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Melanoma   Information You Need
Basics

Malignant melanoma is the most dangerous form of skin cancer, which is related to melanin, the pigment forming cells in the skin. Melanoma usually looks like a mole or a freckle, which is changing. It is now the fourth most frequent cancer after lung cancer, prostate cancer and breast cancer. Despite the rising incidence of malignant melanoma, the cure rate is good, provided people know what to look for and seek early treatment. It is not a contagious disease. 

Classified into four basic subtypes, melanoma occurs in stages.

  • Superficial spreading melanoma (SSM) is a form of malignant melanoma that accounts for about 70% of cases of this disorder. It may strike at any age and is most common in Caucasians.
  • Nodular melanoma (NM) accounts for about 15% of cases. It may be uniform in pigmentation and include ulcerations that never heal. It can develop anywhere on the body, usually between the ages of 20 and 60.
  • Acral lentiginous melanoma (ALM) occurs in about 10% of cases of melanoma. It is most common in the elderly and form and is present in dark pigmented, flat to nodular lesion form. It always occurs on the palms, soles, or mucosal surfaces.
  • Lentigo maligna melanoma occurs in about 5% of cases, as lesions on sun-exposed skin (head, neck), often in elderly patients.

    Approximately 32,000 cases per year are currently diagnosed in the United States alone, and the incidence is increasing at the rate of 4.3% per year, one of the fastest of all cancers. The overall incidence rate for the disease is increasing faster than that of any other cancer and by the end of the year 2000, an American's lifetime risk for developing melanoma will be one in 75. The disease is now the most commonly occurring cancer in women between the ages of 25 and 29 -- and is second only to breast cancer in women ages 30 to 34.

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Symptoms

Men most often get melanoma on the trunk (the area of the body between the shoulders and hips) or on the head or neck, whereas women most often get melanoma in the arms and legs. 

The warning signs of melanoma would include:

  • Change in the size, shape, or color of a mole 
  • Oozing or bleeding from a mole 
  • A mole that feels itchy, hard, lumpy, swollen, or tender to touch
  • Can also appear on the body as a new mole.

Prevention

Fortunately almost all skin cancer and most melanomas can be prevented by minimization of sunlight exposure, particularly in the early years of life i.e. from birth to age 20. Sun avoidance, particularly in the middle of the day, use of protective clothing, hats and high sunlight protection factor SPF sunscreens are the basis for the prevention of all forms of skin cancer.

Causes

About 70% of melanomas appear on normal skin, and 30% occur in nevi (moles) or other lesions that have changed in appearance. Malignant melanoma is not usually an inherited disease. Less than 5% of melanoma patients have a close relative (parent, sibling, offspring) with melanoma. The risk of other family members developing the disease is thus very small. Excessive exposure to the ultraviolet radiation of the sun is the most important preventable cause of melanoma. Immune system deficiencies and past sunburns and sun exposure at younger ages could also contribute to the development of the condition.

Diagnosis

If the doctor suspects that a spot on the skin is melanoma, the patient will need to have a biopsy. A biopsy is the only way to make a definite diagnosis. In this procedure, the doctor tries to remove all of the suspicious-looking growth. If the growth is too large to be removed entirely, the doctor removes a sample of the tissue. A biopsy can usually be done in the doctor's office using a local anesthetic. A pathologist then examines the tissue under a microscope to check for cancer cells. Sometimes it is helpful for more than one pathologist to look at the tissue to determine whether melanoma is present.

Dietary Guidelines

Keep the diet simple and alkaline during healing. Add fresh fruits and vegetables to your diet. Consciously add vegetable protein sources for faster healing. Include vitamin C rich food in your diet.

Home Care Suggestions

Get early morning sunlight on the skin every day for 15 minutes. Early sun can help heal ulcerations. Midday sun aggravates them.

Mind/Body Considerations

Skin conditions and abnormalities are very depressing but they should be handled tactfully otherwise they only get more complicated. Mind and body consideration are very important as they help the body to recover from any disease.

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