Early Skin Cancer Pictures Biography
Source (google.com.pk )Early diagnosis of skin cancer is crucial for obtaining the best treatment results, improving the prognosis, and, most importantly, increasing the quality of life of the patient. However, there is no robust evidence to ascertain whether there is a decrease in mortality due to regular physical examination of the skin[7]. Considering, e.g., melanoma, the diagnosis of incipient lesions, up to 1.00 mm thick, provides an excellent survival rate of 97% after 5 years[9]; but the survival rate is only 7% to 19% if stage IV lesions are found[10]. More recent data show that the one-year survival rate is 33% in patients with metastatic melanomas (stage IV) [9]. Conversely, and despite the low rates of mortality and low potential for metastasis, early diagnosis of non-melanoma skin cancer is also essential to reducing the cost of treatment and the associated consequences[11,12].
Importantly, we observed in this study a large proportion of lesions of more than 2.0 cm in diameter among the non-melanoma cancers (129 or 6.5%), as well as melanomas that were 0.75 mm to 1.5 mm in thickness (3 or 13.0%). This may reflect, in part, the lack of public health cancer prevention programs, which creates many barriers to medical evaluation and care. The Fundação Oncocentro de São Paulo - FOSP (São Paulo Cancer Foundation) is a Government Foundation with a database of the hospital cancer registry of São Paulo State. The records show that during the same time period (2004 to 2007), 9.4% of non-melanoma skin cancers were more than 2.0 cm in diameter[13]. Although there is a concerted effort to provide good health services equally to all citizens, this is not the reality in this country. This is because there are regional and interstate differences in health care.
Use of a mobile unit for the early diagnosis of other cancers, such as breast and cervical cancer, has been used for decades in many countries[14] and has shown good results in remote and rural Brazilian areas[6,7,15-17]. This strategy is still being used for breast cancer screening in developed countries[18]. The UMP of BCH is the exclusive initiative to "catch up" patients in remote areas in Brazil. To our knowledge, it is also unique anywhere in the world to conduct small and medium skin surgeries in an MU. Few reports of the use of an MU for skin cancer screening are found in developed countries, probably due to a more well-developed health care structure and a population with better information on means of preventing this cancer[5,19]. Since changes in the health care system are usually slow, the use of an MU provides faster specialized medical care to the people with difficult access to health services. At the same time, it provides the opportunity to disseminate information about the importance of cancer prevention. One good example of MU use in the industrial field is the Senai Mobile Technical School. This Brazilian government department developed programs to prepare manpower in locations not served by fixed schools. Its structure of mobile units allows for more flexibility in attendance and a greater exchange between the institution and local industries [20].
Even with little training time with the staff of the Department of Prevention, the nurses in municipalities have obtained reasonable results in the screening of suspicious lesions, with 2,012 positive cases in 17,857 assessments (11.3%).
The training of health care professionals is of paramount importance to the project. Possibly, teledermatology is a feasible option for improving the project, because of the huge distances in remote areas visited by the MU[21-23]. We have also observed a great commitment from the poorest populations of the cities visited, especially in the Amazon region, where 73.9% of people are illiterate or only have up to 8 years of schooling. This commitment to the MU is a very welcomed situation, but it also indicates the lack of an adequate system of public health in municipalities and states. In many cities, people have anxiously remained waiting in close proximity to the MU since very early in the morning to be sure that a doctor will examine them. Sometimes, they have stayed until almost midnight because they are afraid that the MU would not remain another day in that city.
In Brazil, 70% of the cities have less than 20,000 inhabitants, and approximately 20 million inhabitants still live in rural areas[24]. Dermatologists or general practitioners with appropriate experience to identify early skin cancer lesions are most likely not found in these areas, explaining the reduction in cases of skin cancer diagnosis and treatment in these populations. According to the Brazilian Society of Dermatology, the vast majority of dermatologists are in São Paulo State (32.8%). Some States visited by the MU have only 0.1% of Brazilian dermatologists; this means that there is only 1 dermatologist for 306,609 inhabitants[25].
The skill of a well-trained medical oncologist prepared to identify skin lesions and perform the surgical incisions was well exemplified in our study: 67% of the lesions surgically removed were categorized as cancer, and importantly, 82% of the patients with skin cancer had resection of the lesion at the MU. The false positive rate was 33%, once 3,005 surgeries were performed..
Skin cancer prevention is cost-effective[26,27]. This is an important issue to be discussed with governmental public health authorities to improve the detection of early stages of skin cancer. Potential barriers to hamper the efficacy of skin cancer screening include the reduced time to perform a screening during a regular physical examination and the lack of a specific training program for dermatologists to recognize lesions that are potentially neoplastic[28]. In Brazil, only 74.1% of dermatologists completed a fellowship or have a specialist title[25]. Health care professionals, in general, do not counsel patients regarding the prevention of skin cancer except for dermatologists[29].
The Barretos Cancer Hospital overall mobile unit (MU) cost is $566,181.17 USD. This cost represents several components of the MU as follows: tractor truck $205,882.35 USD; semi-trailer $58,823.53 USD; semi-trailer modifications $235,294.11 USD; equipments $58,823.53 USD, and marketing adhesives $7,357.65 USD. To carry out 800 to 1.000 monthly skin lesions evaluations, MU have additional monthly costs with professionals salary and taxes: one physician ($11,764.70 USD), one nurse ($2,115.32 USD), two nurse's assistants ($864.85 USD), one typist ($630.00 USD) and 2 MU drivers ($932.56 USD), resulting in an annual cost of $217,258.52 USD.
Consumables costs for MU travel maintenance correspond to $8,000.00 USD per month: fuel ($2,941.18 USD), toll ($352.94 USD), mechanic vehicle maintenance ($4,705.88 USD). For staff's accommodation and meal during the travel and the monthly cost is $882.35 USD. All included, the monthly operational cost is about $16,882.35 USD
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
Early Skin Cancer Pictures Skin Cancer Pictures Moles Symptoms Sings On Face Spots On Nose Photos Types Pics Wallpapers Pics
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