Archive for December, 2009

News for the New Year

Tuesday, December 29th, 2009

It is with great pride and excitement that we announce that Charles C. Harris Skin and Cancer Unit at NYU’s world-renowned Langone Medical Center will become the first major hospital in the United States to partner with and adopt the MoleSafe methodology. With the increased success rate in detecting early skin cancers and melanomas that results from our high-resolution imaging, Dermoscopy techniques and mole mapping, we are confident this partnership is good news for many people in this new year and beyond.

Please review the NYU press release for more details.  And, to schedule an MoleSafe screening appointment at NYU’s Langone Medical Center call 212 263-5254.  For other locations, please visit the MoleSafe site.

We’re also thrilled that SunAware listed MoleSafe as #8 on their 2009 recap of the year’s “Top Ten Sun Protection Initiatives. Clearly, the word about best practices in protection and prevention is getting out there.

To keep you apprised of other news from the front lines of fighting skin cancers, here is a list of resources for additional information:

American Society of Clinical Oncology, Melanoma

Cancer.Net

Clinical Trials

Langone Medical Center Clinical Trials

Medline Plus

Melanoma Patients’ Information Page MPIP

Melanoma International Research Foundation

Melanoma Molecular Map Project MMMP

National Cancer Institute (US) – Melanoma

www.cancer.gov

National Library of Medicine, Pub Med www.pubmed.gov

Northern California Melanoma Center www.NCMC.com

OncoLink www.oncolink.org

Skin Cancer Foundation www.SkinCancer.org

Blogs:

The Melanoma Blog www.themelanomablog.com

Melanoma Updates Blog

SunAware Blog.

On behalf of MoleSafe, I want to offer heartfelt good wishes to all for a happy, healthy new year…and new decade.

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Walking in the Shadow of a Giant

Wednesday, December 23rd, 2009

From December 4-6, 2009, at the 4th Annual Practical Course in Dermoscopy, I walked in the shadow of a giant whose presence will be missed in the teaching process.

This past week Alfred W. Kopf, MD, conducted was what possibly the last lecture from one of the most incredible careers in the specialty of dermatology.  And during this conference, which included the latest updates on malignant melanoma, Dr. Kopf’s topic was teaching physicians.

Much as changed since 1985 when Dr. Kopf and his colleagues wrote an article that helped to teach physicians and thus the public the value of skin self-examinations, promoting at that time, the ABCD concept I’ve posted about before.  Yet, per my other recent posts, still not enough has changed in getting more physicians trained and on board to be aware and scrutinizing the skin even during other exams.

But Dr. Kopf also spent the next portion of his career promoting the use of total body photography for the early detection of melanoma, and the advocacy of Dermoscopy as an essential tool.  He worked diligently to help prove its effectiveness, even helping to identify important mole patterns necessary to make it most effective.

He battled the slow to change tide of US dermatologists, of whom only 23% practice Dermoscopy, vs. its use by virtually 100% of dermatologists outside our country.

To them it’s perceived as essential to their expertise as a stethoscope is to a cardiologist.  In the face of the unacceptably low adoption rate in the U.S., Dr Kopf has truly made it his life work to promote the use of Dermoscopy and the training of physicians in that use.  I have no doubt his effort has saved thousands of lives.

Dr. Kopf recently retired from NYU Medical School as Professor Emeritus of Dermatology / Clinical Professor, after one of the most notable careers in our field, spanning more than five decades. He also one of the founders of the Skin Cancer Foundation, the Melanoma Newsletter, and has remained an active participant in the melanoma lecture circuit, continuing to provide excellent training to physicians all around the world. I have consulted with and spoken to him on many occasions over the past several years as I have become more involved in the community of physicians working towards effective early diagnosis of melanoma, and he has always been a gentleman, eager to teach, and eager to promote those tools necessary to promote early detection to help save lives.

What make me particularly happy is the knowledge that MoleSafe incorporates almost all of Dr. Kopf’s lifelong passions and topics he’s worked to promote.  Now we have to pick up that gauntlet and continue on his path to grow use of Dermoscopy and help improve survival rates exponentially.

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Oh Rosie O, No!

Thursday, December 10th, 2009

This week, Rosie O’Donnell was criticized for contributing to the cachet of tanning and supposedly saying it wasn’t dangerous, according to PageSix of the New York Post.

