{"id":137133,"date":"2018-04-30T09:00:05","date_gmt":"2018-04-30T13:00:05","guid":{"rendered":"https:\/\/today.uconn.edu\/?post_type=school-college-post&#038;p=137133"},"modified":"2018-04-30T09:00:05","modified_gmt":"2018-04-30T13:00:05","slug":"power-light-limits-skin-cancer-biopsies","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2018\/04\/power-light-limits-skin-cancer-biopsies\/","title":{"rendered":"The Power of Light Limits Skin Cancer Biopsies"},"content":{"rendered":"<p>UConn Health dermatologists are leading the way in shining light on suspicious skin lesions and moles to help patients avoid unnecessary skin cancer biopsies.<\/p>\n<p>The tool is called reflectance confocal microscopy. It uses a painless, completely safe laser light to visualize skin cells on a cellular level and help doctors identify the most common type of cancer \u2500 skin cancer, especially in its deadliest form known as melanoma.<\/p>\n<p>Confocal technology allows dermatologists to takes a non-invasive look into the skin of a suspicious lesion or mole to see if the skin\u2019s cells show any warning signs of cancer. If they do not, the closer look allows patients to avoid a biopsy or mole removal. If the lesion looks suspicious, the patient can be referred for definitive surgery \u2013 resulting in one surgery rather than two.<\/p>\n<blockquote>\n  <p> &#8220;Up to 60 percent of our patients with a suspicious skin lesion or mole are being spared a biopsy&#8221;  <cite> &#8212 Dr. Jane Grant-Kels<\/cite><\/p>\n<\/blockquote>\n<p>\u201cThis is a big clinical breakthrough in dermatology. Up to 60 percent of our patients with a suspicious skin lesion or mole are being spared a biopsy,\u201d said Physician-Researcher <a href=\"http:\/\/facultydirectory.uchc.edu\/profile?profileId=Grant-kels-Jane\">Dr. Jane Grant-Kels<\/a> of UConn Health who serves as professor and vice chair of the <a href=\"https:\/\/health.uconn.edu\/dermatology\/\">Department of Dermatology<\/a> and director of the UConn Cutaneous Oncology Center and Melanoma Program. \u201cWe are so proud to be considered one of the leading skin cancer centers in the world in the use and research of this technology truly benefitting patient care.\u201d <strong><br \/>\n<\/strong><br \/>\n\u201cPatients are thrilled with the innovation,\u201d said Grant-Kels who says thanks to confocal technology more patients are feeling more comfortable coming in for their annual skin checks knowing their skin lesion or mole is not just immediately going to be biopsied or cut out.<\/p>\n<aside class=\"grey-sidebar full-sidebar\">\n  <\/p>\n<h3>Melanoma Survivor Avoids the Biopsy Knife<\/h3>\n<p><img decoding=\"async\" class=\"wp-image-137177 alignleft img-responsive lazyload\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/Joan-Needle-Resized_20180419_123317-225x300.jpeg\" alt=\"\" width=\"160\" height=\"213\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/Joan-Needle-Resized_20180419_123317-225x300.jpeg 225w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/Joan-Needle-Resized_20180419_123317-315x420.jpeg 315w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/Joan-Needle-Resized_20180419_123317.jpeg 720w\" data-sizes=\"(max-width: 160px) 100vw, 160px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 160px; --smush-placeholder-aspect-ratio: 160\/213;\" \/>Joan Needle, 77, of Middletown was never a sun worshiper, nor considered high-risk risk for skin cancer or have a family history of the disease.<\/p>\n<p>But one day she says it just happened to her, as skin cancer doesn\u2019t discriminate.<\/p>\n<p>\u201cSeveral years ago I found a little, strange black spot on my skin,\u201d said Needle. \u201cTurns out a biopsy showed I had a melanoma. Sometimes you just have an angel on your shoulder looking out for you.\u201d<\/p>\n<p>Since her successful surgery to remove her potentially dangerous melanoma, Needle has been getting regular skin-checks every six months with Dr. Jane Grant-Kels of UConn Health\u2019s Dermatology Department.<\/p>\n<p>This spring Grant-Kels noticed a tiny, suspicious spot on Needle\u2019s leg. But this time Needle was able to avoid the biopsy knife thanks to confocal technology. The device\u2019s painless, safe laser light assisted Grant-Kels in taking a non-invasive look below the skin lesion\u2019s surface to examine its cellular make-up to see if it might be cancerous.<\/p>\n<p>\u201cFortunately, it was just a sun spot,\u201d reports Needle.<\/p>\n<p>\u201cThe laser light procedure is amazing with no pain,\u201d said Needle. \u201cDr. Grant-Kels was able to easily use the confocal machine\u2019s little laser light right on my leg to avoid a biopsy in this tough to heal area.\u201d<\/p>\n<p>Needle stresses: \u201cWe all know when it comes to skin-checks, the less cutting the better!\u201d<\/p>\n<p>\u201cNow with so many new advances, if you get regular skin-checks and act quickly you can beat skin cancer, even melanoma,\u201d said Needle. \u201cBut you really have to be alert to your own health and stay on the ball with any skin changes.\u201d <\/aside>\n<p>Grant-Kels is urging more dermatologists to become \u201cconfocalists\u201d across the country. However, she is concerned that even though the tried and true technology is proven to be effective and not experimental with hundreds of supportive studies it is being only slowly adopted by dermatologists.