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Burnt
to death
An average of eight people are diagnosed with skin cancer
every day in NSW alone. Kay Coppa finds out whos at
risk and when to see a doctor.
Anyone
can develop skin cancer, but if youre over 55, you
are in a group that is most at risk. Factors such as your
skin type, the colour of your eyes, the number of times
youve been sunburnt and any history of previous skin
cancers all play a part. The good news is that 95 per cent
of melanomas are treatable if caught early.
Did
you know?
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Five
or more sunburns in your lifetime can double your risk
of skin cancer.
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Melanomas
can occur on parts of the body that are difficult to see,
even those that havent been exposed to the sun.
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A
melanoma can become life threatening in as little as six
weeks.
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Every
day, two people aged 55 and over die from melanoma in
Australia.
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Melanoma
deaths are higher in older men than older women.
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More
than 95 per cent of melanomas are treatable if caught
early.
How
often do you check?
You should check your skin regularly at least every
three months.
Keep a record of the dates you check your skin and make
notes about anything youre keeping an eye on. You
should get your skin seen by a general practitioner or dermatologist
once a year.
Any spot that appears on the lips or ears should be seen
by a GP immediately. If you have been diagnosed with a skin
cancer, ask your GP or dermatologist about how often you
should be checking.
Who
should check?
The risk of developing skin cancer increases with age. Death
from melanoma is highest in people aged over 55. But anyone
aged 18 and over would benefit from getting to know their
own skin.
Who
is at risk?
Anyone who spent their childhood in Australia, or spends
time in the sun, is at risk of developing melanoma and other
skin cancers. Some people have a higher level of risk than
others.
You
should be extra careful about checking your skin if you
have any of the following:
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suffered
sunburn in the past;
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fair
skin that burns easily, freckles and does not tan;
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blue
or green eyes and/or fair or red hair;
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been
diagnosed with skin cancer in the past; and
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a
family history of melanoma.
What
to look for
The more you examine your own skin, the more you will learn
whats normal for you and what may have changed since
you last looked.
How
to check your skin
Everyone can check their own skin, but it helps to have
someone help you with those difficult-to-see places. With
a bit of practice, most people can check their whole body
in 15 minutes. Why not check your skin when you are getting
dressed or getting out of the shower?
When you examine your skin, youll need a full-length
mirror and a hand-held mirror. You will need to undress
completely. The room you use will need to be well lit.
There is no specific skin examination method. The following
steps are suggested by the Australasian College of Dermatologists.
Check
your face, head and neck
Check the whole face, including around the nose, lips and
ears. The scalp can be difficult to examine. Make sure you
part your hair.
Try using a hand-held blow dryer or a comb to lift the hair
from the scalp or ask your partner or a friend to help.
Turn your back to the full-length mirror and use your hand-held
mirror to check the back of your neck and ears.
Check
your torso
Check front, back and sides. Raise your arms and look at
your right and left side.
Check
your arms and hands
Hold your hands with the palms face up. Look at your fingers
and spaces between the fingers. Turn your hands over and
examine the backs of your hands, fingers, spaces between
the fingers and fingernails.
Face the mirror and look at your forearms and upper arms.
Bend your elbows to look at the undersides.
Check
your legs and buttocks
With your back towards the full-length mirror, look at your
buttocks and the backs of your thighs and lower legs. Turn
and face the mirror and check the front of your thighs and
lower legs.
Sit down and cross one leg over the other. Examine the top
of your foot, the toes, toenails and spaces between the
toes. Then use the hand-held mirror to look at the sole
or bottom of your foot. Repeat the step with your other
foot.
If
you spot something
If you see anything on your skin that has changed in size,
shape or colour, that itches or you do not think was there
before, there are several things you can do.
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See
your GP or medical officer: Your GP knows your full history,
can examine your skin and advise you about appropriate
care.
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See
a dermatologist: If you would like a second opinion, ask
your GP to refer you to a specialist, such as a dermatologist.
Your GP may suggest you see a specialist anyway.
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Visit
a skin cancer clinic: There are many skin cancer clinics
available, offering a variety of services and fee arrangements.
Skin cancer clinics are usually operated by GPs.
Protect
yourself in the sun
You can protect your skin from further sun damage by following
simple sun protection practices every day. It is never too
late to start protecting your skin.
Be sun safe every day not just at work or at the
beach, but in the garden, walking the dog or going shopping.
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Avoid
the sun in peak UV times between 10am and 2pm (11am and
3pm during daylight saving).
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Stay
in the shade whenever possible.
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Wear
clothing that covers as much skin as possible.
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Wear
a broad-brimmed hat.
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Apply
broad-spectrum sunscreen with an SPF 30-plus rating. Reapply
every two hours, or after swimming or sweating.
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Kay
Coppa is the manager of skin cancer prevention at The Cancer
Council NSW. Information for this article has been sourced,
with permission, from the Cancer Council NSWs Skin
Cancer: Get the facts and save your own skin booklet.
The
spots to look out for:
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Melanoma
Any
new spot, mole or freckle
Any
existing spot, mole or freckle that changes colour, size or
shape
Any
spot, mole or freckle that has an irregular or smudgy outline
Any
spot, mole or freckle that is blotchy and has more than one
colour
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Nodular
Melanoma
Any
small, round lump that was not there before
A
spot that can resemble a blood blister and is black, brown,
red or pink in colour
A
lump that has grown quickly
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Squamous
cell carcinoma
Any
thickened, red, scaly spot, especially on parts of the body
often exposed to the sun
A
spot that may bleed or ulcerate
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Basal
cell carcinoma
A
spot that may appear as a lump or scaling area
Will
be red or pearly in colour
Tends
to ulcerate and bleed easily and does not heal
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Harmless
spots that are warning signs you may be prone to skin cancer:
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Dysplastic
naevi
Flat,
fairly large moles which share some of the features of early
melanoma
Irregular
borders and uneven colour with multiple shades of brown and
sometimes pink
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Solar
keratoses
Red,
flattish, scaling areas which may sting if scratched
Sunspots
appear on sun-exposed skin in the over-40 age group
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Harmless
spots that are not cancerous or a sign of potential cancers:
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Freckles
and moles
Freckles
are harmless coloured spots that range in size from 1-10mm
Moles
that are evenly coloured and may or may not be raised
Moles
with clear, even edges that are usually circular or oval in
shape
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Seborrhoeic
keratoses
Have
a discrete edge and often sit on top of the skin
Colour
varies from pale skin to black
Size
varies from a few millimetres to 2cm
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TOP
SGT
Rob Orr is a PTI at Gallipoli Barracks
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