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Cancer Biology and
Molecular Oncology
BIOC: 262
PRESENTATION BY:
MUUNDA MUDEDA
15/BSB/BU/R/0004
LECTURER: MR. S. BAMUTEZE
2
TOPIC
Discuss skin cancer.
3
The Skin…
4
WHAT IS SKIN CANCER?
5
•Skin cancer is a disease
in which cancer
(malignant) cells are
found in your skin.
6
Occurrence
• Skin cancer is the most common type of
cancer in the U.S. and accounts for
approximately 50% of all cancers.
• The incidence of skin cancer is greater
than breast, lung, prostate, colon, and
kidney cancers added together.
• Largely preventable
7
Who is at Risk
• Light skin color, hair color, eye color, freckles
• Genetics
• Certain types of moles
• Long-term sun exposure
• History of childhood sunburns
8
What Causes Skin Cancer
• Ultraviolet (UV) radiation is the main
cause
• Artificially-produced UV radiation
• Chemicals
9
Types of Skin Cancer
• Pre-Cancerous
oActinic keratosis
• Cancerous
oSquamous cell carcinoma
oBasal cell carcinoma
oMelanoma
oOthers
10
Actinic Keratosis
• A pre-cancerous condition of thick,
scaly patches of sun-damaged skin.
11
Basal Cell Carcinoma
• Basal cell carcinoma is the
most frequently
diagnosed skin cancer
(2.8 million every year in
U.S.).
• This skin cancer occurs in
heavily sun-exposed
areas of the skin.
• This type of skin cancer
usually appears on the
face, neck, ears, lips, and
nose.
• Basal cell carcinoma
rarely results in death,
but it can spread and
cause more serious health
problems.
12
Basal Cell Carcinoma
• Basal cell carcinomas typically occur as light
pink or flesh-colored bumps with pearly or
waxy appearances.
• They grow slowly and are almost never fatal
but, if neglected, they can grow to the point
where disfiguring surgery is necessary to
remove them.
13
Squamous Cell Carcinoma
• Squamous cell carcinoma is the second most common
skin cancer.
• It is more aggressive than basal and can spread to other
parts of the body and may result in death
(approximately 2,500/year).
• Squamous cell carcinoma also tends to occur in the most
heavily sun-exposed areas of the skin.
14
Squamous Cell Carcinoma
• Squamous cell carcinomas often start as flat red
or brown splotches which become rough, dry,
and scaly.
• If not treated, they may eventually grow large
enough to spread to nearby internal organs and
be fatal.
15
Basal and Squamous Cell Carcinomas
Approximately 1
million cases of
basal and
squamous cell
carcinomas are
diagnosed each
year in the U.S.
Good news:
With early
detection and
treatment, basal
and squamous cell
carcinomas have a
cure rate of more
than 95%.
16
Melanoma
• Malignant melanoma is the most deadly of the
three types of cancer.
• Melanoma accounts for less than 5% of the skin
cancer cases.
• It causes more than 75% of the skin cancer
deaths.
• Melanoma causes about 8,790 deaths each year
in the U.S.
Source: CDC http://www.cdc.gov/cancer/skin/
http://www.skincancer.org/
17
Melanoma
• Melanoma cases are
increasing faster than
any other cancer.
• Melanoma is the most
common cancer among
25-29 year-olds and
second for 15-29 year-
olds.
• Vulnerability to
melanoma begins at
age 12, much earlier
than other skin cancers.
• If not removed early,
while thin, melanoma
often grows rapidly,
spreads to distant
internal organs, and is
fatal.
• It is equally likely to
occur in all areas of the
country.
