Overview
This session focused on melanoma awareness, prevention, and community-based interventions, featuring survivor testimony, medical education, and collaborative outreach programs to promote sun safety and cancer screening.
Survivor Story: Autumn Kappus
- Diagnosed with malignant melanoma at age 18 after a pediatrician noticed a suspicious mole.
- Underwent mole removal and subsequent surgery for wider margins; no follow-up treatment required.
- Regular dermatology check-ups every 3–6 months for over 30 years, with occasional reductions to yearly if no new issues arise.
- Additional surgeries for new spots on the face, neck, and arms, emphasizing ongoing vigilance.
- Prioritizes sunscreen, hats, UV-protective clothing for herself and children, especially as a swim club executive.
Melanoma and Skin Cancer Education (Dr. Colin Castello)
- Basal cell and squamous cell carcinoma are common; melanoma is less common but more dangerous.
- UV exposure is the main risk factor for basal cell and squamous cell carcinoma; transplant recipients are higher risk.
- Melanoma risk is highest in non-Hispanic whites but outcomes are generally worse for people of color due to later detection.
- Sun-induced melanomas linked to sunburns, tanning beds, and light skin/hair/eyes; non-sun-induced (acral) melanomas can occur on hands, feet, or under nails, affecting all ethnicities.
- Prevention includes using SPF 30+ broad spectrum sunscreen, sun-protective clothing, avoiding peak sun hours, and regular self-skin checks.
- ABCDE method for mole assessment: Asymmetry, Border irregularity, Color variation, Diameter (>6mm), Evolution.
- Self-exams recommended every 3 months; higher-risk individuals should also see dermatologists regularly.
Addressing Community Questions
- No strong evidence links UV exposure from gel manicures to increased skin cancer risk, but sunscreen use on hands is advised.
- People of color should focus on early detection of acral melanomas, as sunscreen may not reduce melanoma risk significantly.
- Non-comedogenic or oil-free sunscreens recommended for acne-prone individuals; these may not be water-resistant.
Pool Cool Community Program Panel
- Pool Cool is an evidence-based sun safety initiative in Minnesota and Florida using social media, swim lessons, public events, and educational materials to increase sun protection awareness.
- 2024 plans include implementing sun safety activities during summer camps, installing sunscreen dispensers, and integrating lessons in swim programs.
- Key takeaway: Community members should prioritize year-round skin protection and build lifelong sun-safe habits.
Decisions
- Slides with patient images may be edited before sharing with participants.
- YouTube recording of the presentation will be made available post-event.
Action Items
- TBD – Mayo Clinic team: Determine if slides can be shared after removing patient images.
- TBD – Community members: Complete post-event survey and consider participating in upcoming sun safety outreach events.
Recommendations / Advice
- Use SPF 30+ broad spectrum sunscreen and sun-protective clothing.
- Perform self-skin exams regularly and promptly seek medical evaluation for suspicious changes.
- Adopt non-comedogenic sunscreens for sensitive or acne-prone skin.
- Engage in community sun safety initiatives and educate others about melanoma risks.