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Lewes, Delaware
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April 26, 1996     Cape Gazette
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April 26, 1996

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34 - CAPE CzETTE, Friday, April 26- May 2, 1996 Cancer Wat00'h Beebe offering free skin cancer screenings Beebe Medical center will hold a free skin cancer screening on Tuesday, April 30 for National Melanoma/Skin Cancer Detection and Prevention Month. The screening is being conduct- ed by Beebe Dermatologist Mitchell Stickler, M.D., at his office at 140 Highway One, north of Five Points in lewes. Participants must have appoint- ments to participate in the screen- ing, and make call 644-6400 to set a time. Over 600,000 new cases of skin cancer are reported every year, making it the most common form of cancer. Fortunately, skin can- cer is one of the most curable forms of cancer when it is discov- ered early. Ninety percent of all skin can- cers occur on parts of the body that usually are not covered by clothing. The face, tips of the ears, hands and forearms have been the usual sites. However, in the past 50 years, the shoulders, backs and chests of men, and the lower legs of women have become common areas for skin cancer. This is because of deliberate expo- sure to the suns' ultraviolet radia- tion by sunbathers. People who sunburn easily and have fair skin with red or blond hair are more prone to develop skin cancer. It is much less common among people with deep brown or black skin, although even they can develop some forms of skin cancer. There are three types of skin cancer: basal cell carcinoma, squamous cell carcinoma and malignant melanoma. Basal cell carcinoma, more common with outdoor workers and caused by prolonged sun exposure, occurs mostly on the face because it receives more sunlight than other parts of the body. Basal cell carci- nomas enlarge slowly and steadily and can invade neighboring tissue, like the eye, but they usually do not spread to distant parts of the body (metastasize). The sun damages responsible for basal cell carcinoma usually occurs years before the cancer begins. People who get one basal cell carcinoma are likely to devel- op more. Often people will devel- op a second basal cell carcinoma close to the spot where one has already been treated, because the surrounding skin is just as dam- aged by the sun as the skin where the first basal cell carcinoma grew. Surgery is the only way to remove the growth and people who have had a basal cell carcino- ma should have a skin exam every six months to one year. Stickler has treated over 2,000 basal cell carcinomas since begin- ning his practice in Delawai'e in 1991. "I see close to ten cases per week, and I see more and more in women in their late twenties from the use of tanning beds," said Stickler. Research has shown that the greater use of tanning beds, the greater risk of melanoma. 'q'he type of ultraviolet light used in tanning salons is more responsible for causing melanoma than we previously thougbL" said Stickler. A cell carcinoma is also the result of long term sun damage to the skin. Ten to 40 years can pass between the time of sun exposure and the development of a cell skin cancer. As with basal cell carcinoma, per- sons of African ancestry with very dark skin practically never get squamous cell carcinoma. After the cancer is removed, the patient needs to be closely moni- tored because there is a chance the cancer has already spread to other body areas. People who have had a squamous cell carcinoma need to be seen every six months. Melanoma or "black mole can- THINI00 HIGHLY OF THEIR WIIINI00LES... WE DON'T/ JOIN US FOR A COMPLIMENTARY SEMINAR ON SKIN REJUVENATION MAY 23rd, 1996 5:00 - 6:00 EM. LIMITED SEATING IS AVAILABLE PLEASE CALL FOR A RESERVATION cer" is the most dangerous form of skin cancer because once it grows to a certain thickness, it metasta- sizes or spreads throughout the body. "A melanoma less than one millimeter in thickness at the time of removal has a good prognosis, greater than a 90 percent five-year survival rate," said Stickler. "Less than the thickness of a sheet of paper can make the difference between life and death for the patient who has melanoma." After melanoma spreads to the internal organs, there is little that can be done and death follows shortly after. This type of cancer tends to occur in men and women in the prime of their lives. Sun- light is thought to be the most important cause of melanoma. Increasing in quantity more than any other cancer, melanoma may be the result of the depletion of the ozone layer. Ozone blocks out ultraviolet (sunlight) light. It is estimated that one person in 100 in the United States will develop melanoma during their lifetime. "Delaware's melanoma average is greater than the nation- al average, and Sussex County has the highest rate of the three coun- ties," said Stickler. This is thought to be related to the increased occupational and recre- ational sun exposure in Sussex County residents. Stickler has removed 44 malignant melanomas in the last four years from resi- dents of Sussex County. People who have light skin tones, fair hair, and who have a family member who had a melanoma need to be particularly careful and should have a com- plete skin exam each year. The person at greatest risk is the light- skinned, indoor worker who gets bursts of sunlight during week- ends or holidays. The only way for a person to know for certain if he or she has skin cancer is to see MITCHELL C. STICKLER, MD Board Certified Dermatolellnt CAPE HENLOPEN DERMATOLOGY 140 HIGHWAY ONE / SUITE 3 LEWES, DE 19958 (302) 644-6400 a physician. Whatever your skin type, it is wise to do a monthly self-examination to note any moles, blemishes or birthmarks. If you notice any changes in size, shape or color, or if a sore does not heal, see your physician with- out delay. _ Baysde Introduces: t ._ -v"x KARLA B. DRAPER  Nationally Certified Massage Therapist Certified Infant Massage Instructor (Parent Education) Specializing In: Sports Massage Injuries Infant and Pregnancy Massage Myofacial Release Trigger Point Therapy Swedish Massage for Stress Also offering infant massage classes for new parents To nmte an antraent or s u r ch=sses U (302-645-4700) SAVE 20-50% MEN'S, LADLES' & CHILDREN'S SHOES FIRST QUALrrY FOOTWEAR AT A DISCOUNT Sebago Docksides Keels Sperry Top-Sider Trotters Tretorn Etonic MIA Grasshoppers * New Balance * Wigwam Clarks of England Reebok Rockport * K-Swiss Best selection from over 15,O00 pairs in stock. Men's sizes: N 9-14, M 6 1/2-14, W 6 I/2-14. WW 8-12. Women's sizes: N 6-10, M 5-11, W 6-9 Boy's sizes: 3 I/2-6 and children's: 10-3 LOCATIONS Route I, Ames Plaza Rehoboth Beach, DE 302-227-5828 Route 1 at West Virginia Avenue (4 streets north of MD line on ocean side} Fenwlck Island, DE 302-539-4599