30 Eylül 2012 Pazar

Deadly Skin Cancer Types

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An important warning for us all with regard to skin cancer types. Today more patients than ever survive dangerous melanoma than in past generations, but the rate of death for one form of this disease hasn't budged in 30 years.

Nodular melanoma accounts for 14% of melanomas that are diagnosed, but makes up a startling 37% of untimely deaths from the disease according to a recent study.

The reason this form of cancer contributes to so many deaths is that it doesn't always look like what we expect to see. It can appear without warning on the surface of the skin and can be hard to spot because it's often light or nearly colorless, and doesn't adhere to the ABCD characteristics we've all been taught to look for.

Just like the more well known radial melanoma, nodular melanomas start out in skin cells that are called melanocytes that product melanin. Most melanomas stay in the skin's top layer, going down no more than one tenth of a millimeter. Radial melanomas are easier to see as the diameter goes up.

For nodular melanoma the cancerous cells reach a point where they start to grow vertically, sending roots into the fat and other tissues of the body. The depth of the cancer determines how likely you are to survive. For a cancerous growth that goes 3.5 to 4 millimeters deep, only 60% of patients will live for five years.

This latest study examined over 100,000 cases of melanoma diagnosed between the years 1978 and 2007.

They saw that at least 20% of nodular melanomas were fatal. You should understand that there's an acknowledged limitation of the work - not all physicians report the type of melanoma and the team was unable to double check the reports during the study.

While public health officials and others have done a great job of getting the word out about ABCD characteristics when it comes to identifying skin cancer, experts now believe other letters should be added to the mix to help identify the nodular types of these cancers. We've been taught to watch for any of these...

- Asymmetry, one side doesn't match the other

- Borders, where moles have irregular edges

- Color, color changes or a variety of colors

- Diameter, anything over 6 millimeters wide

But we should also be watching our skin surface for E, F and G as well. Any mole or other growth that has all of these characteristics should be checked by a dermatologist at once. They are...

- Evolving, where the mole or nodule is changing quickly over a short period of time

- Firm to the touch

- Growing for more than two to three weeks

Also good to know, nodular melanoma can happen in a mole, but are more likely to develop without warning on normal skin

In most cases the various skin cancer types, including melanomas are easy to detect, treat and cure. Dermatologists suggest that you get to know your own skin by doing full body self-exams once each month. If you're worried about something you see... get to the doctor right away. Often patients realize something is wrong. Don't give up if the first physician you see doesn't respond as you like... keep looking until you find one who will take action.

Skin Cancer - Basal Cell Carcinoma (BCC)

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In the United States, Basal Cell Carcinoma (BCC) accounts for 90 percent of all skin cancers in the southern states, and 47 percent in the northern states. Basal Cell Carcinoma is the most common form of skin cancer in Australia and New Zealand, representing 70-80% of diagnosed skin cancers. Occurrence of Basal Cell Carcinoma mainly occurs on the head and neck. It occurs less often in Asians and rarely among darker skinned races. As with all skin cancers the risk is considered to be related to sun exposure. The positive about Basal Cell Carcinoma is that it is slow-growing and rarely metastasizes throughout the body. However, it is locally destructive and can invade neighboring bone and nerve tissue.

Description - BCC is a malignant epithelial cell tumor that begins as a papule (a small, circumscribed, solid elevation of the skin) and enlarges peripherally, developing into a crater that erodes, crusts and bleeds. BCC originates in the basal layer of the epidermis, the lowest layer of skin.

Signs and Symptoms of Basal Cell Carcinoma - There are five typical characteristics of basal cell carcinoma that are quite different from each other. Two or more features are frequently present in one tumor. BCC sometimes resembles non-cancerous skin conditions such as psoriasis or eczema and requires diagnosis by a trained person. The five warning signs of basal cell carcinoma are:

  1. An open sore that bleeds, oozes or crusts, and remains open for three or more weeks. A persistent, non-healing sore is a very common early manifestation.
  2. A reddish patch or an irritated area, frequently occurring on the chest, shoulders, arms or legs. Sometimes the patch crusts. It may also itch or hurt. At other times, it persists with no noticeable discomfort.
  3. A smooth growth with an elevated, rolled border and an indentation in the centre. As the growth slowly enlarges, tiny blood vessels may develop on the surface (telangiectases).
  4. A shiny bump (nodule) that is pearly or translucent and is often pink, red or white. The nodule can also be tan, black or brown, especially in dark-haired people, and can be confused with a mole or melanoma.
  5. A scar-like area (white, yellow, or waxy in appearance) which often has poorly defined borders. The skin itself appears shiny or taut. Although a less frequent sign, it can indicate the presence of a more aggressive tumor.

Diagnosis of Basal Cell Carcinoma - Diagnosis is almost always by biopsy. Tissue is cut away from the site and examined under a microscope.

Medical Treatment of Basal Cell Carcinoma - Allopathic treatment depends on the size and type of tumor. There are various types of surgery or non-surgical treatments chosen from.

Non-surgical treatment of BCC - Allopathic non-surgical treatments have low success rates.

  • Topical application of 5-fluorouracil for 2 to 12 weeks is only beneficial for superficial BCC. Fluorouracil is used to prevent excess cell proliferation as found in skin cancer and psoriasis. It prevents the formation of RNA which in turn prevents the formation of DNA.
  • Imiquinoid cream -currently the use of Imiquinoid cream is considered experimental. It is an immune response modifier that stimulates the immune system to release cytokines that destroy cancer cells. Treatment causes significant skin irritation. Not all types of BCC are affected.
  • Ionizing radiation: Superficial x-ray. It results in radiation damage, therefore it is used more with older patients. Impaired immune function and general malaise also usually results. Used for facial BCC and appears less effective for BCC occurring elsewhere.

Surgical Removal of BCC - Surgery is the most studied, and most used treatment for removal of a BCC in allopathic medicine. The effectiveness of surgery depends very much on the skill of the surgeon. Various surgical methods:

  • Electrodessication and Curettage - the BCC is burned and removed with a scalpel. The main disadvantage of this method is that the tumor often tracks down hair follicles. (9)
  • Cryosurgery - liquid nitrogen to freeze burn the BCC.
  • Excision surgery- the BCC is cut from the skin with a scalpel. To increase the likelihood of complete removal of the tumor, a portion of normal-appearing skin surrounding the BCC is removed.
  • Microscopic or MOHS surgery - the BCC is cut from the skin, along with some of the healthy surrounding tissue. This is examined under a microscope to check for any remaining cancer cells. Tissue is then taken in increments of thin layers of skin, until no more cancer cells are detected. Mohs is the most effective allopathic medical treatment (99% cure rate for primary BCC, 90-95% for recurrent BCC).
  • Laser surgery. Lasers are also used as a secondary therapy when topical medications or other techniques are unsuccessful.

Recurrence of BCC - Once a basal cell carcinoma has been removed, another growth can develop in the same place or nearby area. It has been found that 36% of people who develop a basal cell carcinoma will develop a secondary primary BCC within the next 5 years. Radiotherapy can result in more aggressive and invasive cells in a recurrent BCC.

Effective Alternative Treatments - Allopathic medicine is often successful in completely removing BCC's but obviously also often fails, given the high number of recurrences suffered by many people with repeat visits to the doctor and then specialist. These treatments don't always work as well as expected or hoped.

Prognosis of Melanomas

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Features that affect prognosis of melanomas are tumor thickness in millimeters, depth related to skin structures, type of melanoma, presence of ulceration, presence of lymphatic/perineural invasion, presence of tumor infiltrating lymphocytes, location of lesion, presence of satellite lesions, and presence of regional or distant metastasis. Certain types of melanoma have worse prognoses but this is explained by their thickness.

Interestingly, less invasive melanomas even with lymph node metastases carry a better prognosis than deep melanomas without regional metastasis at time of staging. Local recurrences tend to behave similarly to a primary unless they are at the site of a wide local excision since these recurrences tend to indicate lymphatic invasion. When melanomas have spread to the lymph nodes, one of the most important factors is the number of nodes with malignancy.

Extent of malignancy within a node is also important; micrometastases in which malignancy is only microscopic have a more favorable prognosis than macrometastases. In some cases micrometastases may only be detected by special staining, and if malignancy is only detectable by a rarely-employed test known as the polymerase chain reaction (PCR), the prognosis is better.

Macrometastases in which malignancy is clinically apparent (in some cases cancer completely replaces a node) have a far worse prognosis, and if nodes are matted or if there is extracapsular extension, the prognosis is still worse. When there is distant metastasis, the cancer is generally considered incurable. The five year survival rate is less than 10%.

