Navigation Links
Older Men Need to Take Closer Look for Melanomas
Date:4/20/2009

If you can't examine your own back, have a loved one take a look, study says

MONDAY, April 20 (HealthDay News) -- A new study delivers a lifesaving message to older men about the potentially deadly skin cancer known as melanoma: If you can't examine your own back, have a loved one take a look, and if there's something suspicious, see a doctor.

"We were trying to understand why it is that when a doctor finds a melanoma, it usually is thinner compared to a person finding it by himself," said Alan C. Geller, a senior research scientist at the Harvard School of Public Health, and a co-author of one of two reports on melanoma in older men that appears in the April issue of the Archives of Dermatology.

Detecting a melanoma early, while it is thin, is an essential first step in surviving the skin cancer, said Dr. June K. Robinson, editor of the journal and a professor of clinical dermatology at the Northwestern University Feinberg School of Medicine, who wrote an accompanying editorial.

"The numbers are startling," she said. "If it is diagnosed at an early stage, the chance of survival is 90 percent. At a later stage, it is 20 percent."

There will be more than 62,000 cases of melanoma diagnosed in the United States this year, the U.S. National Cancer Institute estimates, and 8,420 Americans will die of the cancer. Half of those deaths will be in white men over the age of 50.

So, a group led by Dr. Susan M. Swetter of Stanford University interviewed 227 men aged 40 and older within three months after they had been diagnosed with melanoma. A quarter of them had tumors more that two millimeters thick -- about a third of the thickness of a pencil eraser, but enough to mark a dangerous borderline for effective treatment.

Analysis of the data by a group led by Geller found that men whose melanomas were detected by physicians tended to be older, and that 46 percent of the physician-detected melanomas were on the back.

"The back is the place that should be examined by a doctor and by the person himself," Geller said. "We found that one of the major reasons for doctors finding thinner melanomas was that they were more carefully examining the back. If you do it yourself and see something unusual, go to a doctor and say, 'Give me a referral to a dermatologist.' "

Dermatologists are trying to publicize that message because "of cancers in general in the United States, the only one in which the mortality rate is not dropping is melanoma," Geller said.

This is one appropriate occasion for a man to turn his back on his wife, Robinson said. "Most men in Western society depend on the women in their lives to mediate medical care -- nagging, scolding, reminding," she said. "And the places where melanoma occur more readily are hard for the man to see -- the back, the top of a bald head, behind the ears. With women, melanoma is more likely to occur on the lower leg."

When the inspection is made, "they should be asking the spouse to check for moles with border irregularity, color variation over the surface and with greater than six millimeter diameter," Robinson said. "You don't have to run to a doctor immediately. They grow at their own rate of speed. If you think you see suspicious features, come back in a month, and if it changes, go to the doctor."

One reason why doctors found the melanomas earlier was that they looked for them, said Dr. Steven Wang, director of dermatologic surgery and dermatology at Memorial Sloan-Kettering Cancer Center in Basking Ridge, N.J.

"It's very important for middle-aged and older men to see a physician for a total body examination," Wang said. "We don't have any effective cure for late-stage melanoma. Only early diagnosis followed by complete removal can improve the prognosis."

The study "highlighted what we suspected," Wang said. "This population, middle-aged and older men who might be more cavalier about their medical care, needs to be more aware of the danger associated with undiagnosed and untreated melanoma."

More information

The complete story on melanoma is told by the U.S. National Cancer Institute.



SOURCES: Alan C. Geller, R.N., senior research scientist, Harvard School of Public Health, Boston; June K. Robinson, M.D., professor, clinical dermatology, Northwestern University Feinberg School of Medicine, Chicago; Steven Wang, M.D., director, dermatologic surgery and dermatology, Memorial Sloan-Kettering Cancer Center, Basking Ridge, N.J.; April 2009, Archives of Dermatology


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Ability to cope with stress can increase good cholesterol in older white men, study finds
2. Many Older Americans Have Active Sex Lives
3. Good Cholesterol Wont Help Heavy-Drinking Older Men
4. Manor Care, Inc. Announces Record Date for Special Stockholder Meeting
5. Arrow International Urges Shareholders To Vote for Approval of the $45.50 Teleflex Inc. Merger and for the Current Board of Directors
6. Frequent alcohol consumption increases cancer risk in older women
7. Zimmer Holdings Offer and ORTHOsoft Directors Circular Mailed to Shareholders
8. ISS and Glass Lewis Recommend Cholestech Stockholders Vote FOR Merger
9. Glass Lewis Recommends Arrow Shareholders Vote on the White Proxy Card for Merger With Teleflex and for Current Board of Directors at Arrow Annual Meeting
10. Drug-free treatments offer hope for older people in pain
11. United Medicorp, Inc.s Shareholders Approve All Proposals
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Older Men Need to Take Closer Look for Melanomas
(Date:3/23/2017)... ... March 23, 2017 , ... Inflow IQ & Inflownomics of Raleigh, NC ... on a solid foundation. As experts in dangerous situations the Inflow IQ team ... soon. Inflownomics deliver ripe, fresh, clean & refreshing knowledge systems that enhance life. ...
(Date:3/23/2017)... ... , ... The American Board of Quality Assurance and Utilization Review Physicians (ABQAURP) ... Health Care Quality and Management and Patient Safety. , It is with appreciation and ... also to the Health Care Quality and Patient Safety movements. Diplomates and Members lead ...
(Date:3/23/2017)... ... March 23, 2017 , ... The founders of Dr. Wang ... winners of American Dreams & Good Housekeeping Seal Initiative, a nationwide search for ... Good Housekeeping. , Steven Wang, MD ., a renowned dermatologist and medical ...
(Date:3/23/2017)... ... March 23, 2017 , ... ... with European Guidelines and the New MEDDEV 2.7/1 Rev. 4 Guidance, **An ... http://www.fdanews.com/mdclineval                  , How will the new EU MDR language change ...
(Date:3/23/2017)... ... March 23, 2017 , ... GeBBS Healthcare Solutions ... at HCCA’s 21st annual Compliance Institute on March 26-28 in National Harbor, Maryland. ... all medical chart types with a comprehensive set of features including built-in workflow, ...
Breaking Medicine News(10 mins):
(Date:3/23/2017)... March 23, 2017 Prima BioMed ... TACTI-mel trial of IMP321 in combination with Keytruda, with ... (1mg/kg) cohort experiencing a complete response. Recruitment in the ... expected to be fully recruited by Q317. Preliminary efficacy ... breast cancer study are expected mid-year (recruitment in the ...
(Date:3/23/2017)... ALBANY, New York , March 23, 2017 ... devices market exhibits a consolidated vendor landscape with the ... the overall market in 2015. These companies are ... Industries, Inc., Hygia Health Services, Inc., and VANGUARD ... global reprocessed medical devices market is witnessing the ...
(Date:3/23/2017)... , March 23, 2017 ... Enterprises Limited, anuncia el nombramiento de Stuart ... una plataforma de servicios integrados completa para su ... un cargo clave en el crecimiento y ejecución ... será responsable de impulsar todas las actividades de ...
Breaking Medicine Technology: