Melanoma – 48,000 Deaths Worldwide Per Year!
INTRODUCTION: Melanoma is a condition in which malignant (cancer) cells form in the skin cells called melanocytes (cells that give the skin color). It can also occur in the eye and is called intraocular or ocular melanoma; however it can happen anywhere on the body. It is the most dangerous of the common forms of skin cancer and oftens appears as a growing coloured skin spot, usually occuring in adults, but it is sometimes found in children and adolescents. The disease is more aggressive than basal cell skin cancer or squamous cell skin cancer.
CAUSE: Melanoma is brought about by a combination of genetic predisposition and external factors such as ultraviolet exposure. Heavy exposure to the sun is the primary factor in development of the disease. UV radiation damages the DNA of cells, typically thymine dimerization, which when unrepaired can produce mutations in the cell’s genes. Genetic analysis has shown that 92% of all melanoma are produced by this indirect DNA damage. This however does NOT mean that sunburn is the cause of this cancer. It is one of the rarest types of skin cancer but produces the majority of skin cancer related deaths especially if it is found late. At this time, the causes are not fully understood.
TYPES: There are 4 kinds of melanoma–each with its own set of symptoms. (A)Superficial spreading melanoma: small lesions with irregular border and brown, red, white, blue or blue-black spots on trunk or limbs. (B)Nodular melanoma: shiny, firm, dome-shaped brown, black or pink bumps any place on skin. (C)Acral lentiginous melanoma: irregular brown to black flat lesions on palms, soles, tips of fingers or toes and mucous membranes; can also be a brown or black streak under a finger or toe nail. (D)Lentigo maligna melanoma: large brownish irregular spot with darker speckles on skin overexposed to sun, especially the face or arms.
SYMPTOMS: The key to treating this disease is recognizing the signs early. People who see any of the following symptoms should report them to their MD immediately: an existing mole or dark patch that is getting larger or is a newly growing mole with a ragged edge, a mole with a mixture of different shades of brown and black. Contact your health care provider if you see any symptoms of melanoma, especially the following: If any existing skin growth changes in color, size, or texture, If an existing lesion produces pain, swelling, bleeding, or itching. Remember however that the majority of melanomas have no symptoms when they are found.
TREATMENT: Successful treatment depends on many factors, including the patient’s general health and whether the cancer has spread to the lymph nodes or other organs. After diagnosis and staging (the determination of the extent of the disease), the doctor develops a treatment plan to fit each patient’s needs and is usually directed at shrinking the tumor and improving symptoms.
Treating advanced (stage III) melanoma may require surgical removal of the tumors and any affected lymph nodes, followed by systemic or local chemotherapy with single or multiple drugs. In some instances, patients may live many months or even years with metastatic melanoma (depending on the aggressiveness of the treatment). An experimental treatment created at the National Cancer Institute (NCI), part of the National Institutes of Health in the USA was used in advanced (metastatic) melanoma with moderate success.
PROGNOSIS: The prognosis (chance of recovery) and treatment options depend on the following. The stage of melanoma: whether cancer is found in the outer layer of skin only, or has spread to the lymph nodes and/or to other places in the body. If the cancer has spread to other areas of the body, the best treatment is to remove the cancerous tissue if possible.
The 5 year survival rate for treated Stage III patients is approximately 60 percent, and both the condition and the treatment frequently compromises quality of life. A licensed physician should be seen for diagnosis and treatment of any and all medical conditions.
CONCLUSION: Melanoma is a malignant tumor of melanocytes which are found most often in skin but also in the bowel and the eye (uveal melanoma). It usually occurs as an irregular brown, black and/or red spot, or an existing mole that begins to change color, size or shape. The disease is more apt to be caused by intense exposure to sunlight in early life. They can be anywhere on your body and is rare in the Aboriginal, Asian and African races.
This disease, like other skin cancers, are only very rarely irritating to touch and often do not look bad at first. The most serious kind of skin cancer, it is also the fastest growing cancer in the United States and accounts for almost 3 per cent of all newly diagnosed cancers yearly. It ranks sixth in cancer incidence in males and seventh in females, and these incidences have doubled in the past 10 years.
Melanoma can affect people in their 20′s and 30′s but the average age at the time of diagnosis is between 55 to 57 and is the most common cause of death from skin cancer. Approximately 160,000 new cases are found worldwide each year, and it is more frequently found in males and caucasians.
According to the WHO Report about 48 thousand melanoma related deaths occur worldwide annually. They are extremely dangerous and they kill thousands of Americans each yearly. Today, they are diagnosed only after they become visible on the skin. In the future, however, MDs will hopefully be able to detect them based on a patient’s genotype (The genetic constitution of a person), not just his or her phenotype (The total physical, biochemical, and physiologic makeup of an individual).
The most important way to prevent it is to limit your sun exposure while regular examination of the skin by both you and your doctor increases the chance of finding this disease early should you develop it.
