Archive for the ‘Updates’ Category

Melanoma of the Eye

Monday, November 28th, 2011

When most people think of melanoma, they think of the skin. Moles or other marks which prove to be cancerous come to mind. What many people neglect to think of, or are unaware that they should even be thinking of, are our eyes. Eyes are capable of developing melanoma.

Ocular melanoma develops because our eyes have melanin. Melanin is what produces pigment, and the cells that produce melanin can become cancerous. The Mayo Clinic points out that, “Most eye melanomas form in the part of the eye you can’t see when looking in a mirror. This makes eye melanoma difficult to detect. In addition, eye melanoma typically doesn’t cause early signs or symptoms”.

An article on Just Cancer describes the stages of the cancer. In the first stage, the melanomas have, “…approximate thickness of 1 to 2.5 mm and maximum width of 10mm”. They are small, and generally do not spread to other areas. Luckily, the chance of survival is at 84%.

In stage two the melanoma increases in size. The chance of survival also remains relatively high at 68%. What changes in this stage however, is that symptoms can begin to appear. Loss of vision, seeing spots, and seeing flashes of light are all possible.

In stage three the cancer can spread beyond the eye, but not to the lymph nodes. The symptoms are similar to those in stage 2, but the tumor is much larger at 10mm thick and 16mm in diameter. The survival rate at this stage is 47%.

At stage four, the melanoma begins to spread to other organs and the lymph nodes. There is generally appetite loss and malaise accompanied with possible loss of vision. The survival rate at this stage drops dramatically to only 15%.

So, as we can see, melanoma of the eye is very serious. As we apply our sunscreen we must also remember our sunglasses. Those with UV protection are what we at MoleSafe recommend. You can find a wide variety of shapes and colors to match your every mood!

 

 

Share

Americans Get On Board With Melanoma Gene Research

Wednesday, November 16th, 2011

Harvard Science  is reporting that a new gene mutation has been found that increses a person’s risk for malignant melanoma. As we reported back in October, groups of researchers in Australia and the UK were looking into this, and it seems as though American researchers have come to the same conclusion.

The identified mutation occurs in the gene encoding MITF, a transcription factor that induces the production of several important proteins in melanocytes, the cells in which melanoma originates.  While previous research has suggested that MITF may act as a melanoma oncogene, the current study identifies a mechanism by which MITF mutation could increase melanoma risk.

Researchers knew that MITF regulated the production of melanin, and what they found, was that this gene mutation would block the chemical change, sumoylation, which slows MITF activity. This causes MITF to overact, hence the risk for melanoma. David Fisher, the Wigglesworth Professor of Dermatology at Harvard Medical School , says that:

We now need to better understand exactly how this mutation causes melanocytes to 
become cancerous.  That information might help us discover other oncogenes as well as find treatment strategies to block the cancer-promoting activity and kill melanoma cells.

What is important to remember however, is that while 10 percent of melanoma patients report a history of the cancer in their familiy, the truly hereditary form of the cancer most likely occurs in 1 percent or less of all cases.  Hensin Tsao, of MGH Dermatology and the Wellman Center for Photomedicine, reminds us that, “most cutaneous melanomas arise as a result of interaction between environmental factors such as excessive sun exposure and more common, inherited low- to moderate-risk gene variants”.

The American study was done by sequencing the genome of a melanoma patient with a history of the cancer in their family. Melanoma was reported across three generations. The American researchers then looked into the research done by the Australians and those in the UK. What they found is that the mutation, named E318K, occurred frequently in individuals with melanoma.

Tsao says, “This MITF variant doubles the background risk for melanoma, which is approximately the same risk increase conferred by severe sunburns”. He also reminds us that what this study truly displays is the amount of collaboration researchers are willing to do in order to find an answer. Here at MoleSafe, we hope they find one soon!

Share

Is Viagra the New Key to Combating Melanoma?

Wednesday, November 9th, 2011

Scientists at the German Cancer Research Center and Medical Facility Mannheim at Heidelberg University have looked into the affects of Viagra on mice with melanoma. The researchers are actually studying sildenafil, which is the active ingredient in the famous little blue pill. It was found that, “cancerous mice treated with the drug  survived more than twice as long as untreated fellow animals”, as reported by insciences.org.

This sounds like great news, but as Dr. Viktor Umansky points out:

On the one hand, cells of  the immune system specifically attack tumor cells. On the other,  however, almost every tumor causes in its microenvironment a chronic  inflammatory immune response which suppresses the specific antitumor  immunity.

So, Umansky claims, that they are trying to reduce the chronic inflamations and through that support the immune system as it attempts to fight the cancer cells.

