By Dr. Jorge Garcia-Zuagaza
Who doesn’t like the sun? Our skin.
One in five Americans will develop skin cancer in their lifetime. With sun season here, it’s a good time to review why skin cancer is a big risk, especially as we age.
Here are the top reasons we get skin cancer, and what we should watch, according to local dermatologist and skin cancer surgeon Jorge Garcia-Zuazaga.
Age
As we age, our cells become less and less efficient in their reproduction. That, combined with extra time in the sun, is a recipe for skin cancer.
“Most skin cancer patients are over 50 since there is a direct relationship between sun exposure over time and skin cancer,” says Dr. Garcia-Zuazaga.
It’s important to note that the most dangerous form of cancer, melanoma, can strike at any age. It’s one of the most common cancers among young adults.
Fair skin
“The Caucasian population is more at risk for skin cancer. Skin cancer is most commonly found on sun-exposed areas such as the scalp, face, hands and neck,” he says.
If you have very fair skin, avoiding the sun, using sunscreen and wearing sun-protective clothing are your best options to prevent skin cancer.
Personal or family history of skin cancer
“Statistics show that 50% of the population that have had a previous basal cell or squamous cell cancer will develop another within five years. This is why dermatologists recommend a skin check every six months. For melanoma, the guidelines recommend skin checks every four months,” Dr. Garcia-Zuagaza says.
Immunosuppression
Immunosuppressants are used for several reasons. Some people may need them to treat autoimmune diseases or as part of a transplant procedure.
“All patients taking these medications need to be aware of sun protection. In addition, these patients often have warts that develop. Any change in lesions such as crusty/scale/bleeding or pain should be evaluated promptly.”
Indoor tanning
Clinical studies have confirmed a link between indoor tanning exposure and skin cancer. “Melanoma is now the second most common cause of cancer deaths in females between 15-30 years old. This is important for people to know. The good thing is that when caught early, melanoma has a very high cure rate,” he notes.
Atypical moles
Some individuals are genetically coded to produce more moles than others. While moles on their own are harmless, atypical moles can be a cause for concern.
“Atypical moles (dysplastic nevus) can act as a pre-malignancy. We know that some of these moles change over time. It’s important for patients to check their skin for any new or changing mole. In addition, we recommend ‘on your birthday…check your birthday suit.’ Basically, see a dermatologist once a year for a skin check, especially if you have had atypical moles,” he says.
Previous sunburns
“I tell my patients to enjoy life and continue to be active — but be skin smart. Protect yourself and your family, and use sunscreen,” Dr. Garcia-Zuazaga says.
Look at the label and select those that say broad spectrum (covers UVB/UVA rays) and SPF of 30 or above. Also, remember to reapply.
Dr. Garcia-Zuazaga is a dermatologist at Apex Dermatology. To learn more, call 833-279-SKIN (7546) or go to apexskin.com.