The median survival is 6 to 12 months. Treatment is palliative, focusing on life-extension and quality of life. In some cases, patients may live many months or even years with metastatic melanoma (depending on the aggressiveness of the treatment). Metastases to skin and lungs have a better prognosis. Metastases to brain, bone and liver are associated with a worse prognosis.

There is not enough definitive evidence to adequately stage, and thus give a prognosis for ocular melanoma and melanoma of soft parts, or mucosal melanoma, although these tend to metastasize more easily. Even though regression may increase survival, when a melanoma has regressed, it is impossible to know its original size and thus the original tumor is often worse than a pathology report might indicate.

Radiation therapy is often used after surgical resection for patients with locally or regionally advanced melanoma or for patients with unresectable distant metastases. It may reduce the rate of local recurrence but does not prolong survival. Radioimmunotherapy of metastatic melanoma is currently under investigation. What's more, moles are classically removed by laser, surgery, or electrocautery.

Most of these treatments require multiple visits to the doctor. Laser and electrocautery treatments are not always effective because they only reach the outermost layers of the skin, while moles penetrate very deep into the dermal tissue, often beyond the reach of these treatments. Surgery, the other option doctors commonly offer, involves cutting out the mole. The resulting wound requires stitches, which will in turn leave a scar.

Skin Cancer Chart

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Skin cancer is a deadly and common disease. Skin cancer charts graphs is at least partially preventable. Overexposure to the sun and tanning beds are two causes of the disease. Some forms of the disease are also hereditary.

Skin cancer is cancer that can be found on the skin, including the face, arms, and legs. Typically, it comes from moles or spots on the skin that form into cancer at a later time. There are several ways to detect if a mole on your skin is suspicious. If it is irregular or asymmetrical, then it should be checked by a doctor called a dermatologist. Everyone is recommended to have at least one exam a year by a dermatologist to check the entire body for skin cancer.

There are many types of skin cancer as well. The deadliest type is melanoma. There is also basal cell carcinoma and squamous cell carcinoma. Skin cancer charts graphs are different depending on the kind of skin cancer that is found. Treatment is dependent on the type of cancer found also. The prognosis for survival and recovery depends on how soon the cancer was found and the type of cancer. Biopsies are used to find out this information after the suspicious spot is discovered. Charts and graphs have been made showing how common different types of the disease are.

How common is skin cancer relating to tanning? It is very common. People who have spent their entire lives baking in the sun are putting themselves at a huge risk for deadly skin cancer. It is good to stay out of the sun whenever possible. If you have to be in the sun, wear sunscreen and/or protective clothing to block out the harmful rays. Any tanning or sunburns put you at a higher risk for the disease. Skin cancer charts graphs prove that this disease are not worth messing around with!

The skin, also called the derma, is a very important organ. It covers all our internal organs, bones and muscles. It is the first impression we make on others. We should limit our sun exposure as much as possible in order to protect it! If you have been tanning or staying in the sun too much, make sure to get your skin checked often. It is not too late to start wearing sunscreen! Even if you have been taking care of your skin, still get checked out yearly by a dermatologist.

Skin cancer is a serious, common, and preventable disease. Although it is mostly treatable, people die every year from the disease. Many others wear scars from painful and embarrassing surgeries relating to cancer. They wish they had taken care of themselves while they had the chance to.

The Skin Doesn't Forget

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The end of winter, no more short, cold and dark days. Spring is finally here and summer is fast approaching. Hot days and lots of sunshine. But not all fun and sun. The hot sun can pose a great danger for our skin and our children’s skin. In fact, one of the most important factors for feeling young and healthy is the way we take care of our skin during the summer months.

Over the last century, ever-increasing rates of skin cancer have taken some of the greatest tolls on all age groups, young and old. Yet most people don’t realize that skin cancer is a very preventable form of skin cancer, and, that if recognized early enough, is very treatable. The simple fact is, if we take care of our skin during the summer, we can dramatically reduce the chances of ever getting skin cancer in the first place. The chance of getting skin cancer is directly related to the amount of sunlight we expose our skin to, especially during the summer. Furthermore, it has been shown that going to the solarium on a regular basis is also a risk for the development of skin cancer.

Overexposure to UV A and B light from the sun and the solarium damages skin cells. UV A light in spite of its lower energy, is received by the body in much larger doses, and penetrates into the skin easily causing damage. UV light mainly affects the skin and underlying connective tissues by decreasing the quantities of collagen and elastic fibers present in these tissues. With passing time, the skin becomes more wrinkled and flaccid. One of the most important factors in the pathogenesis of cancer is the fact that the absorbed UV light breaks down water molecules and induces the formation of free-oxygen radicals, which are toxic to certain elements of the skin.

For those of us who have a light or very fair complexion, (type I skin tone) avoidance of the sun and solarium as much as possible is recommended. The rest of us should adjust the amount of sun (UV light) exposure to our proper skin tones.

The reason its important to know what type of skin tone you have is because the lighter the skin, the less it is capable of dealing with the damaging elements of the sunlight and thus, more the skin needs to be protected.

It’s not difficult to determine what your skin type is. There are six types and by using the scale below, you can determine for yourself how much skin protection you may need.

Skin type I never turns brown, only burns.
Skin type II browns very slowly and easily burns.
Skin type III browns easily and rarely burns.
Skin type IV is typical of that of southern Europeans (Mediterranean type).
Skin type V is slightly pigmented similar to those living in India.
Skin type VI is black.

If you fall into either of the first two categories, your skin must be protected at all times from the dangerous effects of the sun!!!!!

Skin cancer can be broken down into Melanoma- and non-Melanoma types. The latter consists of both squamous cell- and basal cell skin cancer. Melanoma is the most dangerous type of skin cancer. The proliferation of pigmented skin cells anywhere in the body can, if not diagnosed and treated early, cause death. The frequency of Melanoma around the world is increasing at very rapid rates!!

Squamous cell type of skin cancer is also a malignant form of skin cancer that is directly related to the amount of sun exposure and can quickly spread to other parts of the body.

Basal cell type skin cancer is not malignant and thus wont spread to other parts of the body. However, there is local destruction of the affected skin areas and thus excision of the lesion is a must.

Well, you may ask how do I protect myself from the dangers of the skin cancer? The answers may not be as difficult to follow as you may think. First and foremost, always protect skin of young children and kids. Their skins are sensitive to sun exposure and burning the skin only increases the risk in later years of developing cancer. It is important to remember that the many years of continuous sun exposure increase the chance of getting skin cancer. In other words, the skin doesn’t forget!! Sporadic sun exposure is more than enough to guarantee a nice brown skin color and the proper production of vitamin D in the body.

If someone wants to get a quick tan, than be sure to use self-browning creams, but remember, they wont protect your skin from sun overexposure and burning. Carotin derivative products have been shown to protect the skin from within and in general have an anti-cancer effect.

During the hot months, a good rule of thumb is to avoid strong sun exposure in the middle of the day, say between 2 and 3 pm, when the sun is hottest. Try to stay in the shade as much as possible and when going into the sun, put on a hat, sunglasses and a shirt just to be sure. Sun tanning protective creams are also a must. A wide spectrum UV protection and a minimum factor of 15 should be applied to the skin at all times for maximum protection. But remember, the best protection from skin cancer is to avoid the exposure to the skin.

Finally, and equally important, is that we recognize on ourselves any first signs of potential cancer. Especially be aware of any small wounds or scars on the skin that don’t seem to heal after a month or so. Be aware of skin moles that suddenly begin to itch, bleed, peel, grow, change color or become painful. In any of the above instances, be sure to contact your dermatologist immediately for a full check up. Remember, early diagnosis and treatment along with regular screening is the best way to ensure many happy, healthy summers to come.

Dr. Randy Simor is a medical graduate from the Semmelweis Medical University in Budapest, Hungary, 1999. Since 1999, he has worked continuously within the healthcare industry as a clinical research associate, a consultant for a multi-national pharmaceutical company, and a business development director for one of Budapest's largest private outpatient, one-day surgery clinics. As an entrepreneur, Randy is owner and director of a newly established management company for medical tourism, CARE Ltd. The company primarily focuses on medical tourism for plastic surgery, dental & oral surgery, Laser eye surgery and a wide variety of other diagnostic, surgical and wellness services.

29 Eylül 2012 Cumartesi

Excisional Skin Biopsy for Melanoma

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Melanoma is a malignant tumor of melanocytes which are found predominantly in skin but also in the bowel and the eye. It is one of the less common types of skin cancer but causes the majority of skin cancer related deaths. Melanocytes are normally present in skin, being responsible for the production of the dark pigment melanin.

