UNDERSTANDING MELANOMA



WHAT IS MELANOMA?

Melanoma is the most serious form of skin cancer. Characterized by the uncontrolled growth of pigment-producing cells, melanoma accounts for 1% of skin cancers diagnosed.

Melanomas can occur anywhere on the skin, including areas without sun exposure, but they are more likely to start in certain locations.

The average age of diagnosis is 63, but melanoma is not uncommon among people younger than 30. In fact, it’s one of the most common cancers in young adults — especially young women.




RATES HAVE BEEN RISING

Worldwide, the incidence of melanoma has been increasing over the past four decades in many populations.

In 2018, it’s estimated there were more than 287,000 new melanoma cases worldwide and approximately 60,000 deaths

In Europe, 5 year overall survival for stage IV melanoma is 9%–28%.




SIGNS & SYMPTOMS

A new spot on the skin – one that changes in size, shape or color, or one that looks different – is an important warning sign of melanoma and should be checked by a doctor. The ABCDE rule outlines the characteristics of moles that may be melanomas and is helpful guidance for monitoring skin changes:

 

one side does not match the other

the edges are irregular

the mole or spot doesn’t have the same color throughout (it may have different colors or different shades of the same color)

larger than 6 millimeters (although melanomas can sometimes be smaller)

the spot is changing in size, shape or color

 

Any of these warning signs should be discussed with a doctor, especially if you feel you are at risk for melanoma.

RISK FACTORS

Ultraviolet (UV) light exposure
Moles
Fair skin, freckles and light hair
Family history
Personal history of having melanoma or other skin cancers

Having a weakened immune system
Being older
Being male
Xeroderma pigmentosum (a rare skin condition that affects the skin’s ability to repair DNA damage)


WAYS TO LOWER RISK

Melanoma can’t be entirely prevented, but there are ways to lower risk. The number one way to lower risk is to protect against UV rays, which damage the DNA of skin cells and impact the genes that control skin cell growth. The top source of UV rays is the sun. That’s why it’s important to practice sun safety every time you go outside, even on cloudy days when UV rays can still shine through. Here are a few ways to protect yourself:


Seek Shade

UV exposure is greatest between the hours of 10 a.m. and 4 p.m. If you need to be outside during these hours, seek shade – under a tree, an umbrella or an awning.


Wear a Hat

Try to find a hat with a wide brim – at least 2 or 3 inches wide – to protect your face, top of the head, ears and neck.


Cover Up

Choose clothing with a tight knit or weave, and avoid shirts that you can see through. Remember, if light is getting through, then UV rays are too.


Use Sunscreen

For extended outdoor activity, use a water-resistant, broad spectrum sunscreen with an SPF of 30 or higher.


Wear Sunglasses

Protect your eyes and the sensitive skin around them. Pick a pair that will block as close to 100 percent of both UVA and UVB rays as possible.


1. American Cancer Society, Key Statistics for Melanoma Skin Cancer, available at https://www.cancer.org/cancer/melanoma-skin-cancer/causes-risks-prevention/prevention.html
2. American Cancer Society, What Is Melanoma Skin Cancer?, https://www.cancer.org/cancer/melanoma-skin-cancer/about/what-is-melanoma.html,
3. Bray F, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68:394-424,
4. Wouters M, et al. ECCO essential requirements for quality cancer care: Melanoma. Crit Rev Oncol Hematol. 2018;122:164-178,
5. American Cancer Society, Can Melanoma Skin Cancer Be Prevented?, available at https://www.cancer.org/cancer/melanoma-skin-cancer/causes-risks-prevention/prevention.html,
6. American Cancer Society, Risk Factors for Melanoma Skin Cancer, available at https://www.cancer.org/cancer/melanoma-skin-cancer/causes-risks-prevention/risk-factors.html,
7. American Cancer Society, Signs and Symptoms of Melanoma Skin Cancer, available at https://www.cancer.org/cancer/melanoma-skin-cancer/detection-diagnosis-staging/signs-and-symptoms.html,
8. American Cancer Society, How Do I Protect Myself from Ultraviolet (UV) Rays?, available at https://www.cancer.org/cancer/skin-cancer/prevention-and-early-detection/uv-protection.html,
9. American Cancer Society, What is UV radiation?, available at https://www.cancer.org/cancer/skin-cancer/prevention-and-early-detection/what-is-uv-radiation.html,
10. Skin Cancer Foundation, Melanoma Prevention Guidelines, available at https://www.skincancer.org/skin-cancer-information/melanoma/melanoma-prevention-guidelines,

RO-NON-00030. Date prepared: 15.07.2017