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SQUAMOUS CELL CARCINOMA

???????????? ????????? ??? ???????? ??? ???????? ??? The Skin Cancer Foundation
Penny Emmanouil, MD - Advisor of Skin Cancer Foundation USA for Greece

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?????????? ?? ??? ??????? ?o? ???? ???????????? ??????????.
??????? 450.000 ??? ??????????? ???????????????? ???????????? (SCC) ??????????????? ???????. ?? ??????? ???? ??????? ???? ??? ????? ????????, ??? ??????? ???? ????? ??? ??????????? ??????? ??? ???????? (???? ??? ?? ??????????????? ?????????).
???? ? ????? ???????? ?????????? ??? ??????-??????? ??? ?? ????? ??????????? ?? ?????????? ????? ??? ???????????? ????????? ??? ???????? (? ??????????). ?? ??????????????? ??????????? ???????? ?? ??????????? ?? ??????????? ??????? ??? ???????? ??????????????????? ??? ??????????? ??? ???????? ??? ??? ?????????? ???????. ?????? ???????????? ??? ????? ?? ?????? ?? ????? ?????????? ???? ???? ???? ?.?. ??? ???????? ??? ??????, ?? ???? ??????, ?? ???????, ?? ??????? ????? ???? ???????, ??? ?????, ?? ?????, ???? ????????? ????? ?????? ??? ??? ?????. ????? ?? ????? ??? ?????? ???? ???????? ?????? ??? ?? ???? ????????? ????? ??? ??? ????, ????????? ???????, ??????? ??? ????? ????? ?????? ??? ??????? ??? ?????????????.

????? ?????? ?? ??????????
????? ?? ???????????? ??????????, ????? ?????? ??? ????, ??????? ? ???? ????? ??????? ???? ?????? ?????? ????????. ???? ???????????? ?? ???????? ?????????? ??????? ???? ???? ?????? ?????? ???? ????? ?????? ????????. ????? ??? ?????? ?? ????????? ??????? ?????? ???? ????????? ?? ????????? ???? ? ?? ????? ??????? ?????? ??? ??? ???????? ???? ????? ???? ???? ?????????? ???????????. ??????? ? ?????? ???? ??? ???????? ??????????????? ????????? (BCC), ???? ??????????? ??????????? ?? ????????? ??????????????? ????????? (SCC) ???? ????????? ??? ????? ?? ????? ????? ??????????? ?????????? ??? UV? ??????????? ???? ????? ??? ????? ?????????????? ??????????.
?? ?????? ????? ????????? ??????????? ?? ??? ?? ???????? ?? ??????????? ??? ??????????????? ????????? (SCC). ?????? ??????????? ?? ????? ???? ??? ?????? ??? 50 ????. ????????? ?????????? ?? ????? ?? ????? ???????? ??? ?????? ???????? ??? ???? ????.
? ?????????? ??? ???????? ??? ???????? ????? ????-??????????? ????? ?? ???????????????? (SCC) ??? ???????????? ?? ???????? ??? ???????? ???? ????????? ?????????? ????? ? ???????. ???? ?? ??????? ??? ?? ???????? ?? ?????? ??????????? ?????????? ????? ????????? ??????????? ?? ?????????? ??????? ??? ???????? ?? ???????? ?? ????? ?? ????? ????? ???????????? ??????????, ????? ???????? ???? ??? ???? ?? ?????????????? ??? ??? ????.