Around 60,000 new cases of invasive melanoma are diagnosed in the US each year, more frequently in males and in Caucasians. It is more common in Caucasian populations living in sunny climates than in other groups, or in those who use tanning salons. According to a WHO report about 48,000 melanoma related deaths occur worldwide per year.

Excisional skin biopsy is the management of choice for melanoma diagnosis; this is where the suspect lesion is totally removed with an adequate ellipse of surrounding skin and tissue. The preferred surgical margin for the initial biopsy should be narrow in order to prevent the disruption of the local lymphatic drainage.

The biopsy will include the epidermal, dermal, and subcutaneous layers of the skin, enabling the histopathologist to determine the thickness of the melanoma by microscopic examination. This is described by Breslow's thickness. Large initial excision will disrupt the local lymphatic drainage and can affect further lymphangiogram directed lymphnode dissection.

A small punch biopsy can be utilized at any time where for logistical and personal reasons a patient refuses more invasive excisional biopsy. Small punch biopsies are minimally invasive and heal quickly, usually without noticeable scarring. Thus, a small punch biopsy in representative areas will give adequate information and will not disrupt the final staging or depth determination.

For large lesions such as suspected lentigo maligna, or for lesions in surgically difficult areas (face, toes, fingers, eyelids), a small punch biopsy in representative areas would be enough. In no circumstances should the initial biopsy include the final surgical margin, as a misdiagnosis can result in excessive scarring and morbidity from the procedure.

Lactate dehydrogenase (LDH) tests are often used to screen for metastases, although many patients with metastases have a normal LDH; extraordinarily high LDH often indicates metastatic spread of the disease to the liver. It is common for patients diagnosed with melanoma to have chest X-rays and an LDH test, and in some cases CT, MRI, PET or PET/CT scans.

Although controversial, sentinel lymph node biopsies and examination of the lymph nodes are also performed in patients to assess spread to the lymph nodes. Sometimes the skin lesion may bleed, itch, or ulcerate, although this is a very late sign. A slow-healing lesion should be watched closely, as that may be a sign of melanoma. Some patients with metastatic melanoma do not have an obvious detectable primary tumor.

Be aware also that in circumstances that are still poorly understood, melanomas may 'regress' or spontaneously become smaller or invisible; however the malignancy is still present. Amelanotic melanomas do not have pigment and may not even be visible. Lentigo maligna, a superficial melanoma confined to the topmost layers of the skin is often described as a 'stain' on the skin.

The treatment includes surgical removal of the tumor, adjuvant treatment, chemotherapy, immunotherapy, or radiation therapy.

The Skin Doesn't Forget

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The end of winter, no more short, cold and dark days. Spring is finally here and summer is fast approaching. Hot days and lots of sunshine. But not all fun and sun. The hot sun can pose a great danger for our skin and our children’s skin. In fact, one of the most important factors for feeling young and healthy is the way we take care of our skin during the summer months.

Over the last century, ever-increasing rates of skin cancer have taken some of the greatest tolls on all age groups, young and old. Yet most people don’t realize that skin cancer is a very preventable form of skin cancer, and, that if recognized early enough, is very treatable. The simple fact is, if we take care of our skin during the summer, we can dramatically reduce the chances of ever getting skin cancer in the first place. The chance of getting skin cancer is directly related to the amount of sunlight we expose our skin to, especially during the summer. Furthermore, it has been shown that going to the solarium on a regular basis is also a risk for the development of skin cancer.

Overexposure to UV A and B light from the sun and the solarium damages skin cells. UV A light in spite of its lower energy, is received by the body in much larger doses, and penetrates into the skin easily causing damage. UV light mainly affects the skin and underlying connective tissues by decreasing the quantities of collagen and elastic fibers present in these tissues. With passing time, the skin becomes more wrinkled and flaccid. One of the most important factors in the pathogenesis of cancer is the fact that the absorbed UV light breaks down water molecules and induces the formation of free-oxygen radicals, which are toxic to certain elements of the skin.

For those of us who have a light or very fair complexion, (type I skin tone) avoidance of the sun and solarium as much as possible is recommended. The rest of us should adjust the amount of sun (UV light) exposure to our proper skin tones.

The reason its important to know what type of skin tone you have is because the lighter the skin, the less it is capable of dealing with the damaging elements of the sunlight and thus, more the skin needs to be protected.

It’s not difficult to determine what your skin type is. There are six types and by using the scale below, you can determine for yourself how much skin protection you may need.

Skin type I never turns brown, only burns.
Skin type II browns very slowly and easily burns.
Skin type III browns easily and rarely burns.
Skin type IV is typical of that of southern Europeans (Mediterranean type).
Skin type V is slightly pigmented similar to those living in India.
Skin type VI is black.

If you fall into either of the first two categories, your skin must be protected at all times from the dangerous effects of the sun!!!!!

Skin cancer can be broken down into Melanoma- and non-Melanoma types. The latter consists of both squamous cell- and basal cell skin cancer. Melanoma is the most dangerous type of skin cancer. The proliferation of pigmented skin cells anywhere in the body can, if not diagnosed and treated early, cause death. The frequency of Melanoma around the world is increasing at very rapid rates!!

Squamous cell type of skin cancer is also a malignant form of skin cancer that is directly related to the amount of sun exposure and can quickly spread to other parts of the body.

Basal cell type skin cancer is not malignant and thus wont spread to other parts of the body. However, there is local destruction of the affected skin areas and thus excision of the lesion is a must.

Well, you may ask how do I protect myself from the dangers of the skin cancer? The answers may not be as difficult to follow as you may think. First and foremost, always protect skin of young children and kids. Their skins are sensitive to sun exposure and burning the skin only increases the risk in later years of developing cancer. It is important to remember that the many years of continuous sun exposure increase the chance of getting skin cancer. In other words, the skin doesn’t forget!! Sporadic sun exposure is more than enough to guarantee a nice brown skin color and the proper production of vitamin D in the body.

If someone wants to get a quick tan, than be sure to use self-browning creams, but remember, they wont protect your skin from sun overexposure and burning. Carotin derivative products have been shown to protect the skin from within and in general have an anti-cancer effect.

During the hot months, a good rule of thumb is to avoid strong sun exposure in the middle of the day, say between 2 and 3 pm, when the sun is hottest. Try to stay in the shade as much as possible and when going into the sun, put on a hat, sunglasses and a shirt just to be sure. Sun tanning protective creams are also a must. A wide spectrum UV protection and a minimum factor of 15 should be applied to the skin at all times for maximum protection. But remember, the best protection from skin cancer is to avoid the exposure to the skin.

Finally, and equally important, is that we recognize on ourselves any first signs of potential cancer. Especially be aware of any small wounds or scars on the skin that don’t seem to heal after a month or so. Be aware of skin moles that suddenly begin to itch, bleed, peel, grow, change color or become painful. In any of the above instances, be sure to contact your dermatologist immediately for a full check up. Remember, early diagnosis and treatment along with regular screening is the best way to ensure many happy, healthy summers to come.

Dr. Randy Simor is a medical graduate from the Semmelweis Medical University in Budapest, Hungary, 1999. Since 1999, he has worked continuously within the healthcare industry as a clinical research associate, a consultant for a multi-national pharmaceutical company, and a business development director for one of Budapest's largest private outpatient, one-day surgery clinics. As an entrepreneur, Randy is owner and director of a newly established management company for medical tourism, CARE Ltd. The company primarily focuses on medical tourism for plastic surgery, dental & oral surgery, Laser eye surgery and a wide variety of other diagnostic, surgical and wellness services.

The Causes and Symptoms of Melanoma

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Melanoma is a malignant tumor predominantly found in the skin but can be found elsewhere, especially the eye. The vast majority of melanomas originate in the skin. Melanomas are the most lethal form of skin cancer. As with most forms of cancer, earlier detection gives patients a better chance of survival. Epidemiologic studies from Australia suggest that exposure to ultraviolet radiation is one of the major contributors to the development of melanoma. Occasional extreme sun exposure resulting in a sunburn is causally related to melanoma. Those with more chronic long term exposure (outdoor workers) may develop protective mechanisms. Melanoma is most common on the back in men and on legs in women (areas of intermittent sun exposure) and is more common in indoor workers than outdoor workers (in a British study). Other factors are mutations in or total loss of tumor suppressor genes.

