Skin cancer was once considered a disease that affected mainly adults as a result of years of exposure to ultraviolet (UV) rays. In recent years, however, doctors began seeing skin cancer in children as well. Since children have not had the years of sun exposure believed to be needed for cancer development, scientists began to look for another reason. Research found that a defective gene may be to blame.
When the enzymes responsible for repairing DNA damage, called nucleotide excision repair enzymes, are mutated, it can lead to mutations in other cells, altering the genes in them. If one of these genes is a type that suppresses cancer, it may actually reverse its actions and begin inducing tumors.
Nucleotide excision repair enzymes are also responsible for repairing UV damage. The mutated enzyme is unable to repair damage, leaving skin vulnerable to additional damage each time it is exposed to UV radiation. In severe cases, sunlight must be avoided completely.
The disorder of mutated nucleotide repair enzymes is called xeroderma pigmentosum, or XP for short. This condition is an autosomal recessive genetic disorder. There must be two copies of the mutated gene. If both parents are carriers, individuals who have a defective gene but are otherwise unaffected, there is a 25% chance that their child will not carry the gene, a 25% chance their child will have xeroderma pigmentosum and a 50% chance that their child will become a carrier.
This disorder often leads to the development of skin cancer in children. Any of the three types of skin cancer may develop. However, metastatic malignant melanoma and squamous cell carcinoma are typically the cause of death for patients with this disorder. The prognosis for affected individuals is grim. Over 60% do not live past th age of twenty, although mild cases have lived to middle age.
While the condition is rare in the United States, approximately one case per million people, in other countries it is more prevalent. Japan has an estimated one case per forty thousand people. North African and Middle Eastern populations also appear to have a higher incidence of skin cancer in children.
The first symptom is usually the appearance of a severe sunburn after a very short exposure to sunlight. The sunburn may last for weeks. Other signs may include early development of freckles, thin skin that is extremely dry, painfully sensitive eyes in sunlight or premature aging.
Treatment involves limiting exposure and, in some cases, taking medications or supplements. Parents of children with xeroderma pigmentosum should strictly limit the child's sunlight exposure. If exposure is unavoidable, care should be taken to block as much of the UV rays as possible. The use of sunscreen, UV protective clothing, sunglasses, hats or other protective devices should be used.
Individuals who develop keratosis, keratin growths on the skin, may be prescribed Isotretinoin. However, there are significant side effects with the medication. Since limiting sunlight inhibits the body's production of Vitamin D, a supplement may also be necessary.
There is no cure for this disorder that causes skin cancer in children. The damage is done before the child is even born. While protection from the destructive effects of UV radiation is important for all children, it is even more so for children with xeroderma pigmentosum.
Skin Cancer Awareness and Prevention
Would you believe over a million individuals both young and old receive the frightening diagnosis of skin cancer. It is the form of cancer that most ignore and feel they will never be affected by or skip any testing assuming they would certainly know if they had skin cancer. Due to that exact justification of so many folks, it has become the most common cancer form. This form on cancer can come in the form of a growth on or over an organ which is referred to as carcinoma, or the form that develops over any other area called basal cell cancer. The basal form is the one that is a direct result of sun exposure and all those rumors are actually true regarding those who have lighter skin do have an increased chance of developing this form of cancer. This is also a result of tanning indoors as well, it is easier to obtain cancer from the sun from excessive hours under the sun's rays, but if you are one that continuously goes tanning you can attract skin cancer from those bulbs as well.
Some interesting facts regarding skin cancer are that you can obtain it from the amount of sun exposure you have endured in your entire existence and not the common misconception of spending one long summer at the beach. Experts report that these types of cancers are diagnosed generally by the time an individual reaches the age of fifty. It was those recent findings that spawned the wave of lathering up the sunscreen all over children around the world. Years ago that was not the case, parents would allow children to play outside and not be overly concerned with applying sunscreen products to their skin. Now with the advancements in medical testing it has shown that many adults suffering from skin cancer ailments have obtained them from overexposure from thee sun as youngsters. It is extremely vital to always put some form of protection of sunscreen on your little ones and yourself before going outside even on days that cloudy as you can still get sunburn and still obtain skin damage as well. Even if you do not have any lotions to apply, consider wearing hats, sunglasses and shirts that cover your arms that are made of a breathable material to wear comfortably when it is warm outside.
These findings in skin cancer are not to discourage families from going outside, as there are some benefits to being outdoors that cannot be replaced by other things. Exposure to the sun does provide Vitamin D which is very essential for the body to have strong bones and the positive effects on your emotions that being in the sun can bring. Sunshine enables one to be in a positive mood over being surrounded in a rainy, cloudy or cold climate. If you apply the sunscreens and choose to be outdoors when the sun is not so damaging such as after dinner or in the mornings it can still be enjoyed safely and not take away from all the fun activities families are entitled to enjoy outside.
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