Is it Skin Cancer or Just a Mole?. Christina Lewis, MN, RN, NP Certified Dermatology Nurse UCLA Arthur Ashe Student Health and Wellness Center May 31, 2012. Learning Objectives. Identify questions to review when presented with a student that has a concern about possible skin cancer
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Christina Lewis, MN, RN, NP
Certified Dermatology Nurse
UCLA Arthur Ashe Student Health and Wellness Center
May 31, 2012
-Tanning bed use
-Where they grew up
-Changes to any area of the skin and when the changes were noted. Including changes in areas of past burns and keloids
Fitzpatrick Color Atlas
Ultraviolet radiation makes chemical change in DNA
The abnormal cell expands into a clone
Change in DNA causes muta-tion of P53
Mutation alters function of the gene
The clone becomes the target of further DNA damage
Gene function leads to a new cell phenotype
High school white students who never wore sunscreen when out in sun >1 hr, increased from 57.5%to 69.4% from 1999-2009 (Jones, 2012)
Vitamin E-(tocopherol)-in wheat germ, pumpkin seeds.
Vitamin C-rosehip seed extract
Carotonoids-(sea buckthorn, fruit oil [ie Avocado oil], fish oil). Fish oil may increase sun protective effect in some cases up to SPF 5.
UV light skin
Ergocalciferol (Vitamin D2)
Cholecalciferol (Vitamin D3)