& cancer awareness

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127_132PHM0514_SkinCareSAS_127.pgs 04.03.2014 12:13
Phoenicians know a thing
or two about sunshine,
however, an alarming
number of us in the Valley
of the Sun often turn a
blind eye to skin cancers
without knowing it. It is
a serious health concern,
yet the well-informed can
be well-prepared to make
the most of summer fun.
KNOW THE FACTS
The most common of all cancers, skin
cancer accounts for nearly half of all
cancers in the U.S. This year, more than
3 million cases of basal and squamous
cell skin cancer will be diagnosed, and
melanoma the most serious type of
skin cancer will account for more than
76,000 cases. Arizona will see more than
1,400 such cases. What are basal and
squamous cell skin cancers? These types
of skin cancers are classied as non-
melanomas and comprise the majority
of new diagnoses. They usually start in
the basal cells or squamous cells, which
are found at the base of the outer layer
of the skin. Most non-melanoma skin
cancers develop on sun-exposed areas
of the body, such as the face, ears, neck,
lips and the backs of hands. Depending
on the type, they can grow fast or slow,
but they rarely spread to other parts of
the body. Basal cell or squamous cell
cancers are highly likely to be cured if
found and treated early.
A BIG WORRY
IN A SMALL SPACE
While far outnumbered by basal and
squamous cell cancers, melanoma is
a big worry for many. This is a cancer
that begins in the melanocytes the
cells that produce the skin coloring or
pigment known as melanin. Melanin
helps protect deeper layers of the skin
from the harmful eects of the sun.
Melanoma is almost always curable
when it is found in its very early stages.
Although melanoma accounts for only
a small percentage of skin cancer, it is
far more dangerous than other skin
cancers and causes most skin cancer
deaths. The most serious type of skin
cancer, melanoma accounts for almost
9,000 of the nearly 12,000 skin cancer
deaths each year; with more than 200
melanoma deaths predicted for Arizona.
MORE LIKELY TO
GET SUN DAMAGE?
Everyones skin and eyes can be aected
by the sun and other forms of UV rays.
People with light skin are much more
likely to have sun damage, but darker-
skinned people, including African-
Americans and Hispanic-Americans,
also can be aected. You can nd
detailed explanations of UV rays and
skin damage at cancer.org.
Aside from skin tone, other factors also can
aect your risk of damage from UV light.
You need to be especially careful if you:
Had skin cancer before
Have a family history of skin cancer,
especially melanoma
Have lots of moles, irregular moles
or large moles
skin care & cancer awareness
SPECIAL ADVERTISING SECTION
Content for this section provided by the American Cancer Society and cancer.org
127_132PHM0514_SkinCareSAS_128.pgs 04.03.2014 11:03
Medical | Surgical
Scottsdale | Anthem | Deer Valley | Surprise
602-AFFDERM | www.affderm.com
PHM0514_Affiliated_Dermatology_FP.pgs 03.20.2014 17:27
Have freckles and burn before
tanning
Have fair skin, blue or green eyes,
or blond, red or light brown hair
Work indoors all week and then
get intense sun exposure on
weekends
Spend a lot of time outdoors
Have certain autoimmune diseases
Have had an organ transplant
Take medicines that lower your
immunity
Take medicines that make your
skin more sensitive to sunlight
Ask your doctor, nurse or pharmacist
if you are taking any medicines that
could increase your sensitivity to
sunlight.
PREVENTION AT PLAY
We can help protect ourselves from UV
rays with a few sun-safety tips, which
can be remembered easily as: Slip!
Slop! Slap! and Wrap!
Slip on a Shirt.
When you are in the sun, remember
that dierent clothes provide dierent
levels of UV protection, depending
on many factors. Long-sleeved shirts,
long pants or long skirts cover the
most skin and are the most protective.
Dark colors generally provide more
protection than light colors. A tightly
woven fabric protects better than
loosely woven clothing. Be aware that
covering up does not block out all UV
rays. If you can see light through a
fabric, UV rays can get through, too.
Slop on Sunscreen.
Sunscreen is a well-known product
in most Arizona homes, and savvy
shoppers nd it available in
many forms lotions, creams,
ointments, gels, sprays, wipes
and lip balms, to name a few.
Some cosmetics, such as
lipsticks and foundations,
also are considered
sunscreen products if they
contain sunscreen. While
some makeup contains
sunscreen,
only the label can tell you for sure.
Makeup, including lipstick, without
sunscreen does not provide sun
protection. Check the labels to nd out
if it is included. Sunscreens with broad
spectrum protection (against UVA and
UVB rays) and with sun protection
factor (SPF) values of 30 or higher are
recommended. The SPF number is
the level of protection the sunscreen
provides against UVB rays a higher
number means more protection.
Slap on A Hat.
A hat with at least a 2- to 3-inch brim
all around is ideal because it protects
areas that are often exposed to intense
sun, such as the ears, eyes, forehead,
nose and scalp. A dark, non-reective
skin care & cancer awareness
SPECIAL ADVERTISING SECTION
Content for this section provided by the American Cancer Society and cancer.org
WHY SHOULD SOMEONE
GO TO A DERMATOLOGIST?
I think the simple answer is because the skin is
the largest organ of the body and consequently
is susceptible to all types of diseases. The skin
is the protective covering of the entire body and
hence is exposed to harsh elements such as sun
(UV radiation), and chemical or solid assaults.
