1. Sun safety Lesley Pallett Workforce Health & Wellbeing Specialist Advisor and Ian Murray Dermatology Nurse

2. Aims and objectives To be aware of What skin cancer/skin damage is How it can be detected How you can reduce your risk

3. Overview of session What is skin cancer/skin damage How do I reduce my risk

4. Reasons for doing this session South West has the highest incidence of skin damage/melanoma in the UK

5. Skin Types TypeSkin, hair and eye colourHistory of Sunburn or Tanning IWhite skin and freckles Red or fair hair Blue or green eyes Always burns easily, never tans IIWhite skin, Light hair Blue or brown eyes Burns easily, tans minimally IIITends to have white skin Brown hair Brown eyes Burns moderately, tans gradually to light brown IVBrown to dark skin Dark brown hair Dark brown eyes Burns minimally, always tans well to moderately brown VBrown to dark skin Dark brown hair Dark brown eyes Rarely burns, tans profusely to dark brown VIBlack-brown skin Dark hair Dark brown eyes Never burns, deeply pigmented

6. Types of skin damage/cancer? Actinic keratosis and Bowen’s Disease Squamous cell carcinoma Basal cell carcinoma Melanoma

7. What are Actinic Keratosis and Bowen’s Disease? Actinic Keratosis Bowen’s Disease

8. What is basal cell carcinoma? Most common and least dangerous, low risk of spreading around body. Appears as pearly lump or scaly or dry area with pearly edge. Red or pale or pigmented. May bleed or become ulcerated that heals and breaks down again. Usually grows slowly

9. What is basal cell carcinoma?

10. What is squamous cell carcinoma? Not as dangerous as melanoma but can spread to other parts of the body if not treated. Appears as thickened red, scaly spot that may bleed or ulcerate. Develops on most sites exposed to sun, such as face hands arms and lower legs. Grows over weeks or months and is tender and painful

11. What is squamous cell carcinoma?

12. What is melanoma? Can develop in pre-existing moles but more commonly in melanocytes in epidermis. Two main types: Superficial Spreading Melanoma is most common Nodular Melanoma But there are others or a combination

13. What is melanoma?

14. A – E for superficial spreading melanoma Signs and symptoms To distinguish a superficial spreading melanoma from a normal mole. Asymmetry – the two halves of the area may differ in shape. Border – the edges may be irregular or blurred and show notches. Colour – may be uneven, shades of black, brown and pink Diameter – usually greater than 6mm Evolving – a lesion that changes over time (size, shape, symptoms, surface, colour)

15. E,F, G for Nodular Melanoma Elevated – small round raised lump colour may be uniform, black, brown, pink or red. Firm to touch. Grows quickly, nodule that has been growing progressively for more than a month deserves urgent clinical assessment.

16. Treatment for melanoma Suspected Squamous Cell Carcinoma or Malignant Melanoma are excised completely without biopsy

17. How do I reduce my risk? High factor sun cream Shade for babies Sun suits for children Sun bed usage Vitamin D

18. SAVE OUR SKIN Slip on a Shirt Seek out shade Slap on Sunscreen Don’t get caught out, never let your skin burn. If in doubt – get it checked out Visit your GP