<\/p>\n<p>Why? Only some insurance companies are providing coverage for confocal screening leaving many patients responsible for the cost. Grant-Kels believes this is really unacceptable and is working with the American Academy of Dermatology to rectify this and make this technology available to everyone no matter what their insurance. Her team at UConn Health Dermatology are currently advocating for greater insurance coverage of the technology benefiting patients.<\/p>\n<p><img decoding=\"async\" class=\"wp-image-137148 alignright img-responsive lazyload\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/confocal-cropped-tight-300x254.jpg\" alt=\"\" width=\"369\" height=\"312\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/confocal-cropped-tight-300x254.jpg 300w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/confocal-cropped-tight-768x650.jpg 768w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/confocal-cropped-tight-1024x867.jpg 1024w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2018\/04\/confocal-cropped-tight-496x420.jpg 496w\" data-sizes=\"(max-width: 369px) 100vw, 369px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 369px; --smush-placeholder-aspect-ratio: 369\/312;\" \/>Since skin cancer doesn\u2019t discriminate, Grant-Kels urges everyone, no matter their skin color, to take action to protect their skin daily through: an annual skin check at the dermatologist\u2019s office, being aware of any skin changes and bringing them to the attention of your primary care doctor or dermatologist as soon as possible, daily and repeat application of sunscreen and wearing sun safe clothing, avoiding mid-day sun, and embracing your skin color by avoiding becoming tan by the sun and especially tanning booths.<\/p>\n<p>\u201cMany people still like to get tanned by the sun and tanning parlors remain a billion dollar industry,\u201d said Grant-Kels. \u201cUntil our sun safety behavior changes, we are still facing a serious skin cancer crisis in our country.\u201d<\/p>\n<p>It is important to take note of the startling skin cancer statistics. More people are diagnosed with skin cancer each year in the U.S. than all other cancers combined Currently 1 in 5 people in the U.S. will develop a skin cancer by the age of 70. More than 5.4 million cases of nonmelanoma skin cancer are treated in the U.S. every year.<\/p>\n<p>Unfortunately, during the last 30 years the rate of melanoma cases have doubled. The majority of those diagnosed are older men but the fastest growing rate of diagnosis is occurring in younger women under 30 years of age. The uptick in young women may be linked to indoor tanning trend which significantly increases one\u2019s risk for developing melanoma.<\/p>\n<p>According to Grant-Kels, the good news is that early diagnosis of a skin cancer or melanoma can saves lives. \u201cYou need to make sure you pay close attention to your skin, flag any changes for your physician, and be sure to visit your dermatologist for a skin-check each year especially if you are over the age of 50,\u201d stresses Grant-Kels.<\/p>\n<p>If a skin cancer is diagnosed, UConn Health\u2019s collaborative clinic based in one location in the Department of Dermatology is organized with all the advanced technology and expertise across the disciplines of dermatology, oncology, and surgical oncology to meet a skin cancer patient\u2019s appointment and care needs.<\/p>\n<p><em>To learn more about dermatology services at UConn Health visit:\u00a0<\/em><a href=\"http:\/\/health.uconn.edu\/dermatology\/\"><em>http:\/\/health.uconn.edu\/dermatology\/<\/em><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Up to 60 percent of UConn Health dermatology patients with a suspicious skin lesion or mole are being spared a biopsy thanks to a technological advancement called confocal. This is a big clinical breakthrough in dermatology according to Dr. Jane Grant-Kels that more dermatologists should become trained to use. <\/p>\n","protected":false},"author":98,"featured_media":114760,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[1868],"tags":[],"magazine-issues":[],"coauthors":[1873],"class_list":["post-137133","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-meds"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-26 02:22:26","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/137133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/users\/98"}],"replies":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/comments?post=137133"}],"version-history":[{"count":0,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/137133\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media\/114760"}],"wp:attachment":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media?parent=137133"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/categories?post=137133"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/tags?post=137133"},{"taxonomy":"magazine-issue","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/magazine-issues?post=137133"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/coauthors?post=137133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}