??????
? ?????? ?????? ???? ?????? ??????????? ???????? ??? ????? ??? ??? ???????????? ??????????? ???????????????? ????????????. ? ????? ????? ??? ???????? ??????????? (tanning beds, solarium) ?????? ??????????? ??? ??????? ??? ???????????????? ????????????. ?? ???????? ?? ?????? ?? ????????????? ????? ???? 2,5 ????? ?????????? ?????????? ?? ?????????? ??????????????? ?????????(SCC), ?? ??? ??????? ?? ?????? ??? ?????? ?????. T? ???????? ??? ????? ????????? ???????? ????. ? ???????? ??????? ?? ???????????? ?? ?????????, ?????, ???? ??????????? ?????? ??? ?????? ??? ???????? ?? ????? ????? ??????? ???? ?? ??????????? ???? ?? ???????????? ?????? ???? ?.?. ???????? ??? ???-???????? ??????????.
??????????????? ????????? ??????? ?? ????????? ?? ??????????? ????????? ???? ??? ?? ?????????? ?????. ???????? ? ??????? ??? ??? ????????? ?? ??? ???????????????? (HIV) ??? ????? ????????? ??? ??????????????, ? ??????????????, ?? ??????? ?? ????? ???????????????? ???? ???????????? ??????? ??? ??? ??????? ????????? ????? ??? ? ?????????? ?????? ???? ???? ????????????? ?? ????????????? ???????, ??????????? ?? ??????? ?? ????????????? ?????????. ???? ???? ??? ???????? ??? ???????? ??????? ????????? ???????????????? ??? ????? ???????? ??? ????????.
?????????? ??????????????? ????????? ??????????? ??????? ?? ???????????, ????? ?????. ??????? ??????????? ????????? ???????????? ??? ? ?????????? ????????? ????? ??? ???????? ????? ????????????.


???????????????? ?????? ????? ?? ????? ????
????????? ?????????? ????? ? ????????????? ??????, ?? ???????????? ??? ???? ??????? ??????????? ??? ???????????? ?????? ???????????, ????? ????? ?? ??? ???????? ??? ???????????????? ???????? (SCC).


????????? ? ??????? ??????????????
?? ??????????? ?? ?????? ???????? ???????????? ???????, ??u??????????, ??????? ?????????? ??????. ????? ?? ????? ????? ?????????? ????? ?? ???????? ??? 1??. ??? 1??. ?????????? ?? ?????? ??? ???????? ?? ????? ????? ??????? ???? ????. ??????? ?????????? ?? ??????????? ?? ????? ???? ???? ??? ???????? ???????????????? ???????? (SCC). ??????? ???????????? ??? ????????? ??? ??? ?????? ????? ??? ???????????????? ????????. ??????? ?? ??????? 2 ??? 10% ??? ?? ???????????? ????????? ?????????????? (AK) ????????????? ?? ??????????????? ???????.?????? 40 ??? 60 % ??? ???????????????? ???????????? (SCC) ???????? ??? ?? ???????????? ????????? ?????????????? (AKs).


???????? ?????????
? ???????? ????????? ????? ??? ????? ????????? ????????????? ??????????? ????????? ??? ???? ??????, ??????????? ????????, ????????? ??? ????????? ????? ? ??????. ????? ???? ??? ???? ??????? ?????? ????????? ??????????? ???? ???? ?? ???????? ?? ?? ??? ??????. ??? ??? ?????????????? ?????, ? ???????? ?????????, ?????? ?? ???????? ?? ??????????????? ??????? (SCC) ??? ??????.


???????????
????? ???????????? ??? ???????? ?? ?????? ??????? ???? ??????, ????, ??????? ? ????? ??? ????????? ????????? ????? ??? ?????????? ?? ?????????? ?? ??????????????? ?????????. ????? ??????????? ??? ?????? ???????? ???? ?.?. ????? ?????????? ??????, ???????? ???????? ????? ??? ?????? ??????????????. ????? ????? ????????????, ???????? ??? ???????????? ?????????, ?? ???????? ?????? ?? ????????? ????? ??? ??????? ???. ? ??????????? ???? ??? ????? ??????????? ?????? ??? ??? ????.