 For their research, they used  genetically-modified (transgenic) mice that spontaneously develop a type  of skin cancer which is very similar to human melanoma. In the tumor  environment and in metastatic lymph nodes of the animals, the  investigators detected inflammatory mediators such interleukin-1-β and  interferon-γ. These immune mediators attract what are called  myeloid-derived suppressor cells (MDSC). These immune cells are known to  inhibit the immune system’s most important tumor-specific fighters, the  T cells.

Under the influence of MDSC, it appears as though the T cells stopped rapidly reproducing. This means that sildenafil is capable of neutralizing the chronic inflammation caused by melanoma. The researchers claim that melanoma in mice acts very similarly to how it does in humans. Umansky said that, “it is very well possible that sildenafil can also inhibit the immunosuppressive  effects of inflammation and thus improve antitumor immunity in people  with melanoma”. This could cause much better treatment results for melanoma patients. Here at MoleSafe, we certainly hope they’re on to something!

 

Share

Melanoma Survivors More Likely To Develop Other Forms Of Cancer

Wednesday, November 2nd, 2011

Startling new research was published in the Journal of American Academy of Dermatology this month, says Newswise. The research, conducted by the University of Arkansas Medical Sciences’ Appathurai Balamurugan, M.D., M.P.H., stated that survivors of melanoma were more likely to contract melanoma again, as well as other forms of cancer, than other members of the general public.

The study was the first of its kind to estimate the risk of new cancers among people with in situ (noninvasive) melanoma using such a large sample size: 40,881 people. It found that even when diagnosed early, women melanoma survivors were 12 times more likely to develop invasive melanoma, and men survivors were eight times more likely.

People were studied between 1992 and 2006 for this study. The data for the study came from the National Cancer Institute Surveillance Epidemiology and End Results Program. Balamurugan points out that, “the higher incidence for women… is probably a result of increased time spent outdoors and the use of tanning beds”. He also says that why the average age for woman contracting melanoma is currently in the 50s, the age is rapidly dropping into the 40s, and even 30s.

The article points out that, “the stakes are high… because an estimated 70,230 people in the United States will be diagnosed with melanoma, and an estimated 8,760 people will die due to melanoma in 2011″.  As for other forms of cancer, the percentages of melanoma survivors contracting these forms were also shockingly high.

For survivors of an in situ (noninvasive early stage) melanoma, their risk of getting lymphocytic leukemia was 44 percent higher for men and 79 percent for women. Men and women survivors of an invasive melanoma also were at higher risk for thyroid cancer (about twice as likely), non-Hodgkin’s lymphoma (about 50 percent more likely) and chronic lymphocytic leukemia (about 60 percent).

The article states that researchers hope that these findings force physicians to become more aggressive in their screening for melanoma. They also hope that doctors will be better at educating their patients about the dangers of this cancer. All it takes is a simple shift in behavior to prevent melanoma. If the public can make this more apparent, we would see a fall in the cases of this cancer. MoleSafe is trying to do just this!

 

Share

Melanoma Genes

Saturday, October 15th, 2011

Many cancers have proven to be hereditary. Breast and colon cancer, for example, are known to be passed down through families. This has caused many scientists to take a closer look at melanoma, the deadliest skin cancer, to see if it too is one of the cancers which can be passed down through genetic mutations. It seems as though researchers in Queensland, Australia and researchers in Britain may have found the answer.

Five genetic mutations have been found which, “increase the risk of developing melanoma by almost 60 percent”. These genetic faults have nothing to do with skin, hair, or eye color. The Sydney Morning Herald reports that:

“…the Queensland Institute of Medical Research, compared the genome of more than 2000 Australians with melanoma with more than 4000 people without the disease. They found that people with a variation in two genetic regions on chromosome one had a 30 per cent increased risk of developing melanoma compared with people without the variations. The team believes one of these faults lies within a gene known to cause melanoma in zebrafish.”

The Australians were not the only ones however, on to the fact that there may be a genetic mutation which causes melanoma. Researchers in Britain were also looking into this possibility. In fact, the Australians posted their results with a British study posted in Nature Genetics which identified three more genetic regions which could cause an increase in one’s risk for melanoma.

As CBC News states, “The discoveries may help to unravel how the deadly skin cancer develops”. It is interesting also, that two countries on the other side of the globe from each other would each be studying the same thing. Both teams were looking at the, “…very short sections of DNA known as SNPs, which may point to different variants of the gene that the SNP is part of. The aim is to find SNPs, and hence gene variants, that correlate with having melanoma”.

