STORY BYAt age 29, Suzanna Vaught-Martin decided it was time to roll up her sleeves and be more vigilant about monitoring suspicious-looking moles that cover her arms and other parts of her body.
She already was doing routine spot checks and having atypical moles removed. However, with the hundreds of moles that grace her fair skin and her significant family history of basal and squamous cell carcinomas, Vaught-Martin felt that wasn’t enough.
Dr. Adelaide Hebert, professor and vice chairman of dermatology at The University of Texas Medical School at Houston, says when multiple atypical moles are involved, it can be a daunting task for both patient and doctor to detect subtle changes.
Vaught-Martin watches computer
screen that displays images of her
moles taken by Dr. Hebert.
Photo by Meredith Raine
MoleMax II, one of only three digital imaging systems in Texas, located at UT Medical School at Houston, helps to document more accurately those suspicious moles and skin lesions. The machine’s microscope is housed in a trigger-like device that Hebert points directly at a mole or skin spot. It illuminates the mole, magnifies the image 30 times, takes a picture, maps the position of the mole on the patient’s body, and then saves the image to a computer disk.
The disk can be used for yearly comparisons to see whether the mole is growing or changing. Patients can give the disk to their regular physician to use as a baseline for comparison or return to the UT-Houston dermatology clinic annually for follow-up examinations.
“When people have a lot of moles, it’s impossible for their doctor to really remember where every mole is and whether it has changed,” Hebert says. MoleMax can display side-by-side comparisons of the moles on a split computer screen, eliminating doubt, or having to rely on chart notes or patient observation.
“With the MoleMax, you literally measure the size of the mole with the computer, so you know categorically whether it’s bigger or smaller,” she says.
The magnification provides greater clarity of the features of the mole, and in some cases, can eliminate the need for a biopsy.
MoleMax ‘s image of patient’s arm.
Photo by Meredith Raine
“We can visualize the mole more accurately,” Hebert said. “It can prevent us from removing moles that are normal but may look atypical to the naked eye or hand-held magnification.” Hebert recommends the mole-mapping procedure to patients who have moles on areas of their body that they can’t easily monitor, a family history of skin cancer or multiple, atypical moles.
The mapping is painless and takes about an hour for each 50 moles that are charted. Ultimately, UT-Houston’s mole mapping technology can save lives, Hebert says. The death rate from melanoma has risen about two percent annually since 1960, and the American Cancer Society estimates there will be 47,700 new cases of melanoma in the United States this year. Early detection is the key to curing almost all skin cancers, Hebert says, yet an estimated 7,700 with die.
Vaught-Martin says MoleMax II also provides peace of mind. “People usually don’t think about their risk of skin cancer until they are in their 50s, and that may be too late,” she said. “It’s important to start a routine of identifying moles and the changes they go through early on. Having technology that helps you keep a close eye on those changes is great.
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Dr. Adelaide Hebert is a professor in the Department of Dermatology at the UT Medical School.
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Eating healthy
reverses metabolic syndrome
Dr. Tasnime Akbaraly of University College London and her colleagues were interested if healthy eating could actually turn-the-tide and reverse metabolic syndrome, which is having 3 or more of the following risk factors: excess abdominal fat; high triglycerides, hypertension, low levels of HDL the “good” cholesterol, or type 2 diabetes. Having metabolic syndrome doubles a persons’ risk of heart disease and greatly increases the odds of developing type 2 diabetes.
The researchers studied 339 British civil servants with metabolic syndrome, and how closely the adhered to the Alternative Healthy Eating Index (AHEI) to see if it could help reverse metabolic syndrome. The AHEI is a set of published nutritional guidelines by the Harvard School of Public Health in 2002 that emphasizes whole grains, fruits, vegetables and decreased red meat consumption.
Five years into the study, nearly 50% no longer had metabolic syndrome. People who followed the AHEI guidelines the closest were nearly twice as likely to have reversed their metabolic syndrome. The results of the study were published in Diabetes Care, online July 29, 2010.
Dr. Alice Lichtenstein, an expert on diet and heart health from Tufts University in Boston who was not involved in the study said, "It's not about focusing on individual components of the diet, it's really the whole package, and that becomes important because it means that if one of the components of a healthy diet is to eat more fruits and vegetables, just buying a pill saying that there's a concentrated extract of fruits and vegetables is probably not what's going to help you."
Call and make an appointment with Wellness Coach Sam Hester, CWC, CPT, LWMC, at 713-500-3327. It's confidential and free. For more information on the wellness services provided, visit UT Counseling and WorkLife Services.
