Good Health

SKIN cancer, one of the most common forms of cancer in the Ireland, can be divided into the following different types: - Melanoma (malignant melanoma). This type of skin cancer develops from melanocytes. - Non-melanoma. These are about 20 times more common than melanomas and are further divided into two main types: Basal cell carcinoma (BCC) - skin cancer which develops from basal cells; Squamous cell carcinoma (SCC) - skin cancer which develops from cells known as keratinocytes. BCC and SCC occur mainly in white and fair-skinned people, rarely occurring in dark-skinned people. BASAL CELL CARCINOMA (BCC)

The first sign of a BCC is often a small red, pink or pearly lump which appears on previously normal skin. Although the lump is often domeshaped, BCC’s can vary in shape and colour. They usually grow very slowly and it can take SQUAMOUS CELL CARCINOMA (SCC)

Like BCC’s, SCC’s are more common in older people. A SCC typically develops on the face - most commonly on or around the ears or lips. However, any area of skin can be affected. They typically start as a small crusted or scaly area on the skin. They may grow into a lump which may look like a wart. A SCC may ulcerate or bleed from time to time. As a SCC grows larger and deeper, it damages nearby structures. A SCC may also spread (metastasise) to other areas of the body. However, this is uncommon in the early stages and most SCC are treated before any spread occurs. MELANOMA (MALIGNANT MELANOMA)

Melanomas are the least common form of skin cancer. They are, however, the most serious form as they are the most likely form to spread to other parts of the body. Melanoma is twice as common in young women as it is in young men. A typical melanoma usually starts as a small dark patch on the skin (similar to a mole). It can develop from a normal part of skin, or from an existing mole. A melanoma is often different to a mole in one or more of the following ways (summed up as ABCD) - that is:

- Asymmetry - the shape of a melanoma is often uneven and asymmetrical, unlike a mole which is usually round and even.

- Border - the border or edges of a melanoma are often ragged, notched or blurred. A mole has a smooth well-defined edge.

- Colour - the colour (pigmentation) of a melanoma TREATMENT

FOR NON-MELANOMA SKIN CANCERS: The overall cure rate is over 95%, even for ones which have been present for a long period of time. The larger they grow, however, the more difficult they are to treat. More extensive surgery or other localised treatments may be needed if they grow large or deep before they are treated.

FOR MELANOMAS: The risk of spread to other parts of the body is high. This is why urgent, early treatment is vital. An operation is usually required to remove the melanoma. If it has already spread to other areas of the body then there is less chance of a cure. Treatments such as chemotherapy, radiotherapy or immunotherapy may be used for melanomas which have spread. PREVENTION

Most skin cancers are caused by excessive exposure to the sun. We should all limit our sun exposure in the summer months (or all year when in hot countries nearer to the equator) by:

- Staying indoors or seeking the shade as much as possible between the hours of 11am and 3pm.

- Covering up with clothes and a widebrimmed hat when you are out in the sunshine.

- Applying sunscreen of at least sun protection factor (SPF) 15 (SPF 30 for children or people with pale skin) which also has high ultraviolet A (UVA) protection.

For further information please visit www. cancer.ie or www.irishskinfoundation.ie

If you have enough protein with your meal it will help you feel full for longer, and more satisfied. Some people can find it difficult to have protein with every meal. For example lots of people don’t have breakfast. That’s one opportunity lost. Other people may only have a slice of toast and jam–there isn’t a lot of protein there. If you only have soup you probably won’t have had much protein in your lunch. Most people will only manage to get protein in at the main meal.

Sources of protein include eggs, red meat, chicken, dairy products and fish. As well as nuts, pulses, lentils, quinoa, and seeds. It’s found in vegetables, fruit, and soya but in lesser quantities, and they don’t contain all 23 amino acids.

Simple things like adding a can of pulses to soup, adding chia seeds to your breakfast, having nut butter on a slice of bread, or adding nuts and seeds to your meals, will increase your protein intake.

Protein shakes and protein bars are a convenient way of getting protein, especially after the gym or during a busy lunch break.

Protein is essential for your health. Make sure that you are getting enough.