Use of sunbeds with deeply penetrating UVA rays has been linked to the development of skin cancers, including melanoma. Possible significant elements in determining risk include the intensity and duration of sun exposure, the age at which sun exposure occurs, and the degree of skin pigmentation. Exposure during childhood is a more important risk factor than exposure in adulthood. This is seen in migration studies in Australia where people tend to retain the risk profile of their country of birth if they migrate to Australia as an adult. Individuals with blistering or peeling sunburns especially in the first twenty years of life have a significantly greater risk for melanoma. Fair and red-headed people are at greater risk for developing melanoma.

A person with multiple atypical nevi or dysplastic nevi are at a significant risk. Persons born with giant congenital naevi are at increased risk. A family history of melanoma greatly increases a person's risk. Certain 'melanoma families' display features of mendelian inheritance of cancer causing genes. It is critical that individuals with family members who have been diagnosed with melanoma be checked regularly for skin cancer. Patients with a history of one melanoma are at increased risk of developing a second primary tumour. Do you suspect that you may have Melanoma? Any mole that is irregular in color or shape should be examined by a doctor to determine if it is a malignant melanoma, the most serious and life-threatening form of skin cancer.

Following a visual examination and a dermatoscopic exam (an instrument that illuminates a mole, revealing its underlying pigment and vascular network structure), the doctor may biopsy the suspicious mole. If it is malignant, the mole and an area around it needs excision by a surgeon or dermatologist. The diagnosis of melanoma requires experience, as early stages may look identical to harmless moles or not have any color at all.

Where any doubt exists, the patient will be referred to a specialist dermatologist. How to Prevent Melanoma Minimize exposure to sources of ultraviolet radiation (the sun and sunbeds). Wearing long-sleeved shirts, long trousers, and broad-brimmed hats offers the best protection. Use a sunscreen with an SPF rating of 30 or better on exposed areas. Disclaimer -

The information presented here should not be interpreted as medical advice. If you suspect you have Melanoma, please consult your physician as early as possible for diagnosis and treatment options.

Basal Cell Carcinoma treatment moh's Surgery

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Mohs Micrographic Surgery or just Mohs Surgery is the most advanced and effective treatment procedure for skin cancer available today. It is an outpatient procedure in which the tumor is surgically excised and then immediately examined under a microscope. It said that Mohs surgery has a high cure rate compared to other skin cancer treatment. It is a good treatment for basal cell carcinoma.


The base and edges are microscopically examined to verify sufficient margins before the surgical repair of the site. If the margins are insufficient, more is removed from the patient until the margins are sufficient.

However, mohs surgery procedure usually performed by specially trained surgeons who have completed at least one additional year of fellowship training (in addition to the physician's three-year dermatology residency) under the tutelage of a Mohs College member.


With the Mohs technique, physicians are able to see beyond the visible disease, to precisely identify and remove the entire tumor layer by layer while leaving the surrounding healthy tissue intact and unharmed. As the most exact and precise method of tumor removal, it minimizes the chance of re-growth and lessens the potential for scarring or disfigurement.


Because the physician is specially trained in surgery, pathology, and reconstruction, Mohs surgery has the highest success rate of all treatments for skin cancer - up to 99 percent. The Mohs technique is also the treatment of choice for cancers of the face and other sensitive areas as it relies on the accuracy of a microscopic surgical procedure to trace the edges of the cancer and ensure complete removal of all tumors down to the roots during the initial surgery. Mohs surgery also used for squamous cell carcinoma; however, the cure rate is not as high as Mohs surgery for basal cell carcinoma.

Main article - Standard Surgical Excision

Moh's Surgery for Melanoma

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Mohs Surgery is a type of skin cancer treatment that not only has a very high cure rate but also less invasive. Moh’s surgery has a very high cure rate depend on what its treat, it has the highest cure rate when treating basal cell carcinoma skin cancer, but the cure rate is lesser in treating squamous cell carcinoma skin cancer.


Mohs surgery can also be used to treating melanoma. However, moh’s surgery has a higher cure rate if treating melanoma in situ. It has been used in the removal of melanoma-in-situ (cure rate 77% to 98% depending on surgeon), and certain types of melanoma (cure rate 52%). Another study of melanoma-in-situ revealed Mohs cure rate of 95% for frozen section Mohs, and 98 to 99% for fixed tissue Mohs method. In situ is a condition that a cancer is still not become cancer yet.

However, mohs surgery is appropriate when:
  • The skin cancer is in an area where it is important to preserve healthy tissue for maximum functional and cosmetic result, such as: eyelids, nose, ears, lips, fingers, toes, genitals.
  • The skin cancer was treated previously and recurred.
  • Scar tissue exists in the area of the cancer.
  • The skin cancer is large.
  • The edges of the cancer cannot be clearly defined.
  • The skin cancer is growing rapidly or uncontrollably.
 Main Article - Moh's Surgery

28 Eylül 2012 Cuma

5 Myths About Protecting Yourself from Skin Cancer

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Sara spends much of her summer near the beach. She lives in a mild climate and is very athletic. She loves to swim, bike and play games outdoors. Sara knows the dangers of the sun and so she opts for tanning salons to get her 'golden glow' while being sure to apply sunscreen every day before heading out.

Joseph lives in a cooler, northern climate. The summers can be very humid, but most of the year is mild or even below freezing during the harshest winter months. The beach has never been much of a draw for him and he spends most of his time doing indoor activities or at his job. Joseph doesn't worry about sunscreen and only had one sunburn that he can remember and that was when he was a child.

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Which of these examples do you most associate yourself with? Did you know that Sara and Joseph are both at risk of developing skin cancer? We have all heard the warnings about the dangers of sun exposure. We know all about the importance of wearing sunscreen and hats. But are YOU protected from skin cancer? Consider these myths and facts:

MYTH ONE: Tanning Beds are Safer than the Sun

20 minutes of exposure in a tanning bed is roughly equivalent to four hours in the sun. Although sun beds use UVA rather than UVB rays, 'The Skin Cancer Answer' states that 'UV-A penetrates more deeply into the skin than UV-B, can cause skin cancer, and may suppress the immune system.'

MYTH TWO: Wearing Sunscreen at the Beach is Protection

85 percent of UV rays can even make it through on cloudy days. That means you are equally at risk in the car, walking the dog or letting your children out to play at any time of year - even when you're not at the beach. Of course, you are usually less attired at the beach and so covering up is recommended even when wearing sunscreen. Sunscreen also wears off with sweat and water and should always be applied every two hours or after getting wet.

MYTH THREE: Taking Care Of Your Skin Now Will Protect You

Sadly, skin cancer can take 20 or more years to develop. The Skin Cancer Foundation states that most people receive about 80 percent of their lifetime sun exposure before the age of 18. Just one blistering sunburn in childhood is estimated to double the risk of melanoma later in life. Taking better care now will reduce the risk, but not eliminate the damage already done.

MYTH FOUR: Having a Tan Means You're More Protected

Dark skinned individuals are less likely to develop cancer, but tanned skin is actually damaged skin. Repeated tanning injures the skin and increases the risk of skin cancer.

MYTH FIVE: You Can't get Burned on Overcast Days

Just because the sun is hidden by some cloud does not mean that you don't need protection from the harmful effects of the suns rays.

So how do you plan to protect your family this year? Some suggestions are to limit exposure to the sun - especially for infants. Examine your skin for early signs of damage. Use a sunscreen of SPF 15 or higher and apply it at least 30 minutes before exposure and every two hours after that. Teach your children good safety habits and be sure you and they are covered up when outdoors. Have fun and be safe.

The information contained in this article is for educational purposes only and is not intended to medically diagnose, treat or cure any disease. Consult a health care practitioner before beginning any health care program.

Surgery for Melanomas

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Nevi are so common that they have a wide range of classifications. Blue nevi occur very deep in the dermis. Compound nevi are very dark in color and are slightly raised. Intradermal nevi are usually flesh-colored and raised. Intramucosal nevi occur in the mouth or genital area. Nevi of ito and nevi of ota are found on the shoulder or face, which are flat and brownish in appearance.

Clark’s nevi are also called dysplastic nevi. They tend to stem from abnormal cell growth and can be pre-cancerous. These moles tend to be larger with irregular borders and coloration. As a result, they look like melanomas, and are often removed to confirm the diagnosis. Dysplastic nevi do not morph into melanomas, but are markers of risk when there are many of them.

Epidermal nevi usually appear on the upper half of the body. The recognized cause of these nevi is genetics. Giant hairy nevi are often very large and hairy and are unsightly. In terms of health, they can pose a risk as melanoma may be present in approximately 10-15% of the cases. Spitz nevi usually occur on children. They are often reddish in color and are raised.

Diagnostic punch or excisional biopsies may appear to excise the tumor, but further surgery is often necessary to reduce the risk of recurrence. Complete surgical excision with adequate margins and assessment for the presence of detectable metastatic disease along with short- and long-term followup is standard.

