Skin Cancer Awareness Presented by BHS Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 1 Training Summary More than 3.5 million new cases of skin cancer will be diagnosed in the United States this year. Although sun exposure is said to be one of the most important factors in the cause of skin cancers, the majority of American adults do not use sun protection measures. This seminar will provide an overview on the types of skin cancer, how to recognize skin cancer and protective measures. Source: American Cancer Society (cancer.org) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 2 2016 BHS, All rights reserved. 1
What is Skin Cancer? Skin cancer is the uncontrolled growth of abnormal skin cells. It occurs when unrepaired DNA damage to skin cells (most often caused by ultraviolet radiation from sunshine or tanning beds) triggers mutations, or genetic defects, that lead the skin cells to multiply rapidly and form malignant tumors. Cancer forms in the tissues of the skin. There are several types including cancer that forms in melanocytes (skin cells that make pigment), cancer that forms in the lower part of the epidermis (the outer layer of the skin), cancer that forms in squamous cells (flat cells that form the surface of the skin) and cancer that forms in neuroendocrine cells (cells that release hormones in response to signals from the nervous system). Sources: American Cancer Society (cancer.org); National Cancer Institute (cancer.gov) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 3 Three Different Types of Skin Cancer Basal Cell Carcinoma (BCC) Accounts for 90 percent of all skin cancer cases Develops in basal cells (deepest layer of skin) Slow-growing and rarely spreads to other parts of the body Squamous Cell Carcinoma (SCC) Accounts for about 16 percent of skin cancer cases Develops in the squamous cells (upper layer of the skin) Requires early treatment to avoid spreading Melanoma Accounts for about 1.9 percent of skin cancer cases Develops in the melanocytes (cells in the skin that give it color) Rapidly spreads to other parts of the body Sources: American Cancer Society (cancer.org); National Cancer Institute (cancer.gov) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 4 2016 BHS, All rights reserved. 2
Identifying Basal Cell Carcinoma Shiny translucent or pearly nodule Sore that continuously heals and re-opens Growth that is pink and slightly elevated Reddish irritated patches of skin Waxy scar Source: National Institutes of Health (medline.com) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 5 Identifying Squamous Cell Carcinoma Crusted or scaly patch of skin with a red base: Source: National Institutes of Health (medline.com) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 6 2016 BHS, All rights reserved. 3
Identifying Melanoma Melanoma has telling characteristics. Know your ABCD s: Asymmetry Border Color Diameter Source: National Institutes of Health (medline.com) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 7 Risk Factors Unprotected and/or excessive exposure to ultraviolet (UV) radiation Fair complexion Occupational exposures to coal tar, pitch, creosote, arsenic compounds or radium Family history Multiple or atypical moles Severe sunburns as a child Source: American Cancer Society (cancer.org) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 8 2016 BHS, All rights reserved. 4
Prevention Avoid the sun between 10 a.m. and 4 p.m. Seek shade Cover up Use sunscreen with SPF 15 or higher. Cover your head with a widebrimmed hat, shading your face, ears and neck. Wear sunglasses with 99 percent to 100 percent UV absorption. Follow these practices to protect your skin even on cloudy or overcast days. Avoid other sources of UV light. Ensure you follow the same practices for children over the age of 6 months. Infants under the age of 6 months should wear protective clothing and be kept out of any direct sunlight. Source: National Cancer Institute (cancer.gov) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 9 Making Sense of Sunscreen SPF Sun Protection Factor (SPF) is a measure of a sunscreen's ability to prevent UVB rays from damaging the skin. UVA Rays UVA rays are long ultraviolet rays that penetrate the skin more deeply. These rays are associated with wrinkling, leathering, sagging and other effects of photoaging on the skin. UVB Rays UVB rays are shorter ultraviolet rays. UVB rays are the culprit behind sunburn. They are regarded as having more of a cancer causing effect than UVA rays. Sunscreen Sunscreen is a chemical product that actually absorbs the ultraviolet radiation, thus reducing the amount of radiation that penetrates the skin. Source: www.webmd.com Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 10 2016 BHS, All rights reserved. 5
Making Sense of Sunscreen (Continued) Sunblock Sunblock is a physical agent that blocks both UVA and UVB rays from the skin. Water Resistant The FDA considers a product to be water resistant if it maintains its SPF rating for at least 40 minutes of water exposure. Waterproof The FDA considers a product to be waterproof if it maintains its SPF rating for more than 80 minutes of water exposure. PABA Para-aminobenzoic acid (PABA) was the first true sunscreen. It is not used much in sunscreen formulations now because it frequently caused allergic reactions. Broad spectrum Broad spectrum sunscreens provide protection from both UVA and UVB rays. Source: www.webmd.com Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 11 Choosing a Sunscreen Find the right SPF for UVB protection. Choose SPF 15 or higher. Higher does not equal more coverage. Search for both UVA and UVB protection. Choose a lotion that notes broad spectrum protection. Check the ingredients for UVA protective components. Buy a brand you like! Sources: The Skin Cancer Foundation (www.skincancer.org) and (www.webmd.com) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 12 2016 BHS, All rights reserved. 6
Sunscreen Application Shake well Apply at least 30 minutes prior to going outdoors. Apply generously. Don t forget your ears, back, shoulders and the back of your knees and legs. Re-apply at least every 2 hours. Be aware of the expiration date on the bottle. Source: National Cancer Institute (cancer.gov) Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 13 Additional Resources American Academy of Dermatology: www.aad.org The Skin Cancer Foundation: www.skincancer.org National Institute of Health (Medline Plus): www.nlm.nih.gov/medlineplus/skincancer.html National Cancer Institute: www.cancer.gov Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 14 2016 BHS, All rights reserved. 7
Personal Action Plan Based on today s training, what are two strategies you can begin working on to better your life? 1. 2. List obstacles that may get in your way (i.e. cost, time, fear), and identify plans to get around them. Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 15 About BHS BHS is in the business of bettering lives so employees bring their best selves to work. Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 16 2016 BHS, All rights reserved. 8
Contact BHS 800-327-2251 Available 24 hours a day, 7 days a week Language Line / TTY Accessible Access Your MyBHS Portal: Visit www.bhsonline.com, click My BHS Portal, enter your company s username and click LOGIN NOW. Call: 800-327-2251 Visit: www.bhsonline.com 2016 BHS. All rights reserved. 17 2016 BHS, All rights reserved. 9