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Malignant Melanoma

Living in the sunshine state, we get to enjoy an infinite number of sunny days. Floridians love the beach, boating and engaging in other outdoors activities. Nonetheless, with this great climate comes continuous sun exposure that can increase one’s risk of developing skin cancer. According to the National Cancer Institute, the number of new melanoma cases (skin cancer) is on the rise. It is estimated that over 1 million people per year are diagnosed with skin cancer. Approximately 7% of those cancers were melanoma. Melanoma is the deadliest type of skin cancer.

National Cancer Institute (AV Number: AV-8500-3850; Date Created: 1985; Date Entered: 1/1/2001), https://visualsonline.cancer.gov/details.cfm?imageid=9186

Melanoma is a type of cancer that takes place in the cells that produce the pigment of our skin (melanocytes). Melanoma is also known as malignant melanoma because this type of skin cancer can spread to other areas of the body. It can occur anywhere on the body. Melanoma affects people of all ages, although it is most common in adults. In men, it is found most often on the trunk (shoulder to the hips region) and is the 6th most common cancer. In women, it forms most often on the arms and legs and is the 2nd most common cancer.

Melanoma in the foot or ankle is often overlook as a majority of people tend to neglect their feet. For these reasons, melanoma in the foot usually goes unnoticed during its earliest stages. When melanoma is diagnosed in the foot or ankle, it typically presents in a more advanced stage. Treatment is easiest during the early stages and becomes more difficult as the melanoma cancer advances. It’s also important to know melanoma cancer can develop in the toenail, called subungual melanoma.  Melanoma does not always have to be pigmented and can be amelanotic (unpigmented).

So, who is at risk for melanoma? Anyone can have melanoma, including people with darker skin tones. However, there are characteristics that increase one’s risk of developing melanoma. Risk factors include but are not limited to: having a fair complexion (people with freckles, light colored eyes or red hair), being exposed to natural sunlight or artificial sunlight, exposure to certain factors in the environment (solventsvinyl chloride, and PCBs), having a history of repeated sun burns, having several large or many small moles, a family history of skin cancer, and having genetic predisposition.

Early detection is crucial to successfully treating Melanoma cancer. Therefore, it’s important for you to know what to look for. Performing routine foot exams will reduce the risk of undiagnosed melanoma on the foot or ankle. There are four signs to look for when examining your feet or other parts of your body for melanoma. These four signs are known as the ABCDs of melanoma (asymmetry, border, color, and diameter).  These signs will help you when performing self-inspection of moles and other unusual spots on your feet. When performing self-inspection of the foot make sure you examine your toe nails for discoloration as well as between your toe. You may even want to take pictures to have as a way to compare appearance overtime. If any of these signs are present on the foot, it is important to see a specialist right away.

In addition to performing routine self-inspection, there are other precautionary measures one may utilize to reduce the risk of melanoma which include: wearing water shoes or socks with shoes, using adequate sunscreen including on the soles and top of your feet, Inspect all areas of the feet daily, including the soles, underneath toenails and between the toes, remove nail polish to examine underneath your nail, avoid UV radiation during the sun’s peak hours (10:00am to 4:00pm) beginning at birth (sun exposure is especially damaging to children and adolescents), wear sunglasses that block 100 percent of all UV rays (UVA and UVB), and wearing a wide-brimmed hat.

Remember, early detection is critical with malignant melanoma. If detected and treated before it spreads, the 5-year survival rate is over 95%. If you see any of the ABCD signs or if you have discoloration beneath a toenail be sure to visit a foot and ankle surgeon as soon as possible.

For more information on malignant melanoma, you may contact Dr. Isin Mustafa’s office at (239) 430-3668  or visit NaplesPodiatrist.com

Family Foot and Leg Center has several Centers from Collier, Lee, & Charlotte Counties to quickly resolve all your foot and ankle problems.

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Serving Southwest Florida Since 2005, Family Foot & Leg Center has 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties. Offering pediatric to geriatric family care: Ingrown Toenails, Heel Pain, Bunions, Foot / Ankle Arthritis Pain, Plantar Fasciitis, Foot / Ankle Surgery, Custom Orthotics, and Diabetic Wound Care. In office X-rays, ultrasounds, and minor surgical suite exam rooms. Practice powered by EMR and advanced technologies. Home of the Lam Minimal Invasive No-Scar Bunion Surgery! Come Discover Why Patients Love Our 5-Star Foot & Ankle Care! Same Day Appointments! Easy Online Appointment Scheduling!

 

 

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Kevin Lam

Naples podiatric physician and surgeon. Double Board Certified: American Board of Podiatric Surgery and American Board of Lower Extremity Surgeons.

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