Often this is done by a wide local excision with 1 to 2 cm margins. Melanoma-in-situ and lentigo malignas are treated with narrower surgical margins, usually 0.2 to 0.5 cm. Many surgeons consider 0.5 cm the standard of care for standard excision of melanoma-in-situ, but 0.2 cm margin might be acceptable for margin controlled surgery (Mohs surgery).

The wide excision aims to reduce the rate of tumour recurrence at the site of the original lesion. This is a common pattern of treatment failure in melanoma. Considerable research has aimed to elucidate appropriate margins for excision with a general trend toward less aggressive treatment during the last decades.

Mohs surgery has been reported with cure rate as low as 77% and as high as 98% for melanoma-in-situ. Melanomas which spread usually do so to the lymph nodes in the region of the tumor before spreading elsewhere. Attempts to improve survival by removing lymph nodes surgically were associated with many complications but unfortunately no overall survival benefit.

Although controversial and without prolonging survival, sentinel lymph node biopsy is often performed, especially for T1b/T2+ tumors, mucosal tumors, ocular melanoma and tumors of the limbs. A process called lymphoscintigraphy is performed in which a radioactive tracer is injected at the tumor site in order to localize the sentinel nodes.

Further precision is provided using a blue tracer dye and surgery is performed to biopsy the nodes. Recently the technique of sentinel lymph node biopsy has been developed to reduce the complications of lymph node surgery while allowing assessment of the involvement of nodes with tumor.

As with other skin abnormalities, moles are classically removed by laser, surgery, or electrocautery. Most of these treatments require multiple visits to the doctor. Surgery, the option doctors commonly offer, involves cutting out the mole. The resulting wound requires stitches, which will in turn leave a scar.

Information About Skin Cancer

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Cancer that is formed in the tissues of the skin is known as Skin Cancer. It is one of the most common kinds of cancer that affects men and women. This cancer affects about a million people every year and there are many factors that cause this including excessive sun exposure, tanning, weak immune systems, etc. Read on to get a complete awareness of this most common form of cancer and on steps to prevent it.

How is skin cancer caused?

When the skin cells modify and multiply in an abnormal fashion, the uncontrollable growth causes the development of a mass known as a tumor. This tumor that occurs in the skin is also known as a lesion and these cancerous growths are malignant in nature which causes the destruction of adjacent cells leading to random growth. These tumors flow through the blood stream and affect other remote organs also during the advanced stages of skin cancer.

Types of skin cancer

Skin cancer is divided into two kinds depending on their ability to spread around. The two types of skin cancer are non-melanoma and melanoma. Non-melanoma includes the type basal cell carcinoma and squamous cell carcinoma in it.

1. Melanoma - The cancer that affects the melanocytes or the skin cells that create the pigments.
2. Basal cell carcinoma - The cancer that affects the lower part of the epidermis or the outer layer of the skin.
3. Squamous cell carcinoma - The cancer that affects the squamous cells or the flat cells that form the skin surface.

Basal cell carcinoma and squamous cell carcinoma normally do not spread to other parts of the body whereas melanoma is a dangerous form of skin cancer which spreads to other parts of the body. The major ratio and the most common type of skin cancer are the carcinoma types with the aggressive melanoma forming the least portion.

Symptoms of Skin Cancer

The symptoms of skin cancer are skin changes which take time to heal along with ulcers. Sometimes skin discoloration and changes to moles on the skin can also been seen. The most common symptom is a small lump that is shiny and pale in color or a firm red lump. Some types of cancer also are associated with rough and scaly patches or flat scaly patches of red or brown color. Also beware of any new suspicious growth and consult a physician in such cases. Though these growths are most of the times painless, they can also be painful at times.

A smooth round bump is normally developed on the head, shoulder or neck with signs of crusting and bleeding with development of the tumor in cases of basal cell carcinoma. In squamous cell carcinoma, a thick red color patch along with ulcer and bleeding can be developed. Brown or blackish lesions are formed in cases of melanomas. The lesion exhibits change in size, color or shape as a symptom of the melanoma becoming malignant.

Diagnosis of Skin Cancer

This cancer is diagnosed by the physician in two main methods. The first and the most common method is the skin examination. In this method the doctor looks out for any abnormal growth or irregularity in the skin. This can be followed by a biopsy in case of finding any abnormal growth. In case of biopsy, the affected area or abnormal growth is well studied under a microscope to check for the presence of cancerous cells.

Treatment of Skin Cancer

Surgery is one effective method for the treatment of non-melanoma cancer types. The complete procedure of surgical treatment begins with surgery and includes follow-up methods of radiation therapy and chemotherapy. In the surgical methods, the lesion and a calculated amount of tissues around it is removed so as to make the body tumor free. The Moh's micrographic surgery is one effective technique that is used for this process.

Prevention of Skin cancer

Early diagnosis and detection can help treat skin cancer before it turns dangerous and hence self evaluation of your skin on a regular basis is a must on a frequent basis. Look for any kind of abnormal changes, discoloration or growth in your skin. You can also undertake a doctor visit once a year to detect any signs or symptoms of cancer. In certain cases of high-risk situations, you can consult a skin specialist on a regular basis to screen for this cancer.

Skin cancer can be prevented by adopting a few basic tips which can be very useful in your daily life.

1. Use Sunscreens - 90% of the skin cancers are known to be caused by harmful UV radiations and sunscreens are the best protector when you are someone who spends a lot of time outdoors. UV rays damage our cell DNA structure and modify them making them cancerous. Minimize outings during the time when the sun is at its brightest. Also try to maintain your presence within the shade where ever possible. But even if you are in a shade, remember to wear your sunscreen,
2. Avoid excessive tanning - Artificial lights as in tanning beds, lamps and booths, all contain UV rays and increase the chances of melanoma.
3. Wear protective dressings - Though sunscreens do protect, you can consider wearing protective dressings like a hat or sunglasses, which can protect your eyes and facial skin from the sun.
4. Avoid childhood sunburns - Most of the times, a burn during your childhood can increase your risk of being affected with skin cancer along the years as you grow. Thus it is required that you monitor kids when they are in the sun reducing their exposure.
5. Eat healthy - A weak immune system is a ready agent for skin cancer. Make sure that you include lots of fresh fruits and vegetables so as to improve your body's immunity power.

People who run a higher risk of Skin cancer

Though many people are equally exposed to the chances of this cancer, there are a few who run a higher risk. Individuals with a family medical history of skin cancer or those who possess fair skin tone and freckles run a higher risk. Also people who are addictive to tanning and spend a lot of hours outdoors in the sun along with a weak immune system also possess equal risks of getting this cancer.

The Skin Doesn't Forget

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The end of winter, no more short, cold and dark days. Spring is finally here and summer is fast approaching. Hot days and lots of sunshine. But not all fun and sun. The hot sun can pose a great danger for our skin and our children’s skin. In fact, one of the most important factors for feeling young and healthy is the way we take care of our skin during the summer months.

Over the last century, ever-increasing rates of skin cancer have taken some of the greatest tolls on all age groups, young and old. Yet most people don’t realize that skin cancer is a very preventable form of skin cancer, and, that if recognized early enough, is very treatable. The simple fact is, if we take care of our skin during the summer, we can dramatically reduce the chances of ever getting skin cancer in the first place. The chance of getting skin cancer is directly related to the amount of sunlight we expose our skin to, especially during the summer. Furthermore, it has been shown that going to the solarium on a regular basis is also a risk for the development of skin cancer.

Overexposure to UV A and B light from the sun and the solarium damages skin cells. UV A light in spite of its lower energy, is received by the body in much larger doses, and penetrates into the skin easily causing damage. UV light mainly affects the skin and underlying connective tissues by decreasing the quantities of collagen and elastic fibers present in these tissues. With passing time, the skin becomes more wrinkled and flaccid. One of the most important factors in the pathogenesis of cancer is the fact that the absorbed UV light breaks down water molecules and induces the formation of free-oxygen radicals, which are toxic to certain elements of the skin.

For those of us who have a light or very fair complexion, (type I skin tone) avoidance of the sun and solarium as much as possible is recommended. The rest of us should adjust the amount of sun (UV light) exposure to our proper skin tones.

The reason its important to know what type of skin tone you have is because the lighter the skin, the less it is capable of dealing with the damaging elements of the sunlight and thus, more the skin needs to be protected.

It’s not difficult to determine what your skin type is. There are six types and by using the scale below, you can determine for yourself how much skin protection you may need.

