SKIN CANCER

By Dr. Nektarios Logaras – Dermatologist/Venereologist

Skin Cancer is one of the most common types of Cancer in Greece.

There are 3 major Types of Skin Cancer:

-Basal Cell Carcinoma
-Squamous Cell Carcinoma
-Melanoma.

Basal Cell Carcinoma (BCC):

The Basal Cell Carcinoma (BCC) is the most common form of skin cancer and the most frequently occurring form of all cancers. Most Basal Cell Carcinomas (BCC) are thought to be caused by long-term exposure to ultraviolet (UV) radiation from sunlight.

In particular, Basal Cell Carcinoma occurs most often on areas of the skin that are exposed to the sun, such as:

-Face
-Neck
-Head
-Shoulders
-Back
The risk of basal cell carcinoma is higher among people who have very light skin, red or blond hair, or light-colored eyes.

There are five warning signs that indicate the development of Basal Cell Carcinoma (BCC):

-A reddish patch or irritated area
-An open sore that does not heal
-A shiny bump or nodule
-A scar-like area that is flat white, yellow or waxy in color.
-A small, pink growth (tumor)

The treatment of Basal Cell Carcinoma (BCC) depends on:

-The tumor location
-The tumor size
-The Limits of Clinical Lesion
-If it is Primary or Recurrent Lesion
-The best way to treat it in order to remove it completely is surgery, with excellent aesthetic results.

After removal, a histological examination (Biopsy) is considered necessary.

Squamous Cell Carcinoma (SCC)

Squamous Cell Carcinoma (SCC) is the second most common skin cancer. This form of cancer affects the squamous cells, which are located in the epidermis. SCC can appear in any area of ​​the skin, but is most common in areas that are extensively exposed to the sun.

Squamous Cell Carcinoma (SCC) occurs as a thick, rough, scaly lesion that can bleed in case of injury . It often looks like a skin tag and sometimes appears as an open sore. The best way to be treated is with surgery and an histological examination (Biopsy) is required. At the Athens South Dermatological Center, a removal is performed using local anesthesia with excellent aesthetic results.

Melanoma

Melanoma is the most fatal type of skin cancer. It is a form of malignancy, which comes from the metabolism of Melanocytes, i.e. the cells that produce Melanin.

The main factors that lead to the development of melanoma are:

– The extended exposure to the sun, in Ultraviolet (UV) Radiation

– The exposure on Artificial UV Sources

– The large number of Moles (Nevi) throughout the body

– Severe sunburns (during young age)

-The light-skin type, hair and eyes that is burn easily in sun exposure

– Family history of Skin Cancer

– Immunosuppression

– Family Cancer History other than Melanoma (e.g. Lung Cancer, Breast Cancer, Prostate

Cancer, etc.)

Melanoma is divided into four types:

– Superficial Spreading Melanoma

– Nodular Melanoma

– Lentigo Maligna Melanoma

– Lower Extremity Melanoma

The self-examination is very important for the determination of Skin Cancer’s existense. More specifically, everyone has to control his/her whole body in front of a mirror. Starting, usually, from top to bottom, i.e. from the head, someone can examine the face, the ears, as well as the head, through the hair. Then, the rest of the body follows.

For the examination of the back area, one should ask help of the partner or a relative. It is also important to control the areas between the toes and hands. The purpose of the self-examination is to detect suspicious nevi, but also to compare them for any changes. As a test for the Prevention of Melanoma are Digital Dermoscopy and Digital Mole Mapping. More specifically, the moles (nevi) are recorded in detail with a Digital Dermoscope and stored in a file, so that they can be compared in future examinations to identify any changes.

In conclusion, periodic moles control is recommended, once a year.

In patients with a family history of Melanoma and a large number of Atypical Moles or individuals with Dysplastic Nevus Syndrome is requires a follow-up with Digital Moles Mapping. It is also indicated for the monitoring (screening) of a Flat Pigmented Lesion, when it shows atypical changes (eg atypical network), but not enough to require immediate surgical removal. Exceptions are nodular lesions which should be surgically removed immediately.

Digital mapping is the most timely and modern method for the diagnosis of melanoma. It is divided into short-term (every 2-4 months) and long-term (every 6-12 months). In the first case, any Dermoscopic change is evaluated and may lead to biopsy or surgical removal of the lesion.

The signs that everyone should watch out for (also known as the ABCDE rule) to identify suspicious moles (nevi) are:

-The Asymmetry of the Mole’s Shape (A-> Asymmetry)

-The Anomaly of the Mole’s Border Limits (B-> Border)

-The Mole’s Color Unevenness (C-> Color)

-The Change of the Mole’s Size (D-> Diameter)

-The Evolution of the Mole’s Size (E-> Evolution)

Significant attention should be paid to:

-In new moles

-In moles that appear differences from the rest ones

For the Prevention of Skin Cancer, it is important:

-To Use Sunscreen during all year long

– To Avoid the sea at noon

-To choose shady places

-To use hats, sunscreen and sunglasses

Skin Cancer is a very dangerous disease. Early diagnosis leads the 95% of cases in treatment.

The Doctor’s experience

Dr. N. Logaras MD
Dermatologist Venereologist
Laser Dermatologic Surgeon

Graduate of Nottingham and Birmingham Universities of England.

-Specialization in Dermatologic Surgery, Department of Plastic Surgery, Hospital of Dermatology & Venereal Diseases “Andreas Syggros”
-Specialization in Digital Dermoscopy – Mole Mapping, at the Department of Dermoscopy and Melanoma, Hospital of Dermatology & Venereal Diseases “Andreas Syggros”
-Degree in Medicine, Bachelor of Medicine and Bachelor of Surgery, The University of Nottingham, UK.

<!–Μετεκπαιδευθείς στο Miami Conventional Center από το American Academy of Dermatology στο Μαϊάμι των Η.Π.Α., καθώς και στο International Center of Lutronic, using Laser Systems for Medical and Cosmetic Applications, στη Σεούλ της Νοτιάς Κορέας.

–>CAREER AND PROFESSIONAL EXPERIENCE

Dermatologist – Venereologist, Private Clinic – Athens South Dermatology & Laser Center, Alimos

-Dermatology – Venereology Specialty, Hospital of Dermatologic & Venereal Diseases “Andreas Syggros”
-Former Doctor, Royal Derby | Derby Teaching Hospitals NHS Foundation TRUST, England
-Former Doctor, Taunton and Somerset Hospital NHS Trust-Musgrove Park, England
-Former Doctor, Worthing and Southlands Hospitals NHS TRUST, England
-Former Doctor, Queen Alexandra Hospital, England
-Former Doctor, Portsmouth Hospital NHS Trust, England
-Former Doctor, Brighton and Sussex University Hospitals NHS Trust, England

19 years of medical experience

Phone No. for Appointment: +302109821431