The skin cancer you don’t know about — but should
Wednesday, April 10, 2019
You're no doubt well-aware of the potentially deadly consequences of melanoma. That's why it's so crucial that you do a monthly skin check of your moles and see a dermatologist for any changing lesions, as well as an annual full-body examination.
Chances are, however, that you've never heard of the fastest-growing and most deadly form of skin cancer, Merkel cell carcinoma (MCC) — and you need to get up to speed. The good news: with early detection and immediate evaluation by your doctor, MCC can be treatable.
What Is MCC?
Although MCC has been classified as a rare cancer, its incidence appears to be rapidly increasing. Data shows that rates of MCC increased an alarming 95% from 2000-13. The cancer is highly aggressive, and proves to be fatal much faster than melanoma.
According to the American Cancer Society, MCC is associated with a virus, Merkel cell polymauvirus, which most people have in their bodies at some point in their lives. If your immune system is compromised by illness, you can develop MCC, especially if you:
- have been exposed to the sun for many years
- have used tanning beds
- have had UV light-related treatments, called PUVA, for psoriasis
- are between 50 and 70 (8 out of 10 people are diagnosed later in life)
- have light-colored skin
- are male
- if you have conditions such as HIV, lymphoma or leukemia, which can compromise your immunity.
What Are The Symptoms of MCC?
According to the Mayo Clinic, Merkel cell carcinoma usually looks like a flesh-colored or bluish-red nodule. It's painless. It often presents on the face, head or neck, although it can appear anywhere on your body.
Because MCC can grow quickly and spread to other parts of your body, if you see a lesion that looks unusual and doesn't heal quickly, it's important to bring it to your doctor's attention right away.
How Is MCC Treated?
If you are diagnosed with MCC, discuss all treatment options with your doctor.Traditional surgery, Mohs micrographic surgery, chemotherapy, and clinical trial participation are all options depending upon the stage of the disease you are diagnosed at.
Research also indicates that radiation may be the best choice for some patients. Do what you can to prevent a recurrence of MCC, or prevent the disease in the first place, by taking these steps as recommended by the Mayo Clinic:
- Avoid the sun during peak hours (10 a.m. to 4 p.m.)
- Wear a wide-brimmed hat and sunglasses outdoors.
- Tell your doctor if you see any changes to an existing mole, such as a shift in color or size.
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