We Love, No, We Hate the Sun!

skin careLiving in Hawaii, who wants to be indoors? Come on. We could do that in the winter in Cleveland, but we live in Hawaii so you’ll find us at the beach, at the pool, at the golf course, or on the trail.

Unfortunately the sun’s not much of a fan of us having all this fun under its watchful eye. It beats up on our skin, causing various mutations in the skin as the skin tries to cope with the ultraviolet rays bombarding it. Skin cancer is the two words we don’t want to hear, particularly not melanoma. But pre-cancerous growths also result from the sun damage.

What are pre-cancers?

Pre-cancers, also called actinic keratoses, are scaly or crusty skin lesions that, as the name implies, are the skin’s response to sun damage prior to becoming skin cancer. Pre-cancers are scaly or crusty skin lesions that appear on the places we get the most sun exposure. Pre-cancers often appear as elevated growths that may be rough in texture, often resembling warts. They can be light or dark, or even the same color as your skin, to pink or red. If left to their own devices, pre-cancers can one day become squamous cell carcinomas, the most common form of skin cancer.

Why do they develop?

Most of us know now that the sun is the culprit behind most of our wrinkles, not to mention skin cancers. Over time, the sun’s ultraviolet rays damage and break down the fibers in the skin called elastin, making the skin lose its elasticity and firmness. With more and more damage, the skin loses is immune function and begins to develops skin cancers and pre-cancers.

What do we do with pre-cancers at Matsuda?

We have various ways of dealing with these scaly little devils at Matsuda.

Chemical peels — Peels cause the outer layer of the skin to peel away, including pre-cancers. Healthy skin then grows to replace it.

Cryosurgery — This is a fancy term for freezing these unwanted growths with liquid nitrogen. If you’ve lived in Hawaii long enough, you’ve become very familiar with Mr. Liquid Nitrogen! Once frozen, pre-cancers peel off.

Topical creams — In recent years, a few drugs have been found effective at stimulating the body’s immune reaction to target pre-cancers and skin cancers and kill them. Aldara and Zyclara are two of these drugs that use immunotherapy to remove the lesions. Fluorouracil, a chemotherapy drug, can also work by blocking the cellular function of the pre-cancers.

Photodynamic therapy — We first apply a cream called Levulan and then activate it with blue light therapy. The Levulan then kills abnormal cells.

Curettage — This is a fancy way to say “cutting them out.” Because pre-cancers don’t grow deeply downward, curettage usually doesn’t cause much bleeding.

The key to keeping pre-cancers, and skin cancer, at bay is a yearly skin check-up with the team at Matsuda. Living in Hawaii, it’s really something every one on every island should do every year. Call us at 808-949-7568 to schedule your appointment.