This allowed the teams to use each other’s research as a means of checking to see if SNPs that were related to Melanoma really did exist. Four of the sections proved to be significant in both studies.

“These four SNPs are in addition to at least seven others related to melanoma found in earlier genetic studies. These earlier SNPs relate to skin pigmentation and moles, which is significant as many melanomas start from an abnormal mole.”

The next step for the scientists was to figure out which genes the SNPs belonged to. What they found to be most interesting, is that these new SNPs had nothing to do with the pigment of skin or moles.

So what does this all mean? Eventually, scientists may be able to identify exactly who is most at risk for melanoma. Like breast cancer and colon cancer, patients who are at risk for melanoma will be able to take the necessary steps to prevent themselves from contracting the cancer, by catching it early on. MoleSafe will be an important tool for these patients to use.

 

 

Share

MoleSafe On The Air – Oct 2

Thursday, September 29th, 2011

I hope you’ll mark your calendars to tune in to WMTR-AM, on Sunday, Oct 2nd at 9:00 AM. You can find it in the Morristown/Eastern PA/Central NJ area at 1250 AM. OR you can listen live online!

I’ll be interviewed all about the latest Melanoma news and the difference a thorough screening can make…and more about   why MoleSafe is the world’s most comprehensive detection and surveillance teledermatology platform for Melanoma screenings.

 

Share

Interesting Read…

Monday, August 15th, 2011

Just a quick post here: We’ve been hearing from friends that this Pulitzer Prize winner is a very compelling read:

Emperor of all Maladies

Emperor of all Maladies

As one friend wrote of “The Emperor of all Maladies”: “May sound depressing but it’s not. It’s fascinating and feels (so far) like a must-read for anyone who has had cancer or been touched by someone who did. Said another way, EVERYONE.”

The official description:

“…a magnificent, profoundly humane “biography” of cancer—from its first documented appearances thousands of years ago through the epic battles in the twentieth century to cure, control, and conquer it to a radical new understanding of its essence.”

Have you read it?  What are your thoughts? As always, your comments are welcome.

Share

MoleSafe News

Thursday, July 28th, 2011

In case you missed reading about it on our Facebook page –but we HOPE you’re also joining us there? — we posted my interview on Tech Talk with Craig Peterson. Craig’s show has been ranked the #1 radio show in the Boston Market with some 4 million podcast downloads. He  interviews top industry insiders and I was pleased to be able to speak to the technological advances MoleSafe has offered in our ongoing effort to improve early detection of Melanoma and other skin cancers.

You may have also read on our wall, or on Twitter, that we’re going to be accepting appointments at our MOBILE clinic, arriving in San Francisco the week of October 10th. Please share this with all your friends and loved ones in the Bay Area as we bring the most advanced detection services to the West coast.  Call 1-877-MOLESAFE (1-877-665-3723) to schedule an appointment there…or at any of our permanent clinics in six locations around the country.

If you can’t make it to one of our clinics, do continue to practice self-exams and book your annual examinations with your dermatologist.

MelApp from Health Discovery on iTunes

MelApp from Health Discovery on iTunes

If you’ll be attending the AAD next weekend (American Academy of Dermatology) we hope to meet you.  Please look for me, Dr. Richard Bezozo as well as Dennis Favazza – MoleSafe’s Director of Business Development, and Maddie Pallamary, RN.  We’ll be at the conference, taking place Aug 4-6 at the Hilton Hotel in NYC — Booth # 330.  Please come by and let’s talk in person about MoleSafe and our leading edge diagnostic tools.

Finally, in other news, there’s another way to remember your ABCDEs! Similar to the app we reported on a couple of months ago you can use your iPhone now in the meantime with MelApp to share images of your moles with your doctor, along with a helpful reminder of exactly what to look for on your skin — and the skin of a loved one.

Share

Summer Sun Smarts for Skin Protection

Tuesday, July 19th, 2011

Here’s a a round-up of reminders for being smart during summer sun activities:

Bikers

Cycling news site, Nouvelles à Vélo du Monde — Bike World News –  has some practical reminders:

People who bicycle a lot have several strikes against them when it comes to skin cancer… Because many cyclists ride near their homes, they think they’re not at risk if they don’t put on sunblock — even for a short ride. The problem is that cyclists tend to expose more skin than other athletes because of the clothes they wear (shorts and short-sleeve shirts). In addition, many cyclists may not realize that water, sand, and asphalt streets reflect dangerous UV rays.