Skin type I never turns brown, only burns.
Skin type II browns very slowly and easily burns.
Skin type III browns easily and rarely burns.
Skin type IV is typical of that of southern Europeans (Mediterranean type).
Skin type V is slightly pigmented similar to those living in India.
Skin type VI is black.

If you fall into either of the first two categories, your skin must be protected at all times from the dangerous effects of the sun!!!!!

Skin cancer can be broken down into Melanoma- and non-Melanoma types. The latter consists of both squamous cell- and basal cell skin cancer. Melanoma is the most dangerous type of skin cancer. The proliferation of pigmented skin cells anywhere in the body can, if not diagnosed and treated early, cause death. The frequency of Melanoma around the world is increasing at very rapid rates!!

Squamous cell type of skin cancer is also a malignant form of skin cancer that is directly related to the amount of sun exposure and can quickly spread to other parts of the body.

Basal cell type skin cancer is not malignant and thus wont spread to other parts of the body. However, there is local destruction of the affected skin areas and thus excision of the lesion is a must.

Well, you may ask how do I protect myself from the dangers of the skin cancer? The answers may not be as difficult to follow as you may think. First and foremost, always protect skin of young children and kids. Their skins are sensitive to sun exposure and burning the skin only increases the risk in later years of developing cancer. It is important to remember that the many years of continuous sun exposure increase the chance of getting skin cancer. In other words, the skin doesn’t forget!! Sporadic sun exposure is more than enough to guarantee a nice brown skin color and the proper production of vitamin D in the body.

If someone wants to get a quick tan, than be sure to use self-browning creams, but remember, they wont protect your skin from sun overexposure and burning. Carotin derivative products have been shown to protect the skin from within and in general have an anti-cancer effect.

During the hot months, a good rule of thumb is to avoid strong sun exposure in the middle of the day, say between 2 and 3 pm, when the sun is hottest. Try to stay in the shade as much as possible and when going into the sun, put on a hat, sunglasses and a shirt just to be sure. Sun tanning protective creams are also a must. A wide spectrum UV protection and a minimum factor of 15 should be applied to the skin at all times for maximum protection. But remember, the best protection from skin cancer is to avoid the exposure to the skin.

Finally, and equally important, is that we recognize on ourselves any first signs of potential cancer. Especially be aware of any small wounds or scars on the skin that don’t seem to heal after a month or so. Be aware of skin moles that suddenly begin to itch, bleed, peel, grow, change color or become painful. In any of the above instances, be sure to contact your dermatologist immediately for a full check up. Remember, early diagnosis and treatment along with regular screening is the best way to ensure many happy, healthy summers to come.

Dr. Randy Simor is a medical graduate from the Semmelweis Medical University in Budapest, Hungary, 1999. Since 1999, he has worked continuously within the healthcare industry as a clinical research associate, a consultant for a multi-national pharmaceutical company, and a business development director for one of Budapest's largest private outpatient, one-day surgery clinics. As an entrepreneur, Randy is owner and director of a newly established management company for medical tourism, CARE Ltd. The company primarily focuses on medical tourism for plastic surgery, dental & oral surgery, Laser eye surgery and a wide variety of other diagnostic, surgical and wellness services.

Skin Cancer Information

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Skin cancer is the most common of all cancers. There are some types of this cancer, basal cell carcinoma, squamous cell carcinoma and also melanoma.Basal, the most common form, develops in the base or the bottom of the epidermis, the top of the skin. Squamous cell carcinoma, the second most common type, invented in the upper layers of the epidermis. The American Cancer Society estimates that basal and squamous cell carcinoma of the skin in the name of over 1.3 million new cases every year, but only 1900 deaths. In Canada, 68 000 cases of basal cell cancer and squamous cell cancers are diagnosed each year.

The third type of skin cancer is melanoma. It develops in the melanocytes, or pigment cells in the basal layer. Melanoma is the hard one form of this cancer and is responsible for almost 1/3 of all deaths from this cancer. around 48,000 last cases of melanoma diagnosed each year die in the United States, also 7,700 people from the disease per year. The condition of malignant melanoma is increasing faster in the U.S. than any other cancer, and one person in the 1990s to 12 times more likely to develop melanoma, a person born in the 1940s. In Canada, about 3,100 new cases of melanoma are diagnosed every year.

Skin cancer can develop anywhere on the skin, but about 90 percent develop in sun-exposed areas, especially in the face, neck, back, hands and scalp from the sun men.Direct bald head, especially during childhood, is the most important risk factor for this cancer, and the number of blistering sunburns a person has, the greater the risk of developing skin cancer in the future. People with fair skin are at increased risk of skin cancer, especially when the skin burns or freckles easily.

A family history of this cancer, the risk to a person. Studies are under way to determine which individuals are predisposed to genetic disease. In the year 1996 has enabled such as scientists discovered a gene they believe causes basal cell carcinoma. The gene, such as patched or PTC contributes to cell growth and gene development.If missing, broken or damaged by ultraviolet radiation known, can be uncontrolled cell division. Another aberrant gene, called multiple tumor suppressor, made as part of a melanoma.

Diet can also play a role. A recent study showed that patients on a diet high in fat to 20 percent fewer precancerous lesions and skin cancer than those who eat ordinary of about 38 % fat.

The sunlight reaching the earth's surface are two types of ultraviolet (UV). UV-A and UV-B contribute to sunburn and also cancer, and diseases such as premature aging of the skin. U.S. Environmental Protection Agency has determined that the increased degradation of the ozone in the atmosphere, the radiation damages the skin and the rates of skin cancer in the future.

The Cancer Foundation recommends that people avoid the sun at the highest level (10-4 m) in the shade, and with clothing and a hat with wide brim. It also ask to use the regular use of sunscreen, which has proven to prevent the development of precancerous actinic (skin lesions that occur in middle age) and reduce the risk of skin cancer. Because skin cancer increase slowly over the years, it is necessary for protection against excessive sun exposure in childhood.Tanning should be avoided because they are the people are exposed to the same type of UV light than the sun. More to identify early signs of skin cancer also important that regular self-examination of the skin.some changes or skin diseases, the doctor reported.

27 Eylül 2012 Perşembe

Cranberry juice benefits are enormous

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Cranberry juice benefits are enormous. Cranberries are time-tested dwarf shrubs that grow in the acidic areas of the north hemisphere. These bushes bear bit of berries which initially stay whitish however flip red after they obtain ripened. These fruits can be drunk and used to make juice that is bitter in the pure kind. However, virtually all of the commercially available styles of cranberry juices are syrupy by adding synthetic essences. In addition to being incredibly tasty and also enjoyable, this berry juice extends a number health advantages.

UTI: One of the crucial cranberry fruit juice health perks is its potential to battle urinary tract infections. Our prime degrees of oligomeric proanthocyanidins minerals deposits in cranberry extract juice make it rinse out the unsafe E. coli parasites from urinary system that can easily result in numerous uncomfortable microbe infections. Cranberry juice consists of minerals that are effective antioxidants. The certain anti-inflammatory, anti-carcinogenic and also anti-microbial traits include in the important things relating to consuming cranberry remove juice. It has definitely obtained acids in it that make urine that do not let the micro-organisms to stay with the wall structures of the bladder. This particular eliminates the prospect of infection. Anxiety of Staphylococcus aureus, or perhaps S. aureus is accountable for urinary tract infections which trigger skin color rash and could also result in blood flow infections. Cranberry remove juice shields your body coming from STAPH infections.

Tummy Ulcers: In addition to battling the true E. coli microorganisms, cranberry fluid has the potential involving destroying the certain Helicobacter pylori micro-organisms. This certain pressure concerning micro-organisms may cause uncomfortable belly ulcers via harming the certain preventive mucous polish of the mid-sections. In significant cases of infection, this leads to tolerate cancer malignancy.

Cancer: Red grapes help abolish and stop the growth concerning tumors that results in cancer. Investigation has definitely exposed that the medicines used for many of the ovarian cancers along with chemotherapy have definitely been even more successful in the celebration the client is let to consume cranberry fluid frequently. Muchmore investigations have definitely been performed on this score verify the major advantages of cranberry liquids for cancer malignancy customers.

Breathing system Infection: Study indicates that cranberry juices permit you battle particular pressures in the Homophiles Influenzas bacteria that have the microorganisms that are found in the nasal area that may be the root cause of concern for healthy and balanced grownups and kids. This bacterium supervises creating excruciating respiration system as well as hearing infections in children. This juice inhibits the micro-organisms originating from affecting cells by not enabling their tresses like framework (referred to as pili) to fasten by themselves to the wireless area. Thus, it assists eliminate wellness problems much like the typical influenza, cough, painful throats and the typical cold.

