Diseases

Unsure of sun, skin cancer or moles?

Are you ready for the sunshine?

Unsure of sun, skin cancer or moles?

HUDLEGE: Jon Langeland is a dermatologist at Doktoronline. no. Photo: Private

For many Norwegians, it is often Easter holidays that start the season for sun exposure, and with sunshine comes sunburn.

Norwegians are at the top of the world in terms of mumps. While men most often get it on their backs, women usually get on their legs.

Jon Langeland is a dermatologist at Doktoronline. No, and get a lot of questions about sun, skin cancer and dangerous moles. Here we have collected some of them.

Sol and Cancer Question

– I am a doctor and ask on behalf of myself and my patients because I think the general information is too cloudy / bad. Dermatologists say: “Enjoy the sun, but. “, writes a user on Doctor Online.

Here you will find all user questions, with answers from dermatologist Jon Langeland.

The answers below are based on what is considered “good medicine” among dermatologists today, Langeland writes in his answer.

1) Is there sunshine or “felt” / visible sunburn that increases the risk of skin cancer?

Answer: Sunburn is worse than the same total UV energy for a long time. In the case of sunburn, you get partial cell death (apoptosis), and most likely greater DNA damage with similar risk of cancer development. Particularly malignant melanoma, but also plate epithelial carcinoma. An almost proportional increase of basal cell carcinomas is also observed in relation to the amount of UV exposure (A + B).

2) How does sunburn define?

Unsure of sun, skin cancer or moles?

This is what you need to know about sunscreen

Answer: Sunburn is a persistent redness and warmth of the skin for hours after sun exposure has ceased. From there, there may be different degrees, from local to general combustion, with impaired general condition, pronounced warmth and tenderness in the skin, and up to usually 2. Degree of combustion with blemish formation.

Those who have been through such combustion should be monitored especially closely in the years to come with regard to skin cancer risk, and especially malignant melanoma in the area that has been burned.

3) Does the risk of benign and malignant skin cancer increase as much during sunbathing?

Plate epitecarsinom incl. solare keratoses (common mild cancer, red. anm), has the most linear relationship to total soldose (UVB + UVA), while melanomas (moles, red. note. ) seems to be somewhat more related to solar burns. Basalioma (the most common skin cancer form with very good prognosis, red. anm) is also involved with other factors (about 25%) and may be in unexposed places.

All types of skin cancer, and especially platelet carcinoma as well as basal cell carcinomas, tend to come after a cumulative dose in the area, which resembles an effect where a glass is full of water and it flows over. That is, when it appears that more solitary keratoses and possibly basaliomas, it indicates that the maximum dose has already been achieved and one should change the “lifestyle”.

4) Should we lubricate the entire body (including moles) as much? And what kind of lubrication?

Protect yourself from Easter sunshine

Dermatologists warn against a one-sided focus on high sun factor as protection against Easter sun.

The most important thing is to take breaks from the sun, use enough cream and to smear several times, says general doctor Joar Austad at the skin department at Rikshospitalet, Oslo University Hospital, in a press release from the sunscreen producer Aco.

Austad believes that sunscreens with a very high factor can give false protection against sun damage because many people use too little amount of cream when they lubricate.

– Surveys show that many only spend half of what is needed, and then a high-factor sunscreen will not provide enough protection. For the vast majority, factor 15 or 20 will be enough to achieve good sun protection when it is lubricated in the correct amount. he says.

The important thing is not to choose a factor as high as possible, but to spend enough sunscreen and to remember to smear several times.

In the solvette rules, written by the Cancer Society, the proper use of sunscreen is just one of several good sunscreen. It is also important to take breaks from the sun and to wear clothes, hat and sunglasses when necessary.

Yes, it should be lubricated. We consider today’s sunscreens for secure and you should use A + B of the best documented brands, any combination of chemical and barrier filters. One should also wear clothes, umbrella, caps with neck protection etc. those hours of the day when the sun is strongest. One can “tempt” patients to keep the skin most and elastic, spotless, wrinkle free, etc.. In the long run, it also reduces the risk most for skin cancer.

