The Catalyst Issue 3 | Spring 2009 | Page 25

Skin cancer is increasing, but all Texans can take steps to avoid it The sun shines more days each year on Central Texas than in Miami. While that much sunshine can brighten moods, it also can damage skin. Skin cancer is the most common type of cancer in the United States, and the number of cases continues to rise. Prevention is key, say dermatologists at Scott & White Healthcare, who diagnose 20 cases of skin cancer per day. Patients have access to state-of-theart treatment options, and clinicians engage in research to advance the treatment of what can be a deadly disease. un exposure causes skin cancer, says David Butler, MD, chair of the Scott & White Healthcare Department of Dermatology. The department cares for patients with the spectrum of skin diseases, but much of its work is focused on helping patients of all ages prevent skin cancer while providing innovative treatment solutions to people diagnosed with this common type of cancer. “In general, probably about half of what we do is related to skin cancer, and it makes up about 70 percent of my practice,” says Dr. Butler. Preventive measures are important, and early treatment can assure the best outcome. S Three types of skin cancer Sun exposure has a direct link to the two most common and treatable types of skin cancer. Basal cell carcinoma is the most common, affecting one million Americans a year. “Basal cell carcinomas are not the types of skin cancer that can kill,” says Dr. Butler. “But they certainly can cause significant problems, especially when they “Apply SPF 30 sunscreen liberally before sun exposure, and reapply it every two hours you’re outside.” — Dr. Butler are located on the nose, the eyelids, the ears—delicate places like that.” Basal cell carcinoma usually appears as a pearly bump that grows over time. Squamous cell carcinoma, which may have a wart-like appearance, is the second most common type of skin cancer. It is more aggressive, grows faster and is more likely to spread than basal cell carcinoma. “Six thousand people a year die of this kind of skin cancer, so it’s a significant problem,” says Dr. Butler. The third type of skin cancer, melanoma, is the most recognized. It can spread rapidly and cause death. It is the least common type of skin cancer, although the number of cases is increasing. Each year in America 60,000 melanoma cases are reported and 8,000 people die from it. “We seem to be undergoing an epidemic of melanoma in our country right now,” says Dr. Butler. “The incidence of melanoma has gone up dramatically over the past several decades. But the death rate has been fairly stable because we’ve been able to detect it and remove it early.” Unlike the other forms of skin cancer, melanoma doesn’t appear to be linked Spring 09 THE CATALYST 25