VENOUS LAKE: UV radiation damage to tiny blood vessels in the skin. In this case
it is the veins that dilate and form small dark-blue or violet ‘lakes.’ Venous lakes
appear as soft and compressible bumps on the sun-exposed skin of the face, neck and
ears. Although common, it develops more often in the elderly. Race appears to be
no factor. Some medical scientists support the theory that blood clotting (thrombosis)
is at least partially to blame. Like moles, other than being a cosmetic nuisance,
venous lakes are harmless and painless. On the other hand venous lake can look similar
to skin cancer. A microscopic analysis prevents a misdiagnosis.
SOLAR KERATOSIS: Solar keratosis is also known as actinic keratosis. It is not a
skin cancer but is a common pre-cancerous condition caused by excessive UV radiation.
Early diagnosis and treatment is important. Minor surgery with scalpel, laser or
chemicals can remove the growth. Horny, scaly bumps on sun-exposed skin are the first
signs. They can become tender and quite aggressive. At this stage, solar keratosis
has an estimated 10% chance of evolving into cancer. Because the damaging effect
of UV radiation adds up over a lifetime, the elderly – particularly if they are
fair-skinned – are the most likely victims. Due to the modern suntan culture, however,
the number of patients of a younger age has increased steadily, with people in their
early twenties now being diagnosed with some form of solar keratosis.
KERATOACANTHOMA: This skin blemish can look exactly like non melanoma skin cancers
and is clinically not different to one of its manifestations. Keratoacanthoma begins
its life as a small pimple but, if untreated, grows very rapidly into an unsightly
crater, often with a solid crusty core. Again, UV radiation plays a major role. A
minor injury, however, appears to trigger the growth. Keratoacanthoma’s big difference
to real cancer is that is self-healing: once it reaches its maximum growth it begins
a cycle of self-destruction and disappears within a few months. The growth is often
surgically removed before it leaves an ugly scar. Keratoacanthoma is less common
in dark-skinned people.
MOLES: The majority of skin moles are benign skin-colored or brown to black bumps.
They are there since birth or appear later in life, especially after extensive exposure
to UV radiation. Moles are rare amongst dark-skinned people but are very common on
fair skins.
People with many moles are at a higher risk of developing skin cancer than are people
with low numbers of moles. In addition, moles are easily mistaken for melanoma. Medical
practitioners are, therefore, becoming increasingly cautious. They either closely
monitor changes in appearance or cut a sample for a microscopic analysis. They sometimes
completely remove a mole if it develops into a cancer suspect or into a nuisance.