1. SKIN CANCER PREVENTION & EARLY DETECTION SAVES LIVES
David J. Friedman, M.D.
Assistant Professor of Dermatology (Ret.) Brown University
Jerusalem and Ramat Aviv

2. Balaniot are on the front line
Interact with younger women who have a higher incidence of melanoma
Periodic physical inspection of high incidence melanoma site i.e. the back
Balaniot have discovered skin cancer and have saved lives

3. Strike a delicate balance
Between facilitation of the the woman’s full and complete mikveh spiritual and emotional experience and potentially saving a life
Guidance regarding a detected lesion should be made after the immersion and in a calm and reassuring manner so as not to alarm or cause anxiety

4. Detection Examine entire body including A. Palms
B. Back of neck and scalp
C. Back and buttcks
D. Back of legs, feet and between toes

5. Normal Mole
A normal mole is usually an evenly colored brown, tan, or black spot on the skin
Can be either flat or raised
Can be round or oval
Moles are generally less than 6 millimeters across (about the width of a pencil eraser)

6. Normal Mole

7. Possible signs of Melanoma
New spot on the skin or a spot that’s changing in size, shape, or color
Spot that looks different from all of the other spots on your skin
The ABCDE rule is another guide to the usual signs of melanoma

8. Suspicious lesion
The ABCDE system of melanoma detection represent a clinical guide for early diagnosis of melanoma. The following features are considered suspicious:
A-ASSYMETRY
B-BORDER
C-COLOR
D-DIAMETER
E-EVOLVING

9. Detection
A- ASSYMETRY

10. Detection
B-BORDER

11. Detection
C-COLOR

12. Detection
D- DIAMETER

13. Detection
E-EVOLVING

14. Balaniot Guidance EXAM FINDINGS SYMPTOMS SKIN CANCER HISTORY
BOARD CERTIFIED DERMATOLOGIST EXAM
No lesions No
If not examined within last 12 months
Lesion
If not examined within last 12 months
Yes
If not examined within last 6 months *
Itch, bleeding , changing
No or Yes
Must be examined for these complaints in near term
Suspicious lesion
No or Yes
Must be examined in near term
* Some Dermatologists may allow for annual exams in selected patients

15. Balniot Guidance NEVER SAY, “THE LESION LOOKS BENIGN”
The guidance should ALWAYS be to see a dermatologist as the clinical situation warrants