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FAQ

What is Melanoma?

Melanoma is the most serious form of skin cancer.  Melanoma is not the most common skin cancer; however, it causes the most deaths.  According to the American Cancer Society, in 2007 there will be 8,110 fatalities, 5220 in men and 2800 in women in the United States due to melanoma.  The number of new cases is estimated at 59,940.

But there is good news.  People are more aware of the dangers of the sun than ever before and are more proactive in seeking help earlier.  Like other types of skin cancer, basal cell and squamous cell carcinomas, melanoma is almost curable in its early stages. 

The SCARF Foundation was formed with several goals and ideas.  Primarily SCARF promises to proactively communicate to the younger audience on ways to prevent melanoma from being in their lives.  In addition, SCARF will target the adult audience on early detection.  SCARF will also communicate with patients who have melanoma and their treatment options.

What Causes Melanoma?

Melanoma develops in melanocytes, cells that produce the dark protective pigment called melanin. Melanin produces sun-tanned skin, which acts as partial protection against the sun. But when melanocytes grow unregulated or controllably, they can become melanomas, which have the potential to spread, and therefore must be treated.

Melanoma may be associated with severe sunburns in childhood or adolescence. This is especially true among light-skinned people, although darker-skinned people can also develop it. Heredity may play a role. Atypical moles prevalent in families can serve as markers, and help identify those at higher risk for developing melanoma in a mole or other areas of the skin. "A melanoma can often be as simple as a mole that is asymmetric, has multiple or changing colors, and irregular border or is growing," says Jerome Potozkin, M.D., chair of dermatology at John Muir Medical Center - Walnut Creek Campus. "That is why you need to be aware of your body and have any unusual moles checked." In Sherri's case, her first detection was a irregular mole the size of a pencil eraser on the back of her leg.

According to the American Cancer Society, spots on the skin that change color should be seen by a board certified dermatologist right away. Any unusual sore, lump, blemish, marking, or change in the way an area of the skin looks or feels may be a sign of skin cancer. "The earlier melanoma is detected, the better the survival rate," adds Dr. Potozkin.

If a lab test reveals an area of skin as cancerous, the dermatologist has a array of procedures to recommend. The techniques are chosen to meet the patient's needs. Depending on the stage of the melanoma when diagnosed, surgery, chemotherapy, or biological therapy (immunotherapy) may be used. But, Dr. Potozkin notes, "if caught early, surgery is all that is needed in most cases of melanoma." There are centinal-node biopsies, where a die is injected into the lymph node area near the 'primary' spot melanoma was found. Surgery to remove the tumor and a margin of surrounding healthy tissue is the standard treatment for melanoma. If a large area is removed, a skin graft may be done at the same time, using skin from another part of your body. A few lymph nodes near the tumor may be removed to see whether cancer has spread though the lymphatic system to other parts of the body. In advanced cases, radiation therapy is used to relieve some of the symptoms caused by melanoma.     "Treatment of melanoma continues to evolve as medicine advances, but today the best plan remains prevention and early detection," notes Curtis Raskin, M.D., dermatologist on staff at John Muir Medical Center - Concord, CA Campus. "The importance of protecting children from the sun's damage can't be overemphasized. Even mild sunburns can dramatically increase their risk for skin cancer. Teach children to be sun-savvy and wear hats and sun block when outdoors, even on hazy days."


This information was provided by John Muir Health and the John Muir Physician Network and permission granted by  Jaime Jenett, Health Programs Coordinator, John Muir Women's Health Center, Walnut Creek, CA.


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Sherri Tennant Melanoma Cancer Awareness & Research Foundation, SCARF, is a Non-Profit Organization
1-888-902-2006      PO Box 30393 Walnut Creek, CA 94598
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