Can you do the shadow test?

5) The sun provides d vitamins and mental health. How should this be weighed against the risk of skin cancer?

5a) You can have as good physical well-being in warm, sunny climate by protecting your skin and adjusting your sun exposure, if not better. You get rid of the discomfort with sunburn and the worry of other injuries and cancer development. This is mostly about habits and adaptation.

5b) In summer, those with skin type 1-4 will achieve adequate vitamin D values ​​upon exposure with t-shirts, even if you use some sunscreen. For most of these skin types, it’s important to take care not to get too much UV rays in the summer.

6) If we have underlay / lubrication so we will not be exposed to sunburn, can we remain unlimited in the sun (and solarium)?

Even if you have a substrate so that both the pigment is activated and the epidermis has been thickened after weeks in the sun, it would be advisable to keep the total cumulative UV dose down by continuing with sun protection over the summer / during the holiday but the risk of to be burned will be less.

7) How should we relate to modern solariums?

Solarium use is advised by dermatologists all over the world because it increases the cumulative UV dose and you can get very high doses of UVA without noticeably affecting the skin, which seems to increase the risk of developing melanoma development at a younger age , but also damage to the deeper layer of the skin (connective tissue) with enhanced skin aging (longer wavelength provides deeper penetration). You may need to consider whether more vitamin D can be fed through the diet.

We are encouraged to keep track of our moles. At Doktor Online, users still have concerns about their moles:

Feeling like claws

I have a small muzzle on the rib below the nipple. It is max 2 mm and I would not react to it if it was not for a reason: it sometimes clings very strongly. It is round like a pin head and light brown. Should it be removed?

Read the advice of skin care here.

Leak and shave

For shaving, I sometimes get small dots on my throat, and preferably around where hair is coming up or where there are small nels or pimples. These stop bleeding after just a few minutes. If you get such a small spot bleeding right at the edge of a mole during shaving once in a while (maybe 2-3 times a year), could it pose a risk of maturity? Or what if it would happen to the actual moles?

There is no reason to remove such moles preventative on the throat if they are relatively flat and look very nice afterwards and do not show any signs of maturity (by self-examination and by a doctor / dermatologist)?

Unsure of sun, skin cancer or moles?

PREVENTION: Most people have moles in the skin, but some are more dangerous than others. Photo: ILLUSTRATION PHOTO: Colorbox. com

“There have been studies on moles in vulnerable regions that are exposed to constant trauma – be it belts, trousers, buckles and shaving, writes dermatologist.

Read his entire answer here.

Cell changes in moles

I’ve removed a mole, and today I knew that there were cellular changes in it. My doctor says the following: Malignant melanoma with substitute proliferation. Size 7×4 mm, thickness 0.35 mm. Free Resistance Trends (2 mm, I think). The doctor says that everything is gone, but refers to kir. avd to remove a little more of the skin around. Knowing that I’m worried about any spread, even though she says everything is gone. What is your assessment based on this information?

If you get such a small spot bleeding right at the edge of a mole during shaving once in a while (maybe 2-3 times a year), could it pose a risk of maturity?

“I understand you’re worried. Malignant melanoma is potentially dangerous and can theoretically spread. (. ), “writes Jon Langeland. See the entire answer to the dermatologist here.

Infectious skin cancer?

I’ve been on skin check and over moles. Got a bit anxious afterwards, when I saw that at one of the places where dermatoscopes were seen, there was an old pimple that had cracked / a little wound. This cuttlefish exploded a little earlier earlier on the day of the survey, and it is close to a mole and scar that was examined so that the dermatoscope also came into contact with the whisk / twine. Is there any risk of skin cancer if the dermatoscope earlier in the day has been added to a cancer of other patients (same day)? (. )

Read the full question and answer from Jon Langeland here.

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