Sun Damage and Skin Cancer
Sun Damage and Skin Cancer
Sun Damage and Skin Cancer
ACTINIC KERATOSIS
SCC-Risk Factors
Fair Skin Pipe Smoker (lip) Chronic UV exposure - PUVA Tar, arsenic Immunosuppression (renal transpalant) - HPV infection X irradiation Longstanding scars/ulcers Genetic - defective DNA repair - albino
BCC
Clinical types Nodulo-cystic
BCC
Risk Factors fair skinned patients chronic sun exposure X-irradiation chronic arsenic genetic predisposition
BCC
Treatment Options - excision MOHS surgery - curettage and cautery - radiotherapy
MALIGNANT MELANOMA
1985 ABCD rule Asymmetry Border irregularity Color variegation Diameter of > 6 mm
TYPES OF MELANOMA
Superfical spreading the commonest in the UK Nodular Acral Rare in UK Common in Asian and Afro-Caribbean Lentigo maligna melanoma Arises in lentigo maligna
PROGNOSIS
93% 5-year survival 67% 5-year survival 38% 5-year survival < 1.5 mm thick 1.5-3.49 mm thick > 3 mm thick
TREATMENT
Breslow thickness - In situ - 1 mm - 1 2 mm - 2 4 mm Excision margin 0.5 - 1 cm 1 cm 2 cm 2 cm
TERIMAKASIH