Since 1960, according to the Agency for Research on Cancer (IARC), an agency under the WHO, it has been observed an increased incidence of melanoma in a 3-7% per year in all over the world. And is that the increasing ageing of the population together with a high exposure to ultraviolet radiation, an increase in the risk of developing skin cancer. These are some of the data provided in the press conference of the Campaign Euromelanoma 2017 organized by the Foundation of Healthy Skin from the Spanish Academy of Dermatology and Venereology (AEDV) that took place the past 20th of April under the theme of the european Campaign Euromelanoma “you Only have one skin. Protect from sun damage”. It is the campaign’s most important at european level in the prevention of this disease.
According to Dr. Agustín Buendía Eisman, head of the Campaign Euromelanoma in Spain, there is evidence that the risk of developing skin cancer is greater if exposure to ultraviolet radiation inappropriate or excessive joins to other factors such as genetic predisposition, the phototype skin under, sun sensitivity, nevus dysplastic to melanoma, actinic keratoses to squamous cell carcinoma, and states of immunosuppression, among others.
Thus, the specialist reported that the incidence of skin cancer is continually increasing and have already reached the consideration of the epidemic on a global scale. This is why they are so important to the awareness campaigns to the population, in order to reduce the incidence rate and mortality of this disease. An example is the campaign Danish: “Our example is fundamental to the tourists”, stressed Dr. Buendia. In this way, says “we want all the world to see your skin as your garment more precious and who need their care throughout their life.” “Our inadequate exposure to the sun and our behavior sun protection causes damage that have a cumulative effect and long lasting on our skin.” So, he warns, “take the sun with common sense, avoiding sunburn and sun exposure to excessive and chronic is the best way to make a pact with the sun. Solar exposure moderate are necessary and beneficial, for this reason, the dermatologists say: “the sun is a great friend but if you don’t enforce with him can become the worst enemy”. In this regard, the dermatologists recommend to take the sun, but with common sense.
The preventive campaigns, an effective way to raise awareness and reduce skin cancer
The Campaign Euromelanoma came in 1999 at the european level and its aim is to raise awareness in society about the importance of a preventive care to avoid cancer, as well as providing information and treatment in the primary phase and secondary. It started in Belgium and, today, counts with the participation of 34 countries, serving more than 450,000 patients.
The preventive campaigns are very effective at a global level. As proven by other countries that have managed to reduce significantly their percentage of incidence. “Australia, which has until now been the country with the highest rate of global incidence of melanoma, it has ceased to be, settling down now Hawaii as the state has a higher rate of skin cancer among its population of the white race”, you specified. The doctor also stated that the non-melanoma skin cancer (CCNM) presents its highest rates in Brazil, specifically in Goiania, located in the region of the Middle-West of the country, with very high rates of ultraviolet radiation in autumn and winter and ends in spring and summer. The tropical climate of this brazilian region encourages its citizens to wear light clothing that covers less body surface area, with the consequent greater exposure to direct solar and high risk of burns.
On the other hand, as specified by the Dr. Buendía Eisman, in 1950 in the US, the cumulative risk of developing a melanoma for a white man throughout his life, which was 1/600, in the year 2000 was of 1/74, and in 2015 of 1 / 50th, depending on the geographical areas. In relation to Europe, the number of cases exceeds the 3.5 million and more than 22,000 europeans die of melanoma each year.
So, the doctor reported that during the past 30 years, the incidence of skin cancer type melanoma and CCNM has experienced a continuous increase, with higher rates in women than in men. The role of the dermatologist here is critical because it is the professional that knows best and can advise on the most appropriate measures for the prevention of skin cancer. This expert uses the diagnostic means to a more efficient, reliable and modern for the early detection. Known in addition to the management of both conventional treatments such as the use of novel medications for the treatment of pre-cancerous lesions and certain types of cancer or for the treatment of melanoma in advanced stages.
