The Lambert Approach to Skin Cancer Prevention: Protection, Detection, Treatment

At Lambert Medical Practice in Surbiton, we've developed a comprehensive approach to skin cancer that emphasizes prevention, early detection, and prompt treatment. This integrated strategy reflects our commitment to not just treating disease but preventing it whenever possible. In this guide, we'll share our three-pillar approach to skin cancer management and how it can help protect you and your family.

Understanding Skin Cancer: A Growing Public Health Concern

Before delving into our approach, it's important to understand why skin cancer prevention deserves such focused attention. Skin cancer is the most common form of cancer in the UK, with rates continuing to rise year after year:

• More than 100,000 new cases of non-melanoma skin cancer are diagnosed annually in the UK
• Around 16,000 new melanoma cases are diagnosed each year
• Melanoma incidence rates have more than doubled in the UK since the early 1990s
• Skin cancer affects people of all ages, though risk increases with age
• The majority of skin cancers are preventable, being primarily caused by UV radiation exposure

At Lambert Medical Practice in Surbiton, we believe that with the right approach, we can significantly reduce the impact of skin cancer in our community through a combination of education, prevention strategies, and early intervention.

Pillar One: Protection - Preventing Skin Cancer Before It Starts

The first and most fundamental aspect of our approach at Lambert Medical Practice is prevention. Since the vast majority of skin cancers are caused by UV radiation exposure, effective sun protection strategies can dramatically reduce your risk.

Seasonal Sun Protection Advice

We recognize that sun protection needs vary throughout the year in the UK. Our seasonal approach ensures you're appropriately protected without unnecessary measures:

Spring (March-May)

As the days lengthen and people begin spending more time outdoors, UV levels start to increase, particularly in late spring:

• Apply SPF 30+ sunscreen to exposed areas when spending extended time outdoors, especially between 11am and 3pm
• Don't be fooled by cooler temperatures or cloud cover – up to 80% of UV rays can penetrate clouds
• Consider UVA/UVB protective sunglasses as spring sunshine can be particularly bright
• Remember that UV intensity increases at higher altitudes if you're enjoying spring hikes

Summer (June-August)

During peak summer months, sun protection should be a daily priority:

• Apply broad-spectrum SPF 30-50 sunscreen daily to all exposed skin, reapplying every 2 hours when outdoors
• Seek shade between 11am and 3pm when UV rays are strongest
• Wear protective clothing including wide-brimmed hats and UV-protective fabrics
• Be especially vigilant near water, sand, and concrete, which reflect UV rays and can increase exposure
• Remember that UV rays can damage skin even on cloudy summer days

Autumn (September-November)

As summer transitions to autumn, sun protection remains important, particularly in early autumn:

• Continue using SPF 30+ on exposed areas during outdoor activities
• Pay particular attention to face, neck, and hands which often remain exposed
• Adjust protection levels based on the UV index, which can still reach moderate levels in early autumn
• Don't neglect sun protection during autumn holidays to sunnier destinations

Winter (December-February)

Even during winter months, sun protection shouldn't be completely abandoned:

• Apply SPF 15-30 to the face, neck, and hands on bright winter days, especially when participating in winter sports
• Be aware that snow can reflect up to 80% of UV rays, significantly increasing exposure
• Consider using moisturizers with built-in SPF for daily winter protection
• Remember that UV rays can penetrate car windows during winter commutes

At Lambert Medical Practice in Surbiton, we provide personalized sun protection advice based on your skin type, lifestyle, and specific risk factors.

Selecting and Using Sunscreen Effectively

Sunscreen is a crucial tool in skin cancer prevention, but many people don't use it correctly or choose the right product for their needs. Our guidance includes:

Choosing the Right Sunscreen

• Broad-Spectrum Protection: Always select sunscreens that protect against both UVA (aging) and UVB (burning) rays
• SPF Level: SPF 30 or higher for everyday use, SPF 50 for extended outdoor activities
• Formulation Considerations: Gel or liquid formulations for oily/acne-prone skin; creams or lotions for dry skin
• Sensitive Skin Options: Mineral sunscreens containing zinc oxide or titanium dioxide for sensitive skin or children
• Water Resistance: Water-resistant formulations for swimming or activities that cause sweating

Application Best Practices

• Apply sunscreen 15-30 minutes before sun exposure
• Use approximately 1 teaspoon for the face and neck, and 1 tablespoon for each body part
• Reapply every 2 hours, or immediately after swimming or excessive sweating
• Don't forget commonly missed areas: ears, back of neck, tops of feet, and scalp (especially along partings)
• Consider spray sunscreens for hairy areas and stick formulations for around the eyes