????? BOWEN
????????? ?????? ??? ??????, ?? ????????? ?????? ??? ???????????????? ????????????. ??????????? ?? ?????????? ??????????, ???????? ????? ??? ??????? ??? ??????? ? ??????. ??? ??? ?????????????? ????? ??????? ?? ???????? ???????? ????????. H ????? Bowen ??????????? ???????? ??? ??????? ???? ???? ? ??? ???????? ???? ??? ????? ??????????, ?????? ???????????, ???????????, ????????? ?????????? ??? ???????? ????????? ?????? ??? ?????. ? ?????????? ??? ??? ????????? (HPV), ? ?????? ??????????? ?????? ???? ??? ??????????? ??????, ???????? ??? ??? ??? ?????????? ??? ????? Bowen ??? ????????? ??????. ? ???????? ????, ??????? ?? ????????? ????? ???????????? ??? ????? ? ??? ???????? ???? ??? ??? ?????. ?? 2006 ?? FDA ???????? ?? ??????? HPV, ??? ????? ??????? ?????? 9 ??? 26 ????. ???? ?????????? ????????? ??????????????, ???? ??????? HPV ??? ??????? ???? ?????? ??? ???????????? ??? ????????? ??????, ??? ???????? ??? ???????? ??? ?????? ??? ??? ????? Bowen.


?????????
?? ??????????????? ????????? (SCC) ??????????? ?? ??? ??????? ?????, ???????, ???????? ????? ? ????? ??????? ?? ???????????? ??? ???????? ???? ?????. ????? ??????? ?? ?????? ??? ??????? ????? ??????????? ?? ??? ??????? ????? ?? ???????? ???? ??? ????????? ???? ????????? ? ??? ????????? ??? ???????? ?????? ????.


PHOTOS

??? ???????, ????????? ?????? ????? ?? ??????? ???? ? ????? ?????? ?????????? ??? ?????? ??????????..

???? ????????? ????? ?? ??? ???????? ???????? ?? ????? ???????????? ??????????. ???? ????? ????? ??? ????? ????? ??????? ?? ??????? ??????? ?? ???????.

??? ??????? ????? ? ????? ??????????, ????????? ???????? ??? ???????? ??? ?????????.

???? ????? ??? ??????? ?? ??????, ????????? ???????? ??? ???????????? ??????????.


E??????? ??? ??????????? ??? ???????????????? ????????????, ??????????? ?????? ????????????? ?? ???????????? ????, ??? ??????? ????? ??? ???????? ? ? ??????? ???? ???? ????? ?? ?????? ?? ???????????? ??? ????? ???????? ?? ??????.


??????????? ?????????
???? ?? ??????????????? ????????? (SCC) ??????????? ?? ?????? ?????? ??? ?????????? ?????, ?????? ????? ??????????? ??? ???? ????????? ??? ???? ?????????? ?????, ????? ????????. ??? ???? ??? ??????????????, ???? ?????? ????????? ???? ???????????? ?????? ??? ??????? ????????. ??? ????? ??????? ??????? ?? ????? ????????? ?? ??????????????? ?????? ??? ?????? ??? ?????? ????? ?? ?????? ??? ??????????. ??????? ? ???????, ?? ?????? ?? ??? ??????????? ?????? ???? ????? ???????????. ? ???????? ?? ????? ??????? ????? ???????? ????? (???????) ??? ?? ???????? ??? ???????????. ?? ????????? ???? ??? ?????, ???????????? ????????? ??????? ?????????? ????????.
??????? ???????? ??????? ??????????????? ?????? ?? ?????????? ?? ??????????????? ????????? (SCC). T? ????? ??? ?????????????, ????????? ??? ??? ????, ???????, ?????? ??????????, ?? ????? ??? ?????, ??? ?????? ??? ??? ?????????? ????? ??? ??????.
? ???????? ???????? ???? ??? ??????? ??? ?????? ? ?? ???????. ???? ???????????? ???????????? ?????????? ?????????? ?????? ??????????, ? ?????, ? ???????? ??? ????? ??????? ? ??????? ????? ???????? ??? ?????? ??????? ??????? ????? ??????? ?????????.


