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Mrs. Maria Susan Z. Maglaqui

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Tarlac State University College of Nursing SY: 2011-2012

SKIN CANCER
Submitted to: Mrs. Maria Susan Z. Maglaqui

Submitted by: Agustin, Ronaldo Bonifacio, Mark Arren Briones, Joanna Marie Lumboy, Carl Sicat, Mary Joyce Ordona Jessel Valdoz, Myleen Villanueva, Marjorie

October 2011

Skin Cancer or Skin Neoplasia Most common form of human cancer More than 97% of these lesion will be non-melanoma skin cancer Ultraviolet light, which is in sunlight, is the main cause of skin cancer. The most common warning sign of skin cancer is a change in the appearance of the skin, such as a new growth or a sore that will not heal.  Yearly cases of Skin Cancer increases about 4% Risk Factors        Increased outdoor activities Changes in clothing style Increased longevity Ozone depletion Fair complexion Family history Multiple or atypical moles, occupational exposure to coal tar, pitch, creosote, arsenic or radium    

Prevention       Avoiding Ultraviolet Radiation Limiting Sunlight Exposure Wearing hat or protective garments Sunblock with atleast SPF 15 or higher Avoiding Severe sunburns undergoing regular checkups and bringing any suspicious-looking or changing lesions to the attention of a doctor  Early Detection

3 Different Conditions  Basal cell carcinoma (or basal cell carcinoma epithelioma)  Squamous cell carcinoma (the first stage of which is called actinic keratosis)  Melanoma Most common forms of skin cancer are Basal Cell Carcinoma and Squamous Cell Carcinoma, this two is also called non-melanoma skin cancer.

1.) Basal Cell Carcinoma o Basal cell carcinoma is the most common form of skin cancer o These cancers almost never spread (metastasize) to other parts of the body. They can, however, cause damage by growing and invading surrounding tissue. o Superficial basal cell carcinomas often appear on the chest or back and look more like patches of raw, dry skin o A small, dome-shaped bump and is often covered by small, superficial blood vessels called telangiectases o Referred to as "pearly. o Risk Factors     Exposure to sun. Age (after age 50) Exposure to ultraviolet radiation Therapeutic radiation

o Diagnosis:  Shave biopsy (injecting a local anesthesia and scraping a small piece of skin)

o Treatment       Curettage and desiccation Surgical excision Radiation therapy Cryosurgery Mohs micrographic surgery Medical therapy using creams (5-Fluorouracil--5-FU, Efudex, Fluoroplex)

2.) Squamous Cell Carcinoma o Starts in Squamous cells o Squamous came from the Latin squama, meaning "the scale of a fish or serpent" because of the appearance of the cells. o Squamous cell carcinomas can metastasize, or spread to other parts of the body.

o Forms of Squamous Cell Carcinoma  Actinic keratoses - Appear as rough, red bumps on the scalp, face, ears, and backs of the hands Keratoacanthoma. - Rapidly-growing form of squamous cell carcinoma that forms a mound with a central crater. Actinic cheilitis - involving the lower lip with redness and scale, and blurring the border between the lip and the surrounding skin; Bowen's disease - squamous cell carcinoma in situ. (The Latin words in situ refer to the presence of the cancer only in the superficial epidermis, without deeper involvement.) Bowenoid papulosis - genital warts

o Risk Factors:    Most common factor: sun exposure exposure to arsenic, hydrocarbons, heat, or X-rays strains of HPV (the human papillomavirus responsible for causing genital warts)

o Diagnosis:  Punch Biopsy (taking a sample by injecting local anesthesia and punching out a small piece of skin using a circular punch blade)

o Treatment:  3.) Melanoma o A cancer that develops in melanocytes o It may spread to other parts of the body (metastasize) and cause serious illness and death. o Spots suspicious for melanoma show one or more of the following features (the ABCDs): Asymmetry, Border irregularity, Color changes, a Diameter Same as Basal Cell Carcinoma

o Risk Factors:       Caucasian (white) ancestry Fair skin, light hair, and light-colored eyes Many (more than 100) moles A history of intense, intermittent sun exposure Large, irregular, or "funny looking" moles Heredity

o Types of Melanoma  Superficial spreading melanoma: > The most common locations are the legs of women and the backs of men > Occurs between ages of 30 and 50 Nodular melanoma: > Deeper, blue-black to purplish lumps > Evolve faster and may also be more likely to spread. Lentigo maligna > Occur on places like the face > Large, irregularly shaped or colored freckle and develops slowly

o Diagnosis:  Skin biopsy

o Treatment:    Confocal scanning laser microscope Chemotherapy Surgical removal.

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