Beyond Sunscreen: Comprehensive Sun Protection

At Lambert Medical Practice in Surbiton, we emphasize that sunscreen should be just one component of a comprehensive sun protection strategy:

• Protective Clothing: UPF-rated fabrics, wide-brimmed hats, and UV-blocking sunglasses
• Shade Seeking: Planning outdoor activities before 11am or after 3pm when possible
• Window Protection: UV-filtering window films for cars and homes, particularly important for those who spend significant time driving
• Sun Protection Apps: Recommendations for reliable UV index apps that provide real-time protection advice
• Vitamin D Balance: Guidance on maintaining adequate vitamin D levels while practicing sun protection

This comprehensive approach ensures that sun protection becomes an integrated part of daily life rather than an occasional consideration.

Special Considerations for Children

Childhood sun exposure is a critical factor in lifetime skin cancer risk. At Lambert Medical Practice, we provide specific guidance for parents:

• Children under 6 months should be kept out of direct sunlight entirely
• For children 6 months and older, use child-specific sunscreens with mineral filters
• Establish sun protection habits early to create lifelong patterns
• Lead by example – children are more likely to adopt sun protection measures if they see adults doing the same
• Consider UV-protective swimwear and hats for water activities
• Schedule outdoor activities to avoid peak UV hours

By protecting children's skin from an early age, we can significantly reduce their lifetime risk of developing skin cancer.

Pillar Two: Detection - Finding Skin Cancer at Its Earliest, Most Treatable Stage

The second pillar of our approach at Lambert Medical Practice in Surbiton focuses on early detection. When skin cancer is identified in its earliest stages, treatment is typically simpler, less invasive, and more likely to be successful.

Risk Assessment: Understanding Your Personal Risk Profile

Not everyone has the same risk of developing skin cancer. At Lambert Medical Practice, we conduct thorough risk assessments to determine your personal risk level and appropriate screening frequency. Key risk factors include:

Non-Modifiable Risk Factors

• Skin Type: Fair skin that burns easily (Fitzpatrick types I and II) carries higher risk
• Hair and Eye Color: Blonde or red hair and blue, green, or gray eyes are associated with increased risk
• Mole Count: Having more than 50 common moles or any atypical moles increases risk
• Family History: First-degree relatives with melanoma significantly elevate risk
• Personal History: Previous skin cancers substantially increase the risk of developing additional skin cancers
• Age: Risk increases with age, though skin cancer can affect people of all ages
• Genetic Conditions: Certain inherited conditions like xeroderma pigmentosum dramatically increase risk

Modifiable Risk Factors

• Sun Exposure History: Cumulative lifetime exposure and history of sunburns, especially blistering sunburns in childhood
• Tanning Bed Use: Any history of indoor tanning increases risk, with greater risk for those who started at younger ages
• Immunosuppression: Conditions or medications that suppress the immune system
• Occupational Exposure: Outdoor work without adequate protection

Based on your comprehensive risk assessment, we develop a personalized screening schedule and provide tailored advice on self-examination and protection strategies.

Professional Skin Examinations

At Lambert Medical Practice in Surbiton, we offer thorough professional skin examinations as a cornerstone of early detection:

What Our Skin Examinations Include

• Comprehensive examination of the entire skin surface, including areas not exposed to the sun
• Dermoscopy (epiluminescence microscopy) for detailed examination of concerning lesions
• Digital documentation of suspicious moles for monitoring changes over time
• Assessment of specific lesions of concern identified by the patient
• Education on self-examination techniques and warning signs

Recommended Examination Frequency

• High-Risk Individuals: Every 3-6 months
• Moderate-Risk Individuals: Annually
• Lower-Risk Individuals: Every 1-2 years

These recommendations are adjusted based on individual factors and any changes in risk status.

Teaching Effective Self-Examination

Between professional examinations, regular self-checks are vital for early detection. At Lambert Medical Practice, we provide detailed guidance on performing thorough self-examinations:

The Monthly Self-Examination Process

1. Examine your body front and back in a full-length mirror, then right and left sides with arms raised
2. Check your forearms, underarms, palms, and backs of hands
3. Look at the backs of your legs and feet, the spaces between your toes, and the soles of your feet
4. Use a hand mirror to examine the back of your neck and scalp, parting hair for a closer look
5. Check your back and buttocks with a hand mirror

What to Look For: The ABCDE Rule

• A - Asymmetry: One half of the mole doesn't match the other
• B - Border: Irregular, scalloped, or poorly defined borders
• C - Color: Variations in color within the same mole
• D - Diameter: Larger than 6mm (though melanomas can sometimes be smaller)
• E - Evolving: Changing in size, shape, color, or elevation, or new symptoms such as bleeding, itching, or crusting

We also teach patients about the "Ugly Duckling" sign – looking for moles that stand out as different from surrounding moles – and specific warning signs for non-melanoma skin cancers.