The Ray Festa Melanoma Foundation, which is “committed to educating everyone 12 years old and up on the importance of being “Sun Smart,” called the comments “ill-informed” and “irresponsible,” and gained some press on New York Magazine and PerezHilton.com and other sites.

We of course have a ways to go to reverse tanning-appeal, because it’s been a fashionable aspiration since the ’20s, when Coco Channel was caught tan in those pre-sunscreen days, after days on a yacht.  Until that time, being as fair as possible was the goal, inspired by royalty.  There’s a well-written history of popular skin tone “styles” on the Livestrong.com site and the blog author’s own experience with how sun exposure worked out for him, if you’re interested.  (Sadly, FYI, livestrong.com also features other blog contributors describing how to “tan safely.” But we’re making progress: the Rosie incident created some encouraging backlash, showing that Americans are starting to “get it,” and also served to bring the work of RFMF to light a little.)

All we can do now, is practice sanity and promote prevention.

So, exposure from “bad publicity” and outrage from the newly formed RFMF actually helps.  By the way, the group was established in the name of “courageous man who sadly was diagnosed with malignant melanoma too late to save his life.” They describe the story of Ray Fest as

even more unfortunate [since] he had been seen by an oncologist every 6 weeks for the last 8 years of his life and had that medical practitioner been more aware of the signs of skin cancer, Ray may still be alive today.

And, coincidental to my October 21st post about educating our health care providers to better spot our spots (!), they go on to say that the work of RFMF is

dedicated to educating all those who are exposed to our skin about the warning signs of possible skin cancers. These people can be our first line of defense and include massage therapists, physical therapists, personal trainers, hair stylists, barbers and others.

So, I’m all about supporting a like-minded group, because together, we have a better chance to create a new “tipping point” about tanning…to the paler side of the spectrum.

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Facts Don’t Lie on These Beds

Thursday, December 3rd, 2009

We think of summer fun and we’re reminded to think of safe sun exposure.  But what about when winter comes?  Too many of us — either in pursuit of SAD relief via a warm-weather getaway, or misguided goals of maintaining a tan — don’t stay conscious of skin protection year round. And skin cancers are increasing, especially among young women.

As we noted in a previous post about tanning bed bans for teens in England, there is real danger from even “artificial sun”…and with more research findings exposed recently, it’s even worse than we thought.

Let’s face facts:

  • Nearly 30 million people tan indoors in the US, every year. And more than one-third are teens.
  • 71% of salon tanners are girls ages 16 to 29.
  • And let’s connect the dots: The American Academy of Dermatology lists melanoma as the second most common cancer in women 20 to 29 years old.

Now here is the scariest stat of all according to Peter Boyle, MD, Director of IARC (International Agency for Research on Cancer):

the link between youthful sunbed tanning and melanoma was “prominent and consistent” – a 75 percent increase in risk of melanoma among those who first used sunbeds in their twenties or teen years.”tanning-bed

Though rates of squamous cell or basal cell carcinomas are not quite as significant, possibly because of limited data, we’re nonetheless talking a 75% increase in risk in the deadliest form of skin cancer.

Our National Institute of Health was far ahead of the IARC, part of the World Health Organization, in determining sunlamps and sunbeds to be known carcinogens.  In 2002 they specifically included UVA, UVB and UVC as “anticipated to be human carcinogens.”  Yet, it is always good to have further awareness and validation on a global scale. This year IARC’s conclusions, listed in an excellent update on the FDA site, have led them to also move tanning beds from “probably carcinogenic to humans” into the highest cancer risk category: “carcinogenic to humans.”

This has helped pave the way for banning indoor tanning by teens.  As a matter of fact, our hat is ON (a little skin cancer prevention humor) to the people of MD who have listened to their MDs.  On November 12th, 2009, Howard County, MD became the FIRST IN THE NATION to ban those under 18 from using indoor tanning devices!

Remember, all exposure to UV radiation-whether from the sun, or from artificial sources such as sunlamps used in tanning beds, increases the risk of developing skin cancer, according to the National Cancer Institute (NCI).  The Skin Cancer Foundation says that:

“One blistering sunburn in childhood more than doubles a person’s chances of developing the deadliest form of skin cancer later in life.”

Do you think we should ban access to tanning salons by those under 18?  The statistics are continuing to pour in, but many salons still don’t abide by rules or recommendations of limiting visits for their customers by either age or frequency.

So, just say no.  And monitor your kids’ skin tone!

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