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279 points petethomas | 6 comments | | HN request time: 0.017s | source | bottom
1. anthonj ◴[] No.45300378[source]
Isn't skin cancer 100% survivable if caught on time*, with the removal procedure begin a single 1-2 hour specialist visit?

Where "on time" means during the trivial yearly screening that everyone should be getting.

replies(2): >>45302347 #>>45305976 #
2. NaomiLehman ◴[] No.45302347[source]
If you get melanoma, it can progress within weeks or months to stage >1. An annual checkup is not enough. And then you get 50% chance if you qualify for gene therapy or die.
replies(1): >>45304676 #
3. joseakle ◴[] No.45304676[source]
What is the recommended screening frequency ?
replies(2): >>45304976 #>>45306733 #
4. sigmoid10 ◴[] No.45304976{3}[source]
That highly depends on the individual and their risk profile. But the best approach in general is to be aware of the signs that are up on these posters you see in every good dermatologist's office. Then you can spot abnormalities immediately and get them checked out professionally. Half of all melanomas are not found by screenings and are self-detected instead.

https://www.health.harvard.edu/cancer/screening-advice-thats...

5. vharuck ◴[] No.45305976[source]
Between 2015 and 2021, Americans diagnosed with invasive[0] melanoma had a 94.7% net 5-year survival rate[1]. That means, if all other causes of death were impossible, an estimated 5.3% of those patients would have died of melanoma.

That's a pretty good net survival rate [3], but it's not perfect. And it's possible that less care in avoiding excessive sun exposure could lead to any cancers being more aggressive. However, I don't have a reference for that musing, so feel free to ignore it.

[0]: Invasive means the tumor has left the tissue it started in.

[1]: https://seer.cancer.gov/statfacts/html/melan.html

[2]: It would be higher if the official method for calculating net survival didn't, in my opinion, needlessly bias itself against cancer patient survival. The last time I reviewed the methodology notes, they compared daily hazards of death between cancer patients and everyone else. But, if the cancer patients had a lower hazard for a day, the difference was treated as zero instead of negative. This is a hill I'll die on, because their method pretends any confounding variables not in the model have no effect. Patients who catch melanoma early are probably less likely to die soon compared to those of similar age, race, sex, and location. An early diagnosis likely means they care enough about their health to visit doctors regularly and make good use of those visits.

6. anthomtb ◴[] No.45306733{3}[source]
Perhaps by "An annual checkup is not enough", they do not mean you need screenings multiple times a year. Rather, one needs to regularly examine their own skin in addition to yearly checks by a professional.

An aside for my fellow wookies: moles can form under hair!