1. Skin Health Melanoma Mapping Skin Cancer Prevention, Detection and Treatment
Ms Gabriella Da Ros
Mr Ian Holten
Australian Skin Face Body Clinics
Geelong, Ballarat, Warrnambool & Horsham

2. Australian Skin Face Body Clinics
Multidisciplinary clinic
Plastic surgeons, GP’s, nurses and dermal therapists
Cross referrals
Healthy skin looks good and is disease free
Skin health has huge psycho-social implications
Exciting period in skin medicine because topical and natural therapies are proving to be superior to traditional, systemic drug therapies
Preventative treatments available.
Links in to holistic, anti-aging medicine

3. What is this talk about?
Stuff you might want a friend or a loved one to know.

4. What is this talk about? Sun damage-actinic keratosis, solar keratosis
Skin cancers- the 3 most common types
New treatments for sun damage and skin cancers which are available to everyone.
Also How to prevent skin cancers

5. AUSTRALIA
Has the highest incidence of skin cancer in the world

6. Skin Cancer Fact
People living in Australia have a 1 in 2 chance of developing a skin cancer during their lifetime.
Melanoma is the most common cancer affecting ages

7. 2 groups of skin cancer that we deal in
Common-Non melanoma skin cancers-
Squamous cell carcinoma and Basal cell carcinoma
Less common Melanoma

8. Mythbusting 1; - Most melanomas NOT from moles You need ALL of your skin checked

9. Results of skin cancer
Yoiks!

10. Skin cancer detection is not always easy….

11. Which one is the melanoma?

12. Which one is the melanoma?

13. Detecting skin cancers
Any abnormality on the body
A- asymmetry
B-border irregularity
C-colour change
D-diameter OR
E-enlarging
F-firm
G-rowing

14. Melanoma Doesn't always need sun exposure
But the main risk is still episodic severe sun burn in childhood and teenage years
3rd most common skin cancer
1500 deaths per year related to Melanoma
Can occur in scalp, genitals, the eyes and non sun exposed areas

15. MELANOMA

16. Does this look like anyone you know?

17. Images of melanomas

18. Non melanoma skin cancers
Bcc and Scc as previously discussed.
Can arise from cummulative sun exposure over many years
Sun burn also increases their risk

19. Sun damage Is a precurser to skin cancer.
UV light causes mutations in normal skin and these mutations can progress.
Initially the skin becomes raised, dry, scaly and pink.

20. What sun damage looks like

21. More actinic keratosis

22. Sun damage recurs with time

23. Sun damage is the tip of the iceberg.

24. Older treatments for sun damage
Cryotherapy-freezing until the top layer of skin blisters or dies off
Chemical peels
Cutting and scraping

25. Limitations of excision, curettage, freezing etc
Even if we cut out a lesion we are bringing severely sun damaged skin back together again
Even if we freeze sun damage we are not treating the surrounding skin and missing the sun damaged skin that is there that we cannot see

26. The Good News.

27. NEW TREAMENTS!

28. Your average Aussie bloke
Fair skin
Lots of sun damage
Rosacea, pigmentation & sunspots, premature aging
Been slack with sunscreen
Can we help him?
Or is he stuffed and on the slippery slope downwards?

29. Field treatments Prevents skin cancer from arising
Removes ultraviolet damaged skin
Treats the 2 most common types of EARLY skin cancer BCC & SCC
Makes you look better

30. Photodynamic therapy Acne, rosacea & hidradenitis
Skin dysplasia & cancer
photorejuvenation
DVA covers treatment
Problem PAIN

32. PDT treatment

33. “Field” treatments Clear up field Easier surveillence
Cosmesis
Pain
Get 5-10 years clearance esp if use Zn sunscreen
Easier surveillence
Detect future cancers earlier

34. Treatment options for sun damage skin - Creams
PICATO
ALDARA
EFUDIX
SOLARAZE

35. Expect
Redness , flaking, peeling, scab, crust, swelling, pain or itch—
Early as day 1
Peaks in the first week
Resolves in one week ( for the face) and in 2 weeks for leg, arm ,body.

36. Simple prevention Slip on some sunscreen -30+ or more Slop on a shirt
Slap on a hat
Seek shade
Slip on sunglasses
Avoid the sun from 11 am -3pm

37. Prevention is cheaper than treatment

38. B3-T SUPERFLUID
Best sunscreen in the world by a Country Mile! SPF 110+ Zinc based Non greasy, transparent Vitamin B3 – only one in the world 6 hours water resistant Low viscosity = complete coverage (ie, no holes to get burnt) Over 50% skin cancer reduction rates. All ASFB Skin Cancer patients are prescribed this.

39. Skin and the Sun
Conflict between UV radiation causing skin cancer, aging, rosacea and Vit D production
Balance required.
Good sunscreen
Covering up
Hat NOT cap
Round neck shirt NOT V neck
Long sleeves
Gloves

40. Prevention is cheaper than treatment

41. Poor Coverage This explains why people say
“I put sunscreen on but still got burnt”

42. Vitamin D
Either get it in a tablet or amounts can be calculated per latitude
eg Cairns 5 mins in summer and 10 mins in winter is enough- 4-6 x per week
Hobart 10 mins in summer and 50 minutes in winter is enough-4-6x per week
with no sunglasses, sunscreen on face,hand, arms

43. The Australian college of Dermatologists suggests that people examine their skin at home 4 x per year.
People at higher risk of melanoma should have a whole body skin exam with a medical professional at least once per year.

44. “When was the last time you had a skin check?”
“I don’t know, I forgot to make an appointment!"

45. What to do if you find a spot?
OMG

47. A little help from your friends
we look behind your ears, your scalp, your back-
in fact all over !

48. THANKS!
Thankyou for listening