???????????? ??????????? ?? ?????? MOHS
?? ??? ????? ????????? ? ??????? (??? ??????? ???????? ?? ????? ?????????), ? ?????? ??????? ??? ????? ???? ???? ?? ??? ???? ????? ?????? ????? ???? ???. ???? ? ?????? ????????? ????? ??? ?????????? ?? ???????????. E?? ? ?????, ????? ????? ?????, ??? ????? ? ???? ?????????? ????? ??? ?????, ???? ? ?????????? ???????????????, ??? ???? ????? ??? ??????????? ??? ??? ??????? ?????. M? ??? ??????????? ?????? M?hs ??????? ?????????? ???????? ?????? ?????, ????????? ??? ? ?????????? ??????? ????????????? ??? ????????, ?? ???????, 94 ??? 99 %, ???????? ??? ???????? ???????????? ???? ??? ???????????????? ???????????? (SCC). ??????????????? ????? ?? ????????????????? ?????? ? ?? ?????? ?? ?????? ????? ??????? ?????????, ? ?????????? ?? ?????? ??????? ?? ??????????? ???? ???? ??? ?? ?????, ????, ?????, ?????, ?????, ????? ? ?????. ???? ??? ??? ???????? ??? ????? ? ????? ??????????? ???? ??????, ???? ????????????? ?? ??? ????? ??? ??????? ??? ????????????? ????????? ????????????.


??????????? ????????
? ?????? ???????????? ??????? ??? ?? ????????? ???????? ??? ???? ???? ?? ??? ???????????? ??????? ?? ???? ?????? ???????? ??? ?????? ?????????. ??????? ? ????? ???? ??? ?? ??????????? ????? ??????? ?? ???????. ? ????? ? ?????? ?????????? ????????? ??? ?????????? ??? ???????????? ??????? ?? ????? ??? ??????????? ??? ??? ?? ????????? ??????? ????? ?????????. ?? ??????? ????????? ?? ???? ??? ??????? ???????? ??????? ?? 92% ??? ?????????? ?????. ?? ??????? ?????? ??? 77%, ?? ??????????? ??????????????? ???????????????? ????????????.


??????? ??? ????????????????? (?????????????)
? ????? ?????????? ???????? ?? ?? ??? ??????? ???? ??????? ??? ????????????? ?? ??? ??????? ??? ??????????????, ??? ?? ??????????? ? ?????????? ????? ??? ?? ???????? ? ??????????. ???? ? ?????????? ??????????????? ??????? ????? ?? ???????? ???????? ?? ????? ?? ???????????? ??? ??? ???????? ????????????? ????????? ???????. ?? ??????? ????????? ????? ??? ??????? ?????????? ?????? ??? ???????????? ????????? ??? ??? ???????????? ??? ???????????? ?????????? ???????????????? ???????????? (SCC) ?? ?????? ?????. ???? ??? ??????????? ??? ??????????? ??? ?????????? ?????????? ???????????????? ???????????? (SCC) ??? ??? ???? ??? ?????????? ?? ?????? ?????? ???????? ? ???????? ???????? ???? ?? ?????, ?????, ??????? ????? ??? ?????????? ???????..


???????????????
?? ???? ??? ??????, ? ?????? ??????????? ?? ???? ??? ?????, ?????????? ?? ?? ???? ????? ?? ??? ??????? ???? ???????? ????? ? ?? ??????????? ??????????? ???????. ?? ???? ??? ?????? ??? ????????? ????? ??????????? ??? ??? ??????? ???? ???? ???? ?????????? ???? ??? ???????? ??? ????? ?????????, ? ?????? ????????????? ??? ?????????? ??????? ?????, ?? ????? ??? ??????????? ??? ??????????? ???? ??? ???????? ????????. ???? ????????? ???? ??? ????? ???????????? ???????, ?????? ??????????? ??? ?????? ???? ???, ?? ???????? ??????? ????????? ????? ???????, ???? ??? ???????????????, ?? ???????? ??????????, ??????, ???????? ????????? ?? ???? ??? ????????. ?? ???????? ?? ?????? ?????????? ????? ??????? ?? ??????? ??????? ????????. ? ??????????????? ????????, ??? ??????????, ??? ?????? ???? ?????????? ???????????? ??? ????? ???????? ??????? ?? ???????? ?? ???????????? ?????????? ? ????????? ???? ??????????. ???? ?????????? ????? ???????? ???????? ???????? ?? ???????? ?? ??? ????? ???????????? ????????. ??????? ?? ??? ????? ??? ??????, ?? ??????? ?????????, ???? ???????????? ???????????? ???????????????? ???????????? (SCC) ?? ??? ?????? ????, ?? ???????? ??????????, ????????? 95% ? ??? ????????? ?? ?????????? ??????????? ??????????? ????????????. ? ??????????????? ??? ??????????????? ?????? ????? ??? ????????? ??????????????? ??????????? (SCC) ?????? ???????? ??????? ??? ?????, ???????? ?? ???????????? ?????? ??? ????????, ?? ????? ?? ????? ???????????? ??? ??? ???????????????, ??????? ?? ?????????? ?????? ??????? ????????????? ??? ?????.


