mens health issues: a cut, a shave and some good advice birgit bogler, mpa presentation to barbers...
TRANSCRIPT
Men’s Health Issues: A cut, a shave and some good advice
Birgit Bogler, MPApresentation to
Barbers International ConventionOctober 16, 2006
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Overview
• Barbers as trusted peer educators
• Skin cancer and the big myth
• Prostate cancer and the bigger myth
• Colorectal cancer and the biggest myth
Why am I here?
• Barbers can be trusted peer educators– Brother-to-Brother project (HIV risk reduction)– Centers for Disease Control
• Early detection of cancer• University of Alabama at Birmingham• University of North Carolina at Chapel Hill
The Big Myth
• Myth: only fair-skinned people get skin cancer
Fact
Skin Cancer
• Three major types– Basal cell carcinoma– Squamous cell carcinoma– Malignant melanoma
• Sun exposure responsible for 90%• Most common cancer in U.S.
– 1.2 million basal & squamous cell carcinomas– 60,000 melanomas
• Almost 10,000 Americans die each year
Quick Anatomy
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Basal Cell
• Chronic overexposure to the sun– Face, ears, neck, scalp, shoulders and back
• When not treated quickly, difficult to eliminate– Scars and disfigurement
• Low rate of metastasis
Basal Cell
An open sore A reddish patch
*chest, shoulders,arms, or legs
A shiny bump
*persistent, non-healing sore is early sign
Basal Cell
A pink growthA scar-like area
*White, yellow or waxy with uneven borders*Can indicate aggressivetumor
Basal Cell
• No one best method to treat– Cryosurgery, topical chemo, laser, radiation
• Almost all treatments in doctor’s office
• Most need only local anesthetic
• Cure rates 85-99%
Squamous Cell
• Chronic overexposure to the sun– All places exposed to sun– Rim of ear and lower lip especially vulnerable
• When not treated quickly, harder to treat– Scars and disfigurement
Squamous Cell
• 96-97% remain localized
• Those that spread can be fatal– SCC found on lip, ear, nose have high risk for
metastases– In persons with weakened immune systems
Squamous Cell
A wart-like growth
A scaly-red patch
A scaly-red patch
An elevated growth with a central depression*can rapidly grow
Squamous Cell
• No one best method to treat– Cryosurgery, topical chemo, laser, radiation
• Almost all treatments in doctor’s office
• Most need only local anesthetic
• Cure rates 85-99%
Melanoma
• Most serious form of skin cancer– Causes the most skin cancer deaths
• If found early nearly 100% curable– If not, high chance of metastases– Can be hard to treat
Melanoma
• Malignant tumor in the melanocytes– Cells that produce pigment for skin, hair, eyes– Cells heavily concentrated in moles
• Melanoma is usually brown but can be pink, red or purple
• Increased risk– Sun exposure and tanning beds– Lots of moles– Fairer skin – but darker skin is no protection– Personal history of skin cancer or lymphoma– Weakened immune system
Melanoma ABCDs
Asymmetry Border
Color Diameter
Melanoma
• Thin, localized melanomas are surgically removed– Most done in doctor’s office using local
anesthesia
• For more advanced disease, treatment varies– Melanoma can spread to lymph nodes and
organs
• Cure rates continue to rise
The bigger myth
• Prostate cancer is solely an older (65+) man’s disease
Prostate Screening
• FACT: the risk of developing prostate cancer increases beginning at age 40– African American men have a 60% higher
incidence rate and 2-fold higher mortality rate
• PSA testing is more sensitive than digital rectal exam for detecting prostate cancer
Talk about PSA
• There are considerations:– There is no normal PSA level
• The higher the PSA the more likely cancer is present
– PSA alone cannot distinguish between cancer and benign prostate conditions
– One abnormal PSA does not necessarily indicate the need for further diagnostic tests
• Benign prostate enlargement, inflammation, infection, age and race can elevate PSA
Encouragement
• Encourage men to get a PSA– African American men 45-70 years old– Men 45-70 years old with a first degree
relative with prostate cancer– All men 50-70 years old
The biggest myth
• There is nothing I can do about getting colorectal cancer
Colorectal Cancer
• FACT: colon cancer can almost always be prevented– Colon cancer can almost always be cured if found
early
• About 25% of people 50 and older have colon polyps
• More than 90% of colon cancer is found in people 50 and older– People of African American or Ashkenazi Jewish
ancestry are at increased risk
Colonoscopy
• Encourage men to consider screening colonoscopy– Only test that can prevent colon cancer– Usually painless– Usually needed once every 10 years
• There are other colon cancer tests– Not as effective as colonoscopy– Any test is better than none
• Barbers can help increase rates of screening for highly curable cancers
• Barbers can help decrease rates of mortality from highly curable cancers
• Barbers can help reduce health disparities in mortality from highly curable cancers
• Barbers can help save lives!
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Thank you