Skin Cancer: Take Care in the Sun


WINSTED — With nearly 60,000 new cases of melanoma diagnosed each year, the suntan has become an unhealthy fashion statement. The American Cancer Society and the American Academy of Dermatology say one in five Americans, including one in three Caucasians, will develop skin cancer in the course of their lifetime.

Even people who work at hospitals are not immune, says Charlotte Hungerford Hospital Radiological Technologist Michelle Vanotti, who was diagnosed with her first growth of basal cell carcinoma (BCC) on her face almost two years ago. BCC is the most common type skin cancer, affecting the cells that line the deepest layer of the epidermis.

"I have six that are basal cell, and I had squamous cell carcinoma [the second most common form] on my chest," said Vanotti, who has been undergoing difficult treatments for basal cell cancers on other areas that have appeared in the past two years.

"I use Fluorouacil on some areas," said Vanotti. "It’s a cream you put on for six weeks. It’s like a chemo-cream, the skin dies and new skin grows." Doctors told Vanotti the skin cancer could grow into her tissue, and even into her bones, if left untreated. "They’re like tree roots. If you stay out of the sun, the roots are going to die," she said.

Vanotti has had several biopsies and is currently waiting to undergo plastic surgery to remove skin cancer from her face. She said the growths on her face appeared as pearl-colored, acne-like abrasions that cannot be treated with the skin cream.

"This Halloween will be two years. The first one was on my chest," said Vanotti. "Now every three months the doctor wants to see me. He gave me SPF 50 sun spray. I have one in the car. I spray all the time. I also wear a hat to my son’s games."

Vanotti said the surgery is anything but fun, including waiting 45 minutes for results, having to possibly endure several layers of skin being removed to ensure all cancer is eliminated, and as many as 15 numbing shots to the face. Different sized margins are cut to check the areas of the skin that are affected, and certain sections may continue to be recut if microscopic imaging isn’t clear.

Squamous cell carcinoma (SCC) is the least deadly — but often overlooked — form of skin cancer. If left untreated, it can cause disfigurement. Squamous cells grow in the the upper layers of the skin.

Melanoma, on the other hand, is the most deadly form of skin cancer, accounting for the majority of skin cancer-related deaths. According to the American Cancer Society, one blistering sunburn in childhood more than doubles a person’s chance of developing melanoma later in life. A majority of melanomas are distorted black or brown spots on the skin.

There are several precancerous symptoms that should be recognized and treated before skin cancer develops. Self examinations should be conducted monthly to become familiar with all bumps and discolorations in the skin. Despite the allure of hot summer sun, tanners should avoid too much exposure during the peak hours of 10 a.m to 4 p.m. Doctors also say to avoid artificial tanning beds.

"I grew up by a pool and I used to do sunless tanning," said Vanotti. "I’m very cautious and I’ve learned a valuable lesson. It’s not worth it anymore."

For more information on skin cancer and preventative measures, visit skincancer.org or contact a local dermatologist.

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