par Del Marmol, Véronique ;Bataille, Véronique;Trakatelli, Myrto Georgia ;Ulrich, Claas
Référence Managing Skin Cancer, Springer Berlin Heidelberg, page (211-224)
Publication Publié, 2010
Partie d'ouvrage collectif
Résumé : Core Messages: Primary prevention Skin Cancer is one of the most preventable cancers and there is strong evidence that UV radiation is the main environmental factor. The best interventional target for primary prevention is children. Adequate photoprotection may be achieved by wearing protective clothes and by using a broad-spectrum sunscreen. Actinic keratosis and squamous cell carcinoma have shown a direct protective effect on sunscreen use in human beings. More time will be needed to prove the efficiency of the preventive effect on melanoma and basal cell carcinoma. Sunbeds use is a major concern since it has been confirmed a positive association between melanoma and sunbed use. Secondary prevention Skin cancers are perfect targets for secondary prevention since it is visible on the skin's surface and can be detected at an early, curable stage. Early detection can be enhanced by different educational procedures. Early detection requires skin inspection which can be done by dermatologists, primary care physicians, nurses, patients and their family. The self skin examination's effectiveness in reducing mortality has been demonstrated. High-risk groups for developing melanoma are middle-aged or older men, family members of melanoma patients, lower socio-economic strata of the population, many moles/atypical moles, fair skin and blue/green eyes or blond-red hair. High-risk groups for NMSC are fair skin, longstanding sun exposure, advanced age and immunosuppression. © 2010 Springer-Verlag Berlin Heidelberg.