Technology-Enhanced Detection

At Lambert Medical Practice in Surbiton, we utilize advanced technologies to enhance our detection capabilities:

• Digital Dermoscopy: Allows detailed visualization of skin structures not visible to the naked eye
• Sequential Digital Imaging: For monitoring changes in suspicious lesions over time
• Referral for Advanced Imaging: When appropriate, we can refer patients for specialized techniques such as confocal microscopy or optical coherence tomography

These technologies help us identify suspicious lesions at the earliest possible stage, often before they become visible to the naked eye.

Pillar Three: Treatment - Effective Management When Cancer is Detected

The third pillar of our approach at Lambert Medical Practice focuses on prompt, effective treatment when skin cancer is detected. While we hope prevention and early detection will minimize the need for treatment, we ensure seamless access to appropriate care when necessary.

Biopsy and Diagnosis

When a suspicious lesion is identified, the diagnostic process typically involves:

• Clinical Assessment: Detailed examination of the concerning lesion using dermoscopy and other appropriate techniques
• Skin Biopsy: If warranted, we can perform certain types of biopsies in our practice or refer to a dermatologist for more complex procedures
• Histopathological Examination: Laboratory analysis of the biopsied tissue to confirm diagnosis and determine cancer type and characteristics
• Staging Investigations: For confirmed melanomas or advanced non-melanoma skin cancers, additional tests may be needed to determine if the cancer has spread

Throughout this process, our team at Lambert Medical Practice in Surbiton provides clear communication, emotional support, and coordination of care.

Treatment Pathways

Treatment approaches vary based on the type, location, and stage of skin cancer. We work closely with dermatologists, plastic surgeons, and oncologists to ensure our patients receive optimal care:

Non-Melanoma Skin Cancer Treatments

• Surgical Excision: Removal of the cancer and a margin of healthy tissue
• Mohs Micrographic Surgery: A specialized technique that progressively removes thin layers of cancer-containing skin and examines them until only cancer-free tissue remains
• Curettage and Electrodesiccation: Scraping away cancer cells and applying an electric current to destroy any remaining cells
• Cryotherapy: Freezing cancerous tissue with liquid nitrogen
• Topical Treatments: Medications applied to the skin for certain superficial cancers
• Photodynamic Therapy: Using light-sensitive drugs and a light source to destroy cancer cells
• Radiation Therapy: For cases where surgery isn't appropriate

Melanoma Treatments

• Wide Local Excision: Surgical removal of the melanoma and a significant margin of surrounding tissue
• Sentinel Lymph Node Biopsy: For melanomas of certain thickness to check if cancer has spread to nearby lymph nodes
• Lymph Node Dissection: Removal of affected lymph nodes if cancer has spread
• Targeted Therapy: Drugs that target specific genetic changes in melanoma cells
• Immunotherapy: Treatments that help the immune system recognize and attack cancer cells
• Radiation Therapy: Sometimes used after surgery or for melanomas that can't be removed surgically

Our role at Lambert Medical Practice includes helping patients understand their treatment options, coordinating referrals to specialists, and providing ongoing support throughout the treatment journey.

The Referral Process: What to Expect

If we identify a suspicious lesion requiring specialist assessment or treatment, our referral process is designed to be efficient and transparent:

1. Urgent Referral: Suspicious lesions are referred via the urgent suspected cancer pathway (two-week wait)
2. Specialist Selection: We refer to appropriate specialists based on the type and location of the lesion and your individual needs
3. Information Transfer: Comprehensive clinical information and images are shared with the specialist
4. Appointment Coordination: Our team helps facilitate timely appointments
5. Ongoing Communication: We maintain contact with both you and the specialist throughout the process

This streamlined process ensures that when a concerning lesion is identified, you receive specialist care without unnecessary delays.

Post-Treatment Support and Surveillance

After skin cancer treatment, ongoing support and surveillance are essential. At Lambert Medical Practice in Surbiton, we provide:

• Regular Follow-Up Examinations: More frequent skin checks following a skin cancer diagnosis
• Scar Management: Advice on optimal healing and, when necessary, referral for scar revision
• Psychological Support: Recognition of the emotional impact of a cancer diagnosis and appropriate support or referrals
• Enhanced Prevention Strategies: Intensified sun protection advice to reduce the risk of additional skin cancers
• Coordination with Specialists: Ongoing communication with dermatologists and other specialists involved in your care

This comprehensive follow-up care helps ensure optimal recovery and reduces the risk of future skin cancers.