Source: CDC http://www.cdc.gov/cancer/skin/
http://www.skincancer.org/
18
Ordinary Moles
ORDINARY MOLES have
all of these features:
• Round or oval shape
• Sharp, even borders
with skin
• Uniform color (usually
brown)
• Less than 1/4 inch wide
• Cauliflower or smooth
surface
• Even dome shape if
mole is raised
http://www.skincheck.org/
19
Atypical Melanoma Moles
http://www.skincheck.org/
ATYPICAL MOLES often
have one or more of these
features:
• Irregular shape
• Uneven and/or fuzzy
borders
with skin
• Two or more shades of
brown
or pink
• 1/4 inch wide or more
• Cauliflower or smooth
surface
• Flat edges with "fried egg"
center if mole is raised 20
Risk Factors for Skin Cancer
• Fair skin
• Light hair color
• Family history of
skin cancer
• Blistering sunburn
before the age of 20
• Atypical moles
• Indoor tanning
• Large number of
normal moles
21
Controllable Risk Factors
Risk Factor Risk Percentage
Intermittent exposure of normally covered skin to
strong sunlight
High
One blistering sunburn under the age of 20 2 times as likely
Three or more blistering sunburns under the age of 20 5 times as likely
One tanning bed session under the age of 30 Almost 2 times as
likely
Ten or more tanning bed sessions in one year under
the age of 30
Almost 8 times as
likely
22
Warning Signs of Melanoma
Any change in a mole, blemish, freckle, birthmark, or
pigmented area
A new mole or freckle that appears or is growing rapidly,
especially if you don't have many moles, or the new mole or
freckle looks different from those you do have
23
A mole or other growth that has any of
the ABCD properties:
A = Asymmetry
Radial melanomas are often
unsymmetrical; an
imaginary line through the
middle does not produce
matching halves
B = Border
The borders of radial
melanomas may be uneven,
fuzzy, or have notched or
scalloped edges.
24
C = Color
Radial melanomas often
begin to show color
changes in areas, with
shades of black, brown,
tan, and sometimes other
colors.
D = Diameter
Unlike normal or atypical
moles, radial melanomas
often grow larger than
the width of a pencil
eraser.
25
Warning Signs of Melanoma
A change in surface texture or in the way a mole feels to the
touch
A new "freckle" that is dark, dry, or scaly
A pigmented area or splotch that is new or that you don't
remember seeing before
26
Warning Signs of Melanoma
A new spot that is black, even if very small
A mole or other spot that looks or behaves differently
than those around it, even if it seems otherwise normal
A mole or other spot that itches and/or bleeds
Redness, other color, or shadow extending into the
surrounding skin
27
How is Skin Cancer
Found?
• Self-examination
• Exams and Doctors visits
• Early detection is KEY
28
Treatment
• The Physician will:
o Review medical history and perform a physical
o Determine what type of cancer
o Then treat the cancer with:
• topical medication
• laser, freezing, and various surgeries
• radiation and/or chemotherapy
29
Prevention
• Avoiding Artificial Sun
o Tanning/sun lamps
• Limiting Sun Exposure
• Avoid midday sun
• Apply sunscreens often (at least 30 SPF)
• Use UVA/UVB blocking SUNGLASSES
30
THE END
Thank you!
31

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SKIN CANCER - BUGEMA UNIVERSITY.

  • 1. Cancer Biology and Molecular Oncology BIOC: 262
  • 5. WHAT IS SKIN CANCER? 5
  • 6. •Skin cancer is a disease in which cancer (malignant) cells are found in your skin. 6
  • 7. Occurrence • Skin cancer is the most common type of cancer in the U.S. and accounts for approximately 50% of all cancers. • The incidence of skin cancer is greater than breast, lung, prostate, colon, and kidney cancers added together. • Largely preventable 7
  • 8. Who is at Risk • Light skin color, hair color, eye color, freckles • Genetics • Certain types of moles • Long-term sun exposure • History of childhood sunburns 8
  • 9. What Causes Skin Cancer • Ultraviolet (UV) radiation is the main cause • Artificially-produced UV radiation • Chemicals 9
  • 10. Types of Skin Cancer • Pre-Cancerous oActinic keratosis • Cancerous oSquamous cell carcinoma oBasal cell carcinoma oMelanoma oOthers 10
  • 11. Actinic Keratosis • A pre-cancerous condition of thick, scaly patches of sun-damaged skin. 11
  • 12. Basal Cell Carcinoma • Basal cell carcinoma is the most frequently diagnosed skin cancer (2.8 million every year in U.S.). • This skin cancer occurs in heavily sun-exposed areas of the skin. • This type of skin cancer usually appears on the face, neck, ears, lips, and nose. • Basal cell carcinoma rarely results in death, but it can spread and cause more serious health problems. 12
  • 13. Basal Cell Carcinoma • Basal cell carcinomas typically occur as light pink or flesh-colored bumps with pearly or waxy appearances. • They grow slowly and are almost never fatal but, if neglected, they can grow to the point where disfiguring surgery is necessary to remove them. 13