To 4,000 new cases per year in Spain
According to Dr. Eduardo Nagore, one of the Coordinators of the Campaign Euromelanoma, there are 9 more cases of melanoma each year per 100,000 inhabitants, that is to say, about 4,000 new cases per year for a population of 46 million inhabitants. In addition, it is estimated that 80% of it could be reduced with healthy habits of photoprotection since it is a child.
In summary, the incidence of melanoma in Spain is 9.7 per 100,000 persons (with maximum frequency in Marbella (17,5) and minimum in Zaragoza (3,6)”, has specified D. Luis Rios. In addition, it ensures that “the mortality from melanoma is around 2 per 100,000 cases per year.” With respect to the non-melanoma skin cancer is “160 cases per 100,000 inhabitants, 118 basal cell carcinomas and 42 carcinomas espinocelulares”, has had an impact. In this sense, Dr. Nagore specifies that in regard to basal cell carcinoma there are 253 carcinomas new ones each year for each 100,000 inhabitants (about 116.380 new tumors a year). In regard to the squamous cell carcinoma, there are 38 carcinomas new ones each year for each 100,000 inhabitants (17.500 cases per year). Also have contributed to mortality figures, and ensures that, due to melanoma, there are 1.3 people killed each year per 100,000 inhabitants (around 600 people a year).
According to the AEDV, skin cancer is more common in older than 50 years. However, each time are diagnosed more cases in young people by the unhealthy habits of sun exposure is intense in short periods. The main risk factor is preventable for the majority of melanoma is overexposure to ultraviolet radiation (either natural-only artificial-tanning booths-), inappropriate to the type of skin. Obviously there are genetic factors that cannot be modified, such as the type of skin (to a greater or lesser capacity to tan), tendency to develop nevi-moles-, and certain mutations that predispose patients to develop tumours, even in the absence of excessive sun exposure. There are also some factors of a chemical type such as arsenic, nicotine, or pitches that can cause skin growths are not melanoma. In this sense, they insist, “the tan is brief, your skin is to always do Health or fashion? There is the dilemma”. Remember that prevention is the best treatment.
With messages as relevant as ‘The tan is not synonymous with health or beauty’, ‘The sun is a great friend if you don’t enforce with it can be the worst enemy’, ‘sunburn in childhood and adolescence are determinants of skin cancer in adulthood’ want to warn the population of the dangers of the sun. Other slogans have included ‘to Respect the hours of exposure to the sun in the central hours of the day is the measure fotoprotectora that further margin improvement presents’, ‘we need to promote the correct use of sunscreen’,’A lesion on the skin that changes can change your life. Consultation of the dermatologist’, ‘The sun does not only shine on the beach’.
For his part, the Coordinator of the Campaign, Yolanda Gilaberte, recalled that “there is that to enjoy all the benefits that the sun has on our health avoiding their deleterious effects”, that is to say, it is essential to take the sun, but with caution. And is that, ensures, that the health habits acquired in childhood last for a longer time in the adult life. In addition, it specifies that that makes all the difference in the habits of photoprotection of the children are those of his family.
In addition, the specialist stressed that the self is a simple action and very useful for the early detection of melanoma. “Dermatologists are keys to educating the population on prevention and early detection of skin cancer”.
Days of screening
On the other hand, has pointed out that of the 5 to the 9 of June will be the days of screening in each year are of particular importance in the campaign of prevention and early diagnosis of skin cancer. These are based on providing to the population free of charge the possibility of checking your skin for lesions suspicious of skin cancer. And is that skin cancer is seen. Each time you are diagnosed with tumors of smaller size thanks to certain techniques, such as dermatoscopy, which consists of a device with a magnifying lens and polarized light, which allows you to see structures that are not obvious. In case of doubt, a biopsy is performed that involves obtaining a small fragment of skin (3-4 mm) for analysis under a microscope. These meetings are a unique opportunity to clear up any doubts.
To request an appointment, and that the dermatólogo check your skin for any suspicious lesions, you can do so via the web page of the Spanish Academy of Dermatology and Venereología http://euromelanoma.aedv.es/login-paciente or to traonce the phone 91 543 45 35.