Stories of Early Detection Success

At Lambert Medical Practice in Surbiton, we've witnessed numerous cases where our comprehensive approach to skin cancer has made a significant difference in patients' lives. While maintaining strict confidentiality, we'd like to share some anonymized success stories that highlight the importance of our three-pillar approach.

John's Story: The Importance of Regular Screening

John, a 58-year-old with fair skin and a history of outdoor work, had no concerning skin lesions that he had noticed. During a routine health check at Lambert Medical Practice, our GP recommended a full skin examination based on his risk factors. This examination revealed a small, subtle lesion on his upper back that showed concerning features under dermoscopic examination.

The lesion was biopsied and confirmed to be an early melanoma with a thickness of just 0.4mm (Stage IA). At this early stage, the treatment was relatively simple – a wide local excision with no need for further treatments. The prognosis for Stage IA melanoma is excellent, with a five-year survival rate of over 97%.

Had this melanoma remained undetected for another year or more, it likely would have progressed to a more advanced stage, potentially requiring more extensive surgery, lymph node assessment, and possibly systemic therapy, with a significantly reduced survival rate.

John now attends regular skin checks every six months and has become vigilant about sun protection and self-examination.

Sarah's Story: Self-Examination Saves Lives

Sarah, a 42-year-old mother of two, attended one of our skin cancer awareness sessions at Lambert Medical Practice in Surbiton. During the session, she learned about the ABCDE method of self-examination and the importance of checking areas not easily visible.

Two months later, Sarah noticed a mole on her calf that had changed in appearance. Remembering what she had learned, she promptly booked an appointment at our practice. Our examination confirmed that the mole showed several concerning features, and Sarah was referred urgently to a dermatologist.

The mole was removed and diagnosed as a melanoma in situ – the earliest stage of melanoma where the cancer cells are confined to the top layer of the skin. At this stage, the cure rate with appropriate surgical treatment is nearly 100%.

Sarah's case highlights how education about self-examination can lead to the earliest possible detection, when treatment is simplest and most effective.

Robert's Story: Comprehensive Care for High-Risk Patients

Robert, a 67-year-old with a previous history of basal cell carcinoma, was enrolled in our high-risk monitoring program at Lambert Medical Practice. This program included more frequent skin checks and detailed mapping of existing moles.

During one of his scheduled examinations, we identified a small, pearly nodule on his nose that had developed since his previous check six months earlier. Given its appearance and Robert's history, we suspected another basal cell carcinoma and arranged an urgent dermatology referral.

The diagnosis was confirmed, and Robert underwent Mohs micrographic surgery – a specialized technique that removes the cancer layer by layer, examining each layer microscopically until all cancer cells are removed. This technique is particularly valuable for facial lesions as it preserves as much healthy tissue as possible while ensuring complete cancer removal.

The early detection meant that the surgery was relatively minor, with excellent cosmetic results and minimal disruption to Robert's life. Had the lesion been allowed to grow larger, the surgery would have been more extensive with potentially more noticeable scarring.

These success stories underscore the value of our comprehensive approach to skin cancer at Lambert Medical Practice in Surbiton, combining prevention, early detection, and prompt treatment to achieve the best possible outcomes.

Taking the Next Step: How to Access Our Skin Cancer Services

If you're concerned about your skin cancer risk or have noticed changes in your skin, accessing our services at Lambert Medical Practice in Surbiton is straightforward:

Booking a Skin Check or Consultation

You can arrange an appointment through several convenient channels:

• Phone: Call our reception team at 0208 133 5694
• Email: Contact us at reception@lambertsportsclinic.co.uk
• Online: Use our secure online booking system on our website
• In Person: Speak to our reception team during your next visit

When booking, please mention if you have specific skin concerns or if you're requesting a routine skin check, as this helps us allocate the appropriate appointment length.

What to Expect at Your Appointment

Your skin health appointment at Lambert Medical Practice will typically include:

1. Discussion of your skin cancer risk factors and any specific concerns
2. Thorough examination of your skin, with particular attention to any areas of concern
3. Dermoscopic examination of suspicious lesions
4. Explanation of findings and recommendations
5. Development of a personalized prevention and monitoring plan
6. Referral for further investigation or treatment if necessary

We strive to make the process comfortable, thorough, and informative, ensuring you leave with a clear understanding of your skin health and next steps.