???????????
?? ?????? ??????? ? ????????????? ???? ???? ??? ??? ????????? ????? ???????????? ????? ? ???????????. ? ?????????? ??? ?????, ??????? ???????, ??? ????? ????????? ????????? ??? ??? ??? ???????? ?????????. ??????? ????? ??????????, ? ???????? ?? ????? ?????????? ??? ?? ???????? ???? ?????. ?? ??????? ????????? ??????????? ??????? ?? 85 % ??? 95%. ???? ? ??????? ???????????? ????????????? ?????????? ?????????, ????????? ?? ?????? ?????????? ?? ??????????? ????? ??? ????????? ??????????. ??? ?????? ???? ??????, ???? ? ????? ?????????????, ??????????? ?? ??????, ?? ?????? ???????????? ???????? ??? ?? ??????????????? ??????????? ??? ?? ???????? ????? ??????? ??? ??????????? ?? ??????????? ???? ???? ????????? ??? ??????????? ? ??????? ?? ?????????? ?????.


???????????? ???????? (PDT)
???? ? ??????? ????? ????????? ??????? ??? ?????? ??? ??????? ??? ??? ??????? ??? ???????. ???? ?????????????? ?????????? ???? ?? ?????? 5-???????????????? ??? (5-ALA), ??????????? ?????? ????? ??????, ??? ??????? ??? ??????, ???? ??????????? ??? ?? ????????? ???????. ??? ??????? ????, ? ??????? ?????????? ??? ?? ????????????? ???????? ??????????????? ?? ??? ??????? ???? ??????? ?????. ??????????, ? ??????? ???? ??????????? ??????????????? ??????????? (SCC) ??? ????????? ???????? ???????? ????? ???? ???????????? ???? ????. ? ??????? ???? ??? ???? ???????? ??? ??? ????????? ???????? (FDA) ??? ??? ???????????? ??? ???????????????? ???????????? (SCC). ? ??????? ?? ??? ????? ?????????????? ?? ?? ????????? ??????????? ??? ??????????? ???? ?? ????? ??? ????????? ??????????????? ??????????? (SCC). A????????????????? ???? ????? ???? ?? ????????, ?? ??????????? ?????? ???? ?? ??????????? ????????????? ???? ??????????? ??? 0 ??? 52 %, ???? ? ??????? ??? ?????????? ??? ????????? ???????????. ? ?????????? ??? ?? ?????? ????????? ???????????? ????????????. ??????? ??? ????????? ?? ???????? ???????? ?????? ??????????????, ??? ?????? ???? ??????????? ?? 5- ?LA, ??? ???????? 48 ????. ?? ???? ??? ???? ? ?????? ???? ???? ?? ?????? ?? ??????????.