Several of the most common skin problems
include acne, rashes, and later on in life, skin
cancer. Common inammatory diseases such
as rashes (atopic dermatitis, contact dermatitis,
psoriasis) are addressed by a dermatologist,
as well as skin cancers (basal cell carcinoma,
squamous cell carcinoma and melanoma).
WHAT SHOULD PEOPLE
LOOK FOR WITH THEIR SKIN?
Everyone should perform a monthly to quarterly
personal skin exam, as well as an annual
full body exam by a dermatologist. Look for
changing lesions, sores that do not heal, areas
that repetitively bleed, and bumps or lesions that
change in size, character or color. Each one of
these characteristics is a red ag and indicates
the necessity for an exam by a dermatologist.
WHAT ARE SOME OF THE
UPCOMING TRENDS OF SKIN
CARE THAT YOU ARE SEEING?
Upcoming trends in skin care diagnosis and
treatment include the ability for us to look
at the molecular signature of tumors and
someday have a complete array of drugs
that address specic genetic proles. This is
considered translational medicine. Through
our relationship with Scottsdale Healthcare
and institutes that participate in molecular or
translational medicine, we feel that we are on
the leading edge of care or treatment.
Q & A with
Dr. Averitte
RICHARD L. AVERITTE, JR., MD
602-AFFDERM | affderm.com
Scottsdale | Anthem | Surprise | Deer Valley
127_132PHM0514_SkinCareSAS_130.pgs 04.03.2014 12:17
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Surgery is not the only option.
HDR brachytherapy is a safe and
efective non-surgical treatment for
your skin cancer.
Precise treatment results in excellent
rates of cancer cure while achieving
great cosmetic outcomes.
HDR brachytherapy is a non-invasive
technique that requires no surgery.
HDR brachytherapy requires fewer
treatments than traditional external
beam radiation therapy.
Who are the ideal candidates?
Patients with skin cancers in
challenging anatomical locations,
such as eyes, ears, nose, and scalp.
Patients with skin cancers of any site
that are not surgical candidates.
Patients to be treated with
radiation that desire fewer number
of treatments.
Medicare and most
insurances accepted.
Non-Surgical Skin Cancer Treatment
Forehead
Eyes
Nose
Ear Cheek
HDR Brachytherapy
underside to the brim also can help lower
the amount of UV rays reaching the face
from reective surfaces such as water.
A shade cap (which looks like a baseball
cap with about 7 inches of fabric draping
down the sides and back) also is good,
and will provide more protection for the
neck. These are often sold in sports and
outdoor supply stores. A baseball cap
protects the front and top of the head
but not the neck or the ears, where skin
cancers commonly develop.
Wrap Those Shades.
UV-blocking sunglasses are important
for protecting the delicate skin around
the eyes, as well as the eyes themselves.
Research has shown that long hours in
the sun without protecting your eyes
increase your chances of developing
some eye diseases.
The ideal sunglasses should block 99 to
100 percent of UVA and UVB radiation.
Before you buy, check the label to make
sure they do. Labels that say UV
absorption up to 400 nm or Meets
ANSI UV Requirements mean the
glasses block at least 99 percent of UV
rays. Those labeled cosmetic block
about 70 percent of UV rays. If there is
no label, dont assume the sunglasses
provide any UV protection.
Ideally, all types of eyewear, including
prescription glasses and contact lenses,
should absorb the entire UV spectrum.
Some contact lenses are now made
to block most UV rays. But because
they do not cover the whole eye and
surrounding areas, they are not su cient
eye protection when used alone.
SPECIAL ADVERTISING SECTION
Content for this section provided by the
American Cancer Society and cancer.org
127_132PHM0514_SkinCareSAS_132.pgs 04.03.2014 11:13
2014, American Cancer Society, Inc.
No.030471
For more information about skin cancer, call the American Cancer Society at 1-800-227-2345,
24 hours a day, 7 days a week, or visit cancer.org/sunsafety. We want to help you stay well.
Protect your family from the sun.
Each year, more than 2 million people develop skin
cancer, the most common of all cancers. The sun can
damage your skin year-round, so its important to
protect yourself and your loved ones from its harmful
effects. Avoid the sun when ultraviolet (UV) rays are
strongest, generally between 10 a.m. and 4 p.m.,
and remember to Slip! Slop! Slap!

and Wrap!
Slip! on a shirt.
Cover up with protective clothing when out in the
sun. Choose comfortable clothes made of light-
colored, tightly woven fabrics you cant see through
when held up to a light.
Slop! on sunscreen.
Using sunscreen with a sun protection factor (SPF)
of 30 or higher is a good defense against the suns
harmful UV rays. Apply sunscreen 20 to 30 minutes
before going outdoors, and be sure to put on more
at least every 2 hours, especially after swimming,
perspiring heavily, or toweling off.
Slap! on a hat.
Cover your head with a wide-brimmed hat that
shades your face, neck, and ears. If you wear a
baseball cap, remember to put sunscreen on your
face, ears, and neck.
Wrap! on sunglasses.
UV rays can also damage your eyes. Wrap-around
sunglasses with 99%-100% UV absorption
provide the best protection for the eyes and the
skin around them.
Its your skin. Wear it well!
sun
smart
PHM0514_AmericanCancerSociety_FP_NB.pgs 04.02.2014 16:58