Cardiovascular Illnesses: The polyphenols included in cranberry juice support improve the healthiness of the heart. These chemical materials are thought to bring up the degrees of correct blood cholesterol lowering the degrees of the poor cholesterol levels in the body, thus reducing the risk of cardio conditions.

Dental health: Cranberry fluid juice is great at reducing germs in dental cavity. Drinking one glass of this berry juice is understood to inhibit microbial development in nicotine gums, protect against back bowl forming in addition to improve dental tidiness. The anti-inflammatory factors of red grapes help lower the prospective danger of periodontal conditions.

There are many other cranberry health advantages that might lure one to consume a whole lot of this kind of juice. However, an overdose regarding cranberry fluid could add to your weight due to its huge glucose subject matter. This aside, excess intake of this juice may even create diarrhea, abdominal distress, bloating, gastrointestinal problems, as well as enamel cavities. A maximum of 2 glasses for adults as well as 1 glass for the kids in a day will be the medication dosage that is definitely suggested by a lot of specialists.

If you have to make the most of your cranberry juice benefits, you might acquire natural unsweetened berry juice created from organic cranberries. It is available at most wellness stores.

Water With Lemon, can do wonders for your weight?

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Ever thought that lemon juice and water can do wonders for your weight? Well, a new diet has been proven to help you lose all those excess pounds and all it consists is a glass of lemon juice in the morning combines with good exercise and eating healthy food.

The lemon water diet has been said to be effective in helping our digestive mechanisms work faster, thus, aiding in our weight loss. So, what bolsters digestion better than this? It does a number of great things for your body. Here are some of the great effects of a glass of water with lemons for your body.

1. It helps in your digestion by preventing build-up of accumulated wastes resulting in constipation or diarrhea.

2. This process is the natural way of losing weight. No need to worry about harmful side effects of water and lemon juice because, as of the moment, there are certainly isn’t one.

3. It reinforces your immune system. It helps your body develop into something stronger since lemons are obviously made from vitamin C.

4. It cleanses your blood. Not only does it do that, but it helps clear off toxins from your entire body. Therefore, that one glass can help prevent future health issues from arising.

5. It is a great booster for absorbing calcium in your body. We all need calcium to strengthen our bones, so this is all you need to help you march your way into good health.

Therefore, if you want to lose weight the natural route, then this is the weight loss method for you. All you need is about 8-10 glasses of water with lemon every day. Once you start shedding those pounds then just carry on with at least one glass every day. This could be the key to saying goodbye to those expensive diet supplements that are all talk, but no results.

Weight loss percentage calculator, Knowing how to calculate

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Knowing how to calculate weight loss percentage can really be a morale booster for your rough times because your actual results can only encourage you to perform more of the taken actions - like jogging, dieting or others.

It can also help you stay on track and not exaggerate with anything, as we do know that anything done in excess can harm your body. It can help you set goals and achieve them step by step.

But how do we calculate weight loss percentage? Is it a difficult math task? No way! It's a pretty basic formula. First of all you'll need to remember your initial weight.
Secondly, you'll need your actual weight at this point.
Now, the formula goes like this:

((IW-AW)/IW) * 100= weight loss percentage

In this formula IW is your initial weight and AW is your actual weight at this point.
It's not as complicated as it initially seems: practically all you do is subtract the actual weight from the initial weight and divide the number obtained by your initial weight. Multiply the result with 100 and you'll get the exact percent.

Now you can see that it's pretty basic - but opening a lot of possibilities. For example, you can measure your weight once a week and create an Excel table which instantly calculates the weight loss percentage for you. This can really help you keep track of your progress and can be a real motivation booster as I previously mentioned.

With this you can also create a weight loss percentage graphic - actually drawing your progress at certain points.

Well, if you fully understood how this works, you can conclude that now you know how to calculate weight loss percentage. If not, try to re-read the article more carefully.

How to Use Weight Loss Calculator

There is always fear and anticipation by most people on weight loss program when they start using the calculator. Their fear is based on the fact that they may not have lost any weight especially if they're been banging on foods during midnight, or not strictly following the diet recommendation. But definitely, the calculator is a must have for individuals who are dead serious about losing weight and staying healthy.

The number of calories you consume in your diet has a direct correlation to your weight. Many people count the calories in order to maintain a healthy weight or lose the extra pound. A pound of body weight is equal to 3500 calories, but very few people consume this number of calories daily. In order to achieve your ideal weight, it is important to calculate the number of calories your body needs to stay at your current weight. And if this is known, what remain is to monitor or maintain your ideal weight.

There are many websites online that you can quickly and easily complete the calculation of how many calories you need. All you have to do is enter your height and weight and click enter. The result will be the number of calories for your present weight.

Although the most popular and widely used method of assessing body weight is jumping on the bathroom scale. Measuring body weight on a scale is probably so trusted a method because it is widely used, but it not reliable.

You can assess your body weight by calculating your Body Mass Index (BMI). This simple calculation compares your weight to your height to see if you're in a healthy weight range. This is a great starting point as it will quickly give you an indication of where your weight should be and because it works on range. BMI does not take into account your actual body fat. The best way to assess your body weight is not through BMI whose readings lead to many inaccuracies. Rather the body percentage calculator is the best instrument.

The body fat percentage calculator takes in the measurement of your weight in pounds, inches in certain areas of your body ( such as neck, waist, and thigh), you gender, your bone mass and your muscle mass. For example a woman who is 150 lb. at 5' 6 is not necessarily overweight. Her body fat percentage may be only 17%, and that her weight is made up mostly of 145 pounds of lean muscle which weigh more than fat. The body fat percentage readings always give more accurate result than BMI. You could be 150 lb. of pure muscle and BMI will read you as being overweight. The body fat percentage calculator also takes into account differences in biological sex. Women naturally have an extra layer of fat that helps them in pregnancy that men don't have. This is one of the reasons why many women have problems losing weight since it is a natural function of the body

A healthy reading for women sits between 18%--29%, anything over is considered obsessed. A lean woman should be no more than 12%, otherwise her body fat stores are insufficient and can lead to medical problems. A lean man should be between 4%--10%, and a healthy man should be between 11%--25%.

The body fat percentage calculator is the best way to accurately assess your weight loss. As you trim down and the activity becomes easier, you'll burn fewer calories and it will be necessary to maintain the same Daily Calorie Deficit.

Baby Constipation Remedies, Some Tips.

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Tips to Overcome Constipation In Babies (1-12 months). Baby Constipation Remedies, Some Tips.

1. Giving more fluids such as water, milk, or if the baby is older than four months, it can be diluted fruit juice.2. Exercise. Try doing a little exercise or exercise by bending your knees toward baby belly gently a few times, so it will help to remove the feces.
3.Bathing with warm water. Bath with warm water will make the baby feel comfortable.
4. Applying lotion or baby oil in the area around the anus. By applying a lotion or baby oil then the area around the anus will become softer and does not feel stiff.
5. After starting to eat solids, give more fibrous foods from fruits and vegetables.
Start getting kids to eat vegetables and fruits are rich in natural fibers, so that later they realized that it is very useful to maintain a healthy body. 

Baby Constipation Remedies, Tips From My Aunts

Constipation commonly occurs in infants who received formula milk, not breast milk.Here are quick tips to overcome constipation in children:
1. Give fruit juice or diluted fruit pulp.
2. Give your baby more often water or skim milk that has been boiled.
3. Provide the team with porridge or food composition of vegetables and fruits as much as papaya and spinach.
4. If still constipated, add the sugar in drinks daily. The addition of 1 tablespoon of sugar each day can help the situation. The addition of sugar should only be given when the baby is constipated. if it is normal, discontinue administration.
5. For babies who become diarrhea (diarrhea) after being given a dose of sugar to it, it is a sign the baby is not resistant to the sweet taste. Reduce the amount of sugar that is delivered or stop altogether if diarrhea continues.
6. If these simple methods do not work, even the stool is too hard, making it very difficult to get out and there was blood on the outside of the stool, consult a doctor immediately.

Pregnancy constipation remedies, How to overcome?

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I am 32 weeks pregnant with the condition often experience constipation. Sometimes I used to be afraid because it makes constipation nausea and abdominal pain, what you need to do to be free from constipation? Are there certain foods that should be a menu that consumption is not constipated again? Or are there certain activities that should be carried out relating to this case?

Constipation phenomenon is a form of disorder in the digestive system. Where the condition can be characterized by symptoms of abdominal pain and distress (bowel movements). During pregnancy as you have, along with the added weight of the fetus, then the condition in the womb of a mother amid growing conditions.

