Archive for the ‘Self Exam’ Category

Have some skin in the game

Monday, 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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The View Offers a Better Outlook for Melanoma Screenings

Tuesday, 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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To Top it Off…

Monday, 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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Spotlight on Melanoma

Friday, 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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Melanoma Awareness Month!

Monday, May 3rd, 2010

May is Melanoma Awareness Month. So, we thought it was a good time to offer the following reminders about this disease that kills one American every hour.   The first is to remember that if detected early, melanoma can often be successfully treated.

What are the best ways to stay on top of it? Well, of course awareness is the first step.  Understanding the serious nature of this form of skin cancer will drive more people to practice better sun safety, and get regular skin exams.  2010 is also the 25th-year anniversary of the development of the “ABCDEs” – the acronym for the quick and simple criteria to use for skin self-exams to help detect skin cancers, including melanoma. Please share these easy reminders with your friends and loved ones:

A is for Asymmetry where one-half of the mole is unlike the other.

ADD's Downloadable Mole Map Guide

B is for Border where the mole is irregular, scalloped or poorly defined.

C is for Color that varies from one area to another or has different shades of tan, brown, black and sometimes white, red or blue.
D is for Diameter of a mole when it is bigger than the size of a pencil eraser.
E is for Evolving or changing in size, shape or color.

The ABDCEs were created by dermatologists at NYU Langone Medical Center, which is home to the most recent addition of the MoleSafe clinic locations.  This exemplary institution is also conducting its annual free skin cancer screening on Thursday, May 6, 2010 from 1:30 PM to 5:00 PM at 550 First Avenue in the Charles C. Harris Skin and Cancer Pavilion on the first floor of the Medical Center. No appointment is necessary for the free screening and everyone is encouraged to take advantage of this annual opportunity – especially those who have a changing mole, a history of melanoma, or who are over the age of 50 and do not have a regular dermatologist.

Also, the Skin Cancer Foundation is back on the road, conducting free screenings around the country. For a list of a locations please visit their web site.

As always, we encourage you to invest in your healthy future with the “gold standard” of skin cancer screenings at any of our four (soon to be SIX!) MoleSafe locations in the country.  Our final reminder?  Melanoma Awareness shouldn’t be limited to the month of May.  Stay vigilant.  Stay aware.

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Love the One You’re With

Tuesday, February 16th, 2010

In a recent post, I suggested having winter or summer vacations be your “calendar reminder” of times to do skin self-examinations and book your MoleSafe annual check-ups.  But I liked the idea that the Skin Cancer Foundation posted last week for Valentine’s Day: a mutual skin exam. Nothing says I love you more than scrutinizing your partner from scalp to toes!

In all seriousness, Melanoma Updates has also noted back in October that Harvard School of Public Health wanted to encourage more primary care physicians be trained in looking out for melanomas while they happened to be examining other parts of the body.  Makes sense to me.  So, it makes sense to me that if you’re at all uncomfortable having a full body skin-exam that you could at least start by having your loved one give you a naked eye once-over for spots and dots you can’t see yourself. As the Skin Cancer Foundation’s post points out, “patients themselves detect about half of all melanomas.” They also have a terrific self-exam how-to posted on their site.

As they also note, it doesn’t replace a doctor’s examination, especially one trained in the use of a dermatoscope.

image of dermatoscope

image of dermatoscope

But we are all about moving skin cancer prevention forward, and keeping loved ones around for as long as possible.

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Taking a Closer Look at MoleSafe

Monday, February 8th, 2010

As you probably know by now, MoleSafe has expanded to four locations in the United States, now including the prestigious NYU Langone Medical CenterNew MoleSafe home page But there’s more expansion news:

I’m pleased to introduce you to the all new and expanded MoleSafe Web site.

We’ve worked hard to make the site more informative and user-friendly, with links for everything from a quiz to asses your risk level for skin cancer to a description of pricing and exactly what’s included for new patients and returning patients.  I think you’ll appreciate getting a closer introduction to our world-class panel of consulting dermatologists and dermoscopists as well as a closer look at sample mole images, their classifications, and a reminder of your ABCDEs.

Remember, our whole goal is to make sure everyone is looking closely at their skin on a regular basis – and even the skin of your friends and loved ones.  As our recent guest blogger described, a stranger on a ticket line alerted her friend to a skin cancer!

Please take a tour of our new site and help us spread the word about detection and prevention of skin cancer before it spreads further.

PS:

We’ve even made it easier for you to book an appointment at any of our four locations with our Appointment page and invite you to contact us with questions at any time.

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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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The TRICK to Early Skin Cancer Detection

Thursday, October 29th, 2009

Halloween is a time when we all want to have fun, but a time to remind the kids about safety, too.

  • Head out in groups, never alone.
  • Don’t accept unwrapped food items.
  • Look both ways when crossing the street and never get in a car with a stranger.
  • Keep the flashlight handy.
  • And the hardest trick for kids (and sometimes adults) to learn?: don’t eat all your candy at once!

It’s a good time for grown-ups to practice safety measures, too.

Take off Your Costume!  Halloween Friends

Sure skin cancer is a scary subject, but there are some tricks to staying ahead of it. 

First? Take off your costume.  And all your clothes, for that matter!

Checking your skin means taking regular reviews of all the spots and dots on your body: moles, freckles and, yes, those little treats, “age spots.”  Things change, and you’re the one who sees your skin the most.  Of course it’s even better to do a buddy check with your partner.  The American Academy of Dermatology has a handy how-to you can print out for checking yourself out. Then, if you see any kind of change on one of your spots, don’t be afraid; just get it checked out.

The Ugly Duckling

Remember the children’s picture game we would play, “Which of these things is not like the other?”  When taking a gander at your body, look for the ugly duckling – the mark or mole that stands out and looks different from the others, especially if it falls under the ABCDE’s of Melanoma.

ADD's Downloadable Mole Map Guide

ADD's Downloadable Mole Map Guide

Look for:

A: Asymmetry  — One half different from the other, or odd shaped

B: Border – Irregular border

C: Color – For example, tan and brown, black, sometimes, red, white or even blue

D: Diameter – Gotten larger than the width of a pencil eraser?

E: Evolved – A change in size, shape or color

Any of these are good reasons to head to your dermatologist. Maybe you’ll get a lollipop.

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