CAPITAL – May 17, 2024 –
This article examines the crucial topic of navigating skin cancer recurrence, addressing its implications and the essential steps for protection. Those with a history of skin cancer face an elevated risk, making vigilant dermatological surveillance and consistent sun protection paramount.Experts emphasize the need for proactive prevention strategies in the wake of a skin cancer diagnosis. For detailed insights, continue reading.
Navigating skin Cancer Recurrence: Vigilance and Protection
The Elevated Risk: Understanding Secondary Prevention
Individuals with a history of skin cancer face a significantly increased risk of developing new carcinomas or melanomas. This heightened susceptibility underscores the critical importance of rigorous dermatological monitoring and consistent photoprotection.
the risk of new carcinoma or new melanoma is significantly increased in patients who have already had a history of skin cancer, wich justifies rigorous dermatological monitoring and reinforced photoprotection.Pre ève Maubec, dermatologist at the Avicenne hospital, expert in skin cancers and member of the French Society of Dermatology
Secondary prevention is paramount. For melanoma survivors, the risk of a second melanoma is approximately 8 percent.
Sun Protection: the Primary Defense
Consistent and diligent sun protection remains the cornerstone of preventing further skin damage and reducing the risk of recurrence. Regular application of sunscreen is essential.
Did you know? An Australian study demonstrated that daily sunscreen application reduced the risk of new skin epidermoid carcinoma by 39 percent.
The study, published in The Lancet, also indicated that daily sunscreen use delayed the onset of a second basal cell carcinoma, although it did not eliminate the overall risk.
The Gap in Practice: Awareness vs. Action
Despite widespread awareness of the link between sun exposure and skin cancer, dermatologists express concern that sun protection measures are not consistently practiced, even among those with a prior history of the disease.
A French survey revealed that while nearly all patients (96 percent) with a history of skin cancer were aware of the risks associated with sun exposure, far fewer consistently adopted protective behaviors:
- Only 59 percent limited their sun exposure during peak hours.
- 45 percent wore a hat.
- 28 percent wore protective clothing.
- 35 percent regularly used high-SPF sunscreen.
Barriers to Protection: Overcoming Obstacles
several factors contribute to the inconsistent use of sun protection, including:
- Inconvenience
- Forgetfulness
- The desire to tan
- Discomfort associated with protective clothing
Call to Action: Strengthening Prevention Strategies
Experts emphasize the need to reinforce prevention messaging targeted at high-risk populations and to systematically integrate secondary prevention into patient care pathways. This includes promoting consistent use of high-SPF sunscreen, irrespective of skin type.
Pro Tip: Choose a broad-spectrum sunscreen with an SPF of 30 or higher and apply it liberally 15-30 minutes before sun exposure. Reapply every two hours, or immediately after swimming or sweating.
The Importance of Surveillance and Self-Checks
Regular dermatological surveillance and screening are crucial, ideally conducted annually or more frequently, as resolute by a dermatologist. Self-exams, possibly aided by a family member or friend, are also vital, particularly for areas that are challenging to see, such as the scalp or back.
Be vigilant for the ABCDEs of melanoma:
- Asymmetry
- Border irregularity
- Color variation
- Diameter greater than 6 mm
- Evolving (changing in size, shape, or color)
Avoiding Artificial Tanning and Photosensitizing Treatments
The French Society of Dermatology (SFD) strongly advises against artificial tanning bed use for individuals with a history of skin cancer. Caution should also be exercised with photosensitizing medications.