In these conditions, where the condition of the uterus towards the back will be able to suppress bowel causing constipation condition. In a different reaction, in which the uterus enlarges towards the future, will make an emphasis on the bladder, causing symptoms such as frequent urination ketch. In this case the symptoms are natural and normal.

Pregnancy constipation remedies, How to overcome?

However, there are several steps that can be used to overcome constipation, as such:

- Eating foods high in fiber, can help reduce the symptoms that mothers feel.

- The pattern of life with light exercise like walking or pregnancy exercise can reduce the symptoms of constipation for the mother.

-Mother had to meet the demand for minerals by drinking 6-8 glasses of water per day, plus keeping it a habit not to put off defecation desire arise.

If it is the case within a period of time and bother, you should consult a gynecologist, so it will be more precise diagnoses in accordance with the observation that you are facing complaints. Hopefully soon be "ok" and not constipated anymore.

26 Eylül 2012 Çarşamba

Symptoms of Melanoma

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The most important warning sign for melanoma is any change in size, shape, or color of a mole or other skin growth, such as a birthmark. Watch for changes that occur over a period of weeks to a month. Use the ABCDE rule to evaluate skin changes, and call your health professional if you have any of the following changes.

A is for asymmetry. One half of the mole or skin growth doesn't match the other half. B is for border irregularity. The edges are ragged, notched, or blurred. C is for color. The pigmentation is not uniform. Shades of tan, brown, and black are present. Dashes of red, white, and blue add to the mottled appearance.

Changes in color distribution, especially the spread of color from the edge of a mole into the surrounding skin, also are an early sign of melanoma. D is for diameter. The mole or skin growth is larger than 6mm or about the size of a pencil eraser. Any growth of a mole should be of concern. E is for evolution. There is a change in the size, shape, symptoms, surface, or color of a mole.

Signs of melanoma in an existing mole include changes in the following aspects. (1) Elevation, such as thickening or raising of a previously flat mole. (2) Surface, such as scaling, erosion, oozing, bleeding, or crusting. (3) Surrounding skin, such as redness, swelling, or small new patches of color around a larger lesion. (4) Sensation, such as itching, tingling, or burning. (5) Consistency, such as softening or small pieces that break off easily.

Many other skin conditions have features similar to those of melanoma. Melanoma can develop in an existing mole or other mark on the skin, but it often develops in unmarked skin. Although melanoma can grow anywhere on the body, it often occurs on the upper back of men and women and on the legs in women.

Less often, it can grow on the soles, palms, nail beds, or mucous membranes that line body cavities such as the mouth, the rectum, and the vagina. On older people, the face is the most common place for melanoma to grow. And in older men, the most common sites are the neck, scalp, and ears. They are so common that they have a wide range of classifications.

Later signs of melanoma include a break in the skin or bleeding from a mole or other colored skin lesion, and pain in a mole or lesion. Symptoms of metastatic melanoma may be vague and include: swollen lymph nodes, especially in the armpit or groin; a colorless lump or thickening under the skin; unexplained weight loss; gray skin; ongoing cough; headaches; seizures.

Call your doctor immediately if you have been diagnosed with melanoma; you have difficulty breathing or swallowing; you cough up or spit up blood (hemoptysis); you have blood in your vomit or bowel movement ; your urine or bowel movement is black, and the blackness is not caused by taking iron or Pepto-Bismol.

Laser and electrocautery treatments are not always effective because they only reach the outermost layers of the skin, while moles penetrate very deep into the dermal tissue, often beyond the reach of these treatments. Surgery, the other option doctors commonly offer, involves cutting out the mole

The Skin Doesn't Forget

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The end of winter, no more short, cold and dark days. Spring is finally here and summer is fast approaching. Hot days and lots of sunshine. But not all fun and sun. The hot sun can pose a great danger for our skin and our children’s skin. In fact, one of the most important factors for feeling young and healthy is the way we take care of our skin during the summer months.

Over the last century, ever-increasing rates of skin cancer have taken some of the greatest tolls on all age groups, young and old. Yet most people don’t realize that skin cancer is a very preventable form of skin cancer, and, that if recognized early enough, is very treatable. The simple fact is, if we take care of our skin during the summer, we can dramatically reduce the chances of ever getting skin cancer in the first place. The chance of getting skin cancer is directly related to the amount of sunlight we expose our skin to, especially during the summer. Furthermore, it has been shown that going to the solarium on a regular basis is also a risk for the development of skin cancer.

Overexposure to UV A and B light from the sun and the solarium damages skin cells. UV A light in spite of its lower energy, is received by the body in much larger doses, and penetrates into the skin easily causing damage. UV light mainly affects the skin and underlying connective tissues by decreasing the quantities of collagen and elastic fibers present in these tissues. With passing time, the skin becomes more wrinkled and flaccid. One of the most important factors in the pathogenesis of cancer is the fact that the absorbed UV light breaks down water molecules and induces the formation of free-oxygen radicals, which are toxic to certain elements of the skin.

For those of us who have a light or very fair complexion, (type I skin tone) avoidance of the sun and solarium as much as possible is recommended. The rest of us should adjust the amount of sun (UV light) exposure to our proper skin tones.

The reason its important to know what type of skin tone you have is because the lighter the skin, the less it is capable of dealing with the damaging elements of the sunlight and thus, more the skin needs to be protected.

It’s not difficult to determine what your skin type is. There are six types and by using the scale below, you can determine for yourself how much skin protection you may need.

Skin type I never turns brown, only burns.
Skin type II browns very slowly and easily burns.
Skin type III browns easily and rarely burns.
Skin type IV is typical of that of southern Europeans (Mediterranean type).
Skin type V is slightly pigmented similar to those living in India.
Skin type VI is black.

If you fall into either of the first two categories, your skin must be protected at all times from the dangerous effects of the sun!!!!!

Skin cancer can be broken down into Melanoma- and non-Melanoma types. The latter consists of both squamous cell- and basal cell skin cancer. Melanoma is the most dangerous type of skin cancer. The proliferation of pigmented skin cells anywhere in the body can, if not diagnosed and treated early, cause death. The frequency of Melanoma around the world is increasing at very rapid rates!!

Squamous cell type of skin cancer is also a malignant form of skin cancer that is directly related to the amount of sun exposure and can quickly spread to other parts of the body.

Basal cell type skin cancer is not malignant and thus wont spread to other parts of the body. However, there is local destruction of the affected skin areas and thus excision of the lesion is a must.

Well, you may ask how do I protect myself from the dangers of the skin cancer? The answers may not be as difficult to follow as you may think. First and foremost, always protect skin of young children and kids. Their skins are sensitive to sun exposure and burning the skin only increases the risk in later years of developing cancer. It is important to remember that the many years of continuous sun exposure increase the chance of getting skin cancer. In other words, the skin doesn’t forget!! Sporadic sun exposure is more than enough to guarantee a nice brown skin color and the proper production of vitamin D in the body.

If someone wants to get a quick tan, than be sure to use self-browning creams, but remember, they wont protect your skin from sun overexposure and burning. Carotin derivative products have been shown to protect the skin from within and in general have an anti-cancer effect.

During the hot months, a good rule of thumb is to avoid strong sun exposure in the middle of the day, say between 2 and 3 pm, when the sun is hottest. Try to stay in the shade as much as possible and when going into the sun, put on a hat, sunglasses and a shirt just to be sure. Sun tanning protective creams are also a must. A wide spectrum UV protection and a minimum factor of 15 should be applied to the skin at all times for maximum protection. But remember, the best protection from skin cancer is to avoid the exposure to the skin.

Finally, and equally important, is that we recognize on ourselves any first signs of potential cancer. Especially be aware of any small wounds or scars on the skin that don’t seem to heal after a month or so. Be aware of skin moles that suddenly begin to itch, bleed, peel, grow, change color or become painful. In any of the above instances, be sure to contact your dermatologist immediately for a full check up. Remember, early diagnosis and treatment along with regular screening is the best way to ensure many happy, healthy summers to come.

Dr. Randy Simor is a medical graduate from the Semmelweis Medical University in Budapest, Hungary, 1999. Since 1999, he has worked continuously within the healthcare industry as a clinical research associate, a consultant for a multi-national pharmaceutical company, and a business development director for one of Budapest's largest private outpatient, one-day surgery clinics. As an entrepreneur, Randy is owner and director of a newly established management company for medical tourism, CARE Ltd. The company primarily focuses on medical tourism for plastic surgery, dental & oral surgery, Laser eye surgery and a wide variety of other diagnostic, surgical and wellness services.