  • 14. Squamous Cell Carcinoma • Squamous cell carcinoma is the second most common skin cancer. • It is more aggressive than basal and can spread to other parts of the body and may result in death (approximately 2,500/year). • Squamous cell carcinoma also tends to occur in the most heavily sun-exposed areas of the skin. 14
  • 15. Squamous Cell Carcinoma • Squamous cell carcinomas often start as flat red or brown splotches which become rough, dry, and scaly. • If not treated, they may eventually grow large enough to spread to nearby internal organs and be fatal. 15
  • 16. Basal and Squamous Cell Carcinomas Approximately 1 million cases of basal and squamous cell carcinomas are diagnosed each year in the U.S. Good news: With early detection and treatment, basal and squamous cell carcinomas have a cure rate of more than 95%. 16
  • 17. Melanoma • Malignant melanoma is the most deadly of the three types of cancer. • Melanoma accounts for less than 5% of the skin cancer cases. • It causes more than 75% of the skin cancer deaths. • Melanoma causes about 8,790 deaths each year in the U.S. Source: CDC http://www.cdc.gov/cancer/skin/ http://www.skincancer.org/ 17
  • 18. Melanoma • Melanoma cases are increasing faster than any other cancer. • Melanoma is the most common cancer among 25-29 year-olds and second for 15-29 year- olds. • Vulnerability to melanoma begins at age 12, much earlier than other skin cancers. • If not removed early, while thin, melanoma often grows rapidly, spreads to distant internal organs, and is fatal. • It is equally likely to occur in all areas of the country. Source: CDC http://www.cdc.gov/cancer/skin/ http://www.skincancer.org/ 18
  • 19. Ordinary Moles ORDINARY MOLES have all of these features: • Round or oval shape • Sharp, even borders with skin • Uniform color (usually brown) • Less than 1/4 inch wide • Cauliflower or smooth surface • Even dome shape if mole is raised http://www.skincheck.org/ 19
  • 20. Atypical Melanoma Moles http://www.skincheck.org/ ATYPICAL MOLES often have one or more of these features: • Irregular shape • Uneven and/or fuzzy borders with skin • Two or more shades of brown or pink • 1/4 inch wide or more • Cauliflower or smooth surface • Flat edges with "fried egg" center if mole is raised 20
  • 21. Risk Factors for Skin Cancer • Fair skin • Light hair color • Family history of skin cancer • Blistering sunburn before the age of 20 • Atypical moles • Indoor tanning • Large number of normal moles 21
  • 22. Controllable Risk Factors Risk Factor Risk Percentage Intermittent exposure of normally covered skin to strong sunlight High One blistering sunburn under the age of 20 2 times as likely Three or more blistering sunburns under the age of 20 5 times as likely One tanning bed session under the age of 30 Almost 2 times as likely Ten or more tanning bed sessions in one year under the age of 30 Almost 8 times as likely 22
  • 23. Warning Signs of Melanoma Any change in a mole, blemish, freckle, birthmark, or pigmented area A new mole or freckle that appears or is growing rapidly, especially if you don't have many moles, or the new mole or freckle looks different from those you do have 23
  • 24. A mole or other growth that has any of the ABCD properties: A = Asymmetry Radial melanomas are often unsymmetrical; an imaginary line through the middle does not produce matching halves B = Border The borders of radial melanomas may be uneven, fuzzy, or have notched or scalloped edges. 24
  • 25. C = Color Radial melanomas often begin to show color changes in areas, with shades of black, brown, tan, and sometimes other colors. D = Diameter Unlike normal or atypical moles, radial melanomas often grow larger than the width of a pencil eraser. 25
  • 26. Warning Signs of Melanoma A change in surface texture or in the way a mole feels to the touch A new "freckle" that is dark, dry, or scaly A pigmented area or splotch that is new or that you don't remember seeing before 26
  • 27. Warning Signs of Melanoma A new spot that is black, even if very small A mole or other spot that looks or behaves differently than those around it, even if it seems otherwise normal A mole or other spot that itches and/or bleeds Redness, other color, or shadow extending into the surrounding skin 27
  • 28. How is Skin Cancer Found? • Self-examination • Exams and Doctors visits • Early detection is KEY 28
  • 29. Treatment • The Physician will: o Review medical history and perform a physical o Determine what type of cancer o Then treat the cancer with: • topical medication • laser, freezing, and various surgeries • radiation and/or chemotherapy 29
  • 30. Prevention • Avoiding Artificial Sun o Tanning/sun lamps • Limiting Sun Exposure • Avoid midday sun • Apply sunscreens often (at least 30 SPF) • Use UVA/UVB blocking SUNGLASSES 30