Oncological disease of the skin Teaching lesson 7 Written by: Zdeňka Smejkalová, Jitka Slaná Reissmannová Skin cancer •Melanoma = very dangerous type of skin cancer •Inconspicuous spot •Extensive metastases at a later stage (1) Occurrence of skin cancer (2) Skin cancer is the most frequent neoplastic disease! (3) Risk factors •Ultraviolet radiation (UV radiation) – comes from sunshine •Excessive sunbathing •Repeated sunbathing •Excessive sunbathing in childhood •Absence of sun protection creams •Persons classified as phototype 1 and 2 •Persons with a large number of birthmarks •Solaria •Inheritance Symptoms •A warning sign should be any change on the skin, mostly this is a change in the birthmark! • (4) Symptoms •Change in birthmark colour (usually dark colour) •Spotty appearance •Change in size, surface spreading of the birthmark •Irregular edges •Bleeding or itching birthmark •The melanoma is a pigmented spot, which gradually changes •Spots under nails •A malignant tumour may resemble a wart, callus, or bruise (5) Prevention •Avoid direct exposure to sunshine (between 11 a.m. and 3 p.m.) •Use of sunscreens with protective factor •Stay in a shade •Avoid solariums • •Self-examination of the skin – three times a year • •Skin cancer – video • • • References •ARENBERGER, Petr. Maligní melanom a ostatní nádory kůže. Linkos [online]. c2018, 10.9.2014 [cit. 2018-05-07]. Retrieved from: https://www.linkos.cz/pacient-a-rodina/onkologicke-diagnozy/maligni-melanom-spinaliom-bazaliom-c43- 44-d03/maligni-melanom-a-ostatni-nadory-kuze/ •Kožní nádory. Vitalion [online]. c2018 [cit. 2018-05-07]. Retrieved from: https://nemoci.vitalion.cz/kozni-nadory/ •Melanom.cz [online]. 2018 [cit. 2018-05-08]. Retrieved from: http://www.melanom.cz/ •VOJAČKOVÁ, Naděžda a Michaela FRIDRICHOVÁ. Kůže a její ochrana: obecné informace pro pacienty. Praha: Liga proti rakovině, 2013. ISBN 978-80-260-5064-3. •Figures: •(1), (4), (5): Melanom.cz [online]. 2018 [cit. 2018-05-08]. Retrieved from: http://www.melanom.cz/ •(2), (3): Novotvary 2015 ČR [online]. Praha: Ústav zdravotnických informací a statistik ČR, 2015. [cit. 30/04/2018]. Retrieved from: http://www.uzis.cz/publikace/novotvary-2015 • • •