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And it's now time for Sunday house call as always on -- joining messes.
Doctor -- -- -- -- this morning -- in San Diego.
Is the vice chairman of the department of urology and chief of robotics at the Mount Sinai Medical Center -- given up there are sending them.
That's just aren't our doctors are Smart but they're always getting smarter going to these conferences doctor Siegel this year all studied up for this morning associate professor medicine and why use land on medical center.
Author of the inner pulse unlocking the secret code.
-- sickness and how both.
Welcome good morning well doctor Siegel said we want to talk about melanoma because it is the most deadly form of skin cancer it is avoidable if you stay out of the sign.
And it's so common 70000 people are affecting each year that number though is on the rise and actually the age of patients is getting younger are.
So there's some new research on non melanoma skin cancer that shows.
People are getting surgery to treat that doctor -- I'll start with you.
What is the first line of treatment if you want to go least aggressive to most aggressive.
-- this is obviously a very serious cancers skin cancers the most common type of cancer.
And we want to distinguish between melanoma that we've spoken in the past.
A non melanoma which I -- marketed to begin a little more.
Melanoma obviously as -- -- is about 70000 people get diagnosed with this 101000 people die and it's even though the numbers are not really high.
But it's didn't -- -- 75% of the death.
-- of -- -- series as a result of melanoma we talked about the fact that detection.
He's a key because the sooner you detect -- surgery can remove -- -- to cure his great.
We also have talked about the fact that they AB CD recognizing -- that the fact of the lesion.
Could be a symmetric if you put a -- -- -- the borders are usually irregular but callers are -- callers.
You have blue brown black and of course -- diameter which is over six millimeter if you see any of those -- you've got to put your dermatologist right away and surgeries that way to remove it.
Now this particular study which came and what's published in -- It we're talking about non melanoma now these are the ones that we see about two million of them every year there are not as aggressive.
And unfortunately we're all retrieving some of these special they are other -- so this study is coming from UCSF.
And they found is among a lot of older men and women.
And -- be removed it because a lot of pain and the invention etc.
So the word of caution to a lot of people out there if you -- -- you can live with them for a -- especially if you have other -- will be -- these.
-- -- other issues medical -- aren't careful we've gone through a lot of treatment.
And let's get doctor -- in here because we see the sunny view there in San Diego I mean are you testing issue age to get some of these skin cancers may be -- -- lesser ones hopefully -- Melanoma you know there's a very very high probability of that.
And the problem is that as David was mentioning most of these are not melanoma 2.2 million a year.
Of non melanoma skin cancers but only 2000 people die from -- whereas -- a 75000.
Melanoma is 9000 people die from it sort of the words -- a 5000 there's a 5% chance that the skin cancer you have will be in melanoma.
If you have a melanoma business 75%.
Chance that that's that that it can kill you so what do you know.
First of all you don't be afraid of all skin cancers -- you say to yourself if I don't have melanoma.
You may I may be OK and here's why that study at a -- Cisco's important people are so afraid of skin cancer.
And they get it as they get older they may get appraisal -- regular scoring myself and they go rushing for surgery.
But most of them don't actually die from the skin cancer and they have to consider what -- dermatologist.
You may not need -- surgery do you need this three hour procedure and you need all the side effects and complications.
Or is there a more conservative treatment you can -- if you don't have melanoma well.
His most surgery which is a laser surgery that's very very small and west side effects.
You know possibly if you're older than eighty maybe not even have it removed it depends now basal cells can be disfiguring.
So I'm not telling people out there not to have their skin cancer removed.
But I am telling them not to be afraid of it if it isn't a melanoma -- it's not a melanoma the chances are it is not gonna spread.
Melanoma is we have to get.
As quickly as possible and the key.
To the AB CD is the and a dermatologist told you two years ago it's okay well is it enlarging is it getting bigger get re checked.
Barry can't get back to that advice go to the -- -- How obvious intention to date -- check check check yeah.
Did she decorated it did she idea behind this is that you can get a punch biopsy.
I'm not remove that wants to have been diagnosed as of -- -- cell.
As as mark mentioned you can have just been laser or small radiation to the area and not go through surgery.
-- personalized personalized medicine treating every patient individually in in not melanoma cases.
Is really big secret to success -- you don't have to have your doctor check you all over for those you can have a family members have very good advice.
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