the recent trend of reporters who have had medical procedures done live.  This procedure was a the removal of a basal cell carcinoma.

Sam Champion's televised skin cancer surgery

Sam Champion's televised skin cancer surgery

Champion tested positive for basal cell carcinoma and will have the spot removed during a micrographic procedure done at the office of his doctor, Michele Pauporte. He’s had four such areas of skin cancer removed in the past….”A lot of people never, ever go see their doctors for these issues and they should,” said Jim Murphy, senior executive producer of “Good Morning America.” He’s had 10 areas of skin cancer removed from his own body.

We applaud Sam and others for helping to dispel some fear and increase awareness for screenings and sun safety.

What can Sam expect for the visage of his arm?  Here’s one answer we found by Dr. Neal Schwartz on mole-removal scarring; of course this will vary by surgery site and extensiveness:

Question from a Female / Age: 30 – 39: I had a mole removed, and after the stitches were taken out and the wound healed, my skin was pink. Is this normal? How can I make the skin return to it’s normal (not red) color?
Dr. Schultz: The reason for pinkness is that your body is still bringing nutrients to the area for more repair (since the nutrients are in the blood, and the body is bringing extra red blood to the area, you see the extra blood as a pink color). This pinkness can persist for up to six months, after which it’s probably not helping anymore. If the pink hasn’t disappeared after six months, then it can be removed by a painless laser treatment by your dermatologist. One thing that’s very important while the pink is gradually fading is strict sun protection (best with chem free sunscreens) because the sun can easily turn the pink into a brown color and then you would have to bleach the brown spot.

The forecast is for more sun, less ozone, so stay aware and stay covered.

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Spotlight on Melanoma

May 14th, 2010

Some might say that celebrities are over-exposed to the spotlight.  And per our recent post on tanning, we’re seeing some celebs at least starting to minimize their over-exposure to sunlight (though sunless tans still abound), which helps raise awareness for skin cancer.  Even the the legendary Bob Marley died from a cancer whose primary source was an acral melanoma under one of his toe nails. Bob Marley

Rare but tricky to spot sometimes, Acral melanoma accounts for about 5% of all diagnosed melanomas. It is, however, one of the most common forms of melanoma in Asians and people with dark skin, accounting for up to 50% of melanomas that occur in people with these skin types. (And this is very important since recent studies have shown that Hispanics and African Americans tend to delay seeking diagnosis or treatment.)

Acral melanoma is often referred to as a “hidden melanoma” because these lesions occur on parts of the body not easily examined or not thought necessary to examine. It develops on the palms, soles, mucous membranes (such as the lining of the mouth, nose and female genitals) and underneath or near fingernails and toenails.

Here is what it usually looks like on each area of the body:

Palms of hand or soles of feet: Melanoma usually begins as an irregularly shaped tan, brown or black spot. It can be mistakenly attributed to a recent injury.

Under a nail: The first sign may be a “nail streak” – a narrow dark stripe under the nail. A new nail streak not associated with recent trauma, an enlarging nail streak, a wide or very darkly pigmented streak, or a nail that is separating or lifting up from the nail bed should be examined by a doctor.

NB: Acral melanoma can also develop without any obvious nail streak – particularly the non-pigmented variety.

Include these areas in your skin self-exams especially during a celebrity-style manicure or pedicure!

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