In addition to the expected recommendations such as sunscreen, including face, nose, neck and ears, less obvious suggestions include moving your cycling time to when the sun is less severe, such as early morning, wearing riding gloves and also a thin cycling hat under a helmet.  Bicycle Face Jersey Share The Damn Road_1311041505092

Another interesting suggestion?:

Don’t forget to stay hydrated while cycling by drinking plenty of non-alcoholic beverages before  and during a ride. When your skin dries out or is not hydrated properly, it’s more susceptible to sunburn and long-term skin damage.

Beach and Pool:

Be sure to reapply sunscreen every two hours when you’re in the sun and every 40 minutes if you are in the water.  And don’t forget your feet.  Believe it or not, some say flip-flops are causing increased skin cancer!  Well, not the sandals themselves, but the increased popularity of that sun-exposing style vs. covered shoes.  But as described on Fort Bragg Patch.com,

“Being protected from the sun doesn’t mean you have to throw all the fun out the window. Find the coolest pair of shades you can come by, get a ridiculously big hat (like Carrie from Sex and the City), park it under a tree or umbrella and sip on something fruity to keep you cool.”

That said, sometimes a burn will still happen.  USAToday.com has good and practical treatment advice in that worst case scenario.  I encourage you to read it, but some high points are:

After a cool shower or bath, slather on a moisturizing cream or lotion to soothe the skin. …And consider a product containing vitamin C and vitamin E: It might help limit skin damage (though studies have not proved that)… It’s also OK to use a hydrocortisone cream for a day or two to relieve discomfort.

…Drink extra water, juice and sports drinks for a couple of days and watch for signs of dehydration… Children are especially vulnerable, so check with a doctor if they appear ill.

Consider medicating with ibuprofen which not only alleviates the pain and some swelling, but might prevent some long-term skin damage.  While they remind us most sunburns can be treated at home, “if a blistering burn covers 20% or more of the body (a child’s whole back), [or if symptoms such as fever or chills occur] seek medical attention”

Share

Women and Melanoma

Sunday, July 10th, 2011

There were two interesting studies out in the past several weeks regarding women and the risk of Melanoma, both of which were reported in the Journal of Clinical Oncology and are sort of “the good news and the not quite as good, but interesting, news.*”

First, as stated by MedPage Today,

“If you have to have malignant melanoma, be a woman – your chances are better.”

While it’s considered preliminary data, the article share that “women exhibited a consistent independent advantage in melanoma progression, metastasis, and survival across all stages which was independent of hormonal status.”

That means the results were the same, regardless of age.  The challenge is that we still don’t know WHY women survive melanoma or it progresses less quickly than in men. Even the speculation that it was behavioral was ruled out — such as men avoiding the doctor more than women — and is seen as something biological.  But what?:

It’s…not an obvious effect of changes in hormone levels driven by menopause. Women 45 or younger had similar rates of progression-free survival as women 64 and older. But there could be other hormonal factors, differences in vitamin D metabolism, or variation by sex in how people handle reactive oxygen species and oxidative stress, [Arjen Joosse, MD, of Erasmus University Medical center in Rotterdam, the Netherlands] speculated.

Even such a factor as obesity might play a role, since adipose tissue releases hormones, he said.

Indeed, the key question is no longer if the observation is true, but what’s causing it,

Vitamin D supplementation at a relatively low dose plus calcium did not reduce the overall incidence of NMSC or melanoma. However, in women with history of NMSC, CaD supplementation reduced melanoma risk, suggesting a potential role for calcium and vitamin D supplements in this high-risk group. Results from this post hoc subgroup analysis should be interpreted with caution but warrant additional investigation.

That leads us to the next report that just came out, and as reported by MedScape Today:

Calcium plus vitamin D supplementation did not reduce the overall incidence of nonmelanoma skin cancer (NMSC) or melanoma in postmenopausal women in the Women’s Health Initiative (WHI), researchers say.

However, the placebo-controlled study found that, in women with history of NMSC, calcium plus vitamin D supplementation reduced subsequent melanoma risk, suggesting a potential role for the supplements in this high-risk subgroup, said the authors, led by Jean Tang, MD, PhD, from Stanford University in California.

So, while we don’t know why women do better in battling melanoma, and we know that Calcium and Vitamin D seem to be ruled out as a factor in preventing the disease, there DOES seem to be some evidence that the supplements may hold melanoma at bay a bit in women who have had NON-melanoma skin cancers before.

The takeaway continues to be, as with our other posts on studies and treatment news, that we are continuing to gain ground and promising results are coming in.  But, we must continue the research and continue down the path a ways to reach a cure.

*Please remember, we share information on Melanoma Updates that we found interesting, inspirational, or thought-provoking.   Any science or clinical study news you read here or elsewhere should be reviewed with your doctor.

Share