??????????? ???????? ?? LASER
?????????? ? ????????? ???????? ??? ???????? ??? ?? ??????? ???????? ????????? ???????? ?? ??? ????? laser ?????????? ??? ??????? (carbon dioxide) ? erbium Y.A.G. ? ??????? ????? ????????? ??? ? ?????? ???? ??? ?????????? ??????? ??? ?????? ??? ????? ??? ??????????. ????? ????? ??????? ?????????? ??? ????????? ??? ????????? ???????. ???? ????? ????????? ???????, ??? ???????? ?? ?????? ?????????????? ????????? ??????????. ??????????????? ????? ???? ?? ????? ??????? ????? ?????????? ??? ????????. ?? ???????? ???? ?? ????? ????????, ???????? ???????, ???????????? ??????????? ?? ???????????? ???? ??? ?????????????. ?????? ?? ??????????? ????????????? ???, ???? ??? ???????? ?? laser, ??????????? ??? ??? ?? ??????????? ????????????? ??? ???? ??? ???????? ?? P.D.T ?????? ??? 0 - 52%. H ???????? ????, ??? ???? ????? ???????? ??? ?? FDA ??? ??? ???????????? ??? ???????????????? ???????????? (SCC).


?????? ???????? ????????
? 5 - ?????????????? (fluorouracil 5-FU) ??? ? ????????? (imiquimod) ????? ??????????? ??? ?? ??? ??? ??? ????????? ???????? ??? ?.?? (F.D.A), ??? ??? ???????????? ??? ????????? ?????????????? (??) ????? ??? ???????????? ???????????????? ???????????? (BCC). ?????????? ????? ??????, ???? ????? ??? ????? ???? ???? ???????? ??????? ???????????? ???????????????? ???????????? (SCC). ???? ????????? ??? ?????????????? ? ???????????? ??? ????? Bowen, ???? ???? ?? ?????????? ???????????????? ???????? (SCC), ?? ??? ???????? ??? ???????? ????????. ???? ????????? ??????????????? ??????????? (SCC) ??? ?? ?????? ?? ???????????????? ?? 5-FU. ??? ??????? ??????? ????? ?????? ??? ?o imiquimod ??????? ?? ?????????? ?????????????? ?? ?????? ????????? ??????????????? (SCC), ???? ??? ????? ????? ??????????? ??? ?? F.D.A ??? ??? ???????????? ?????. ?? ?miquimod ???????? ?? ????????????? ??????? ?? ????? ?? ??????? ??????????? (interferon), ??? ?????? ?? ????? ?????????? ?? ????????? ??? ???????????? ???????.


??? ?????? ?? ???????
?? ??????????????? ??????????? ??????? ?????????? ???????????? ???? ?????????? (???? ??????? ???????? ??? ????????) ??? ?????? ??????? ????????. ???? ??? ????? ?? ????? ????????????? ???? ??? ?????????? ???????? ??????????. ?????? ??????? ???? ???????????? ?????? ??? ???? ?? ??????? ??????? ?? ???????? ?? ??????? ?????????? ??? ??????? ????? ????? ??? ???? ??????? ???? ????????, ????? ? ??????. ??? ????? ??????? ????? (????????? ??? 2 ??? ?????? 10 %) ???????????? (?????? ???????????) ?? ?????? ??????????????? ?????? ? ??????. ?? ???? ??? ????????? ?? ??????????????? ??????????? (SCC) ????? ???????? ??? ??? ??? ????????. ??????? 2.500 ???????? ????????? ???? ????? ???? ?.?.?.
?? ??????????? ????????????? ????????? ?? ?????? ??? ???????? ???? ??????? ?????? ????????, ?????????? ?????? ????? ?????? ??? ??? ????, ??? ????, ?? ?????? ??? ????? ????????????, o? o????? ???????????????? ?? ?????, ?? ???????, ?? ????????? ??????, ??? ?????? ??? ??? ????????? ??? ?????????? ???????.
???? ??? ??? ?????? ???????????? ???????? ????????? ???????????? ??????????, ?????? ?? ????????? ?????????? ????? ??? ?????? ????????? ??? ?????, ?? ?????? ????? ????????????? ????????? ???? ????????? ??? ??????? ??????, ???? ???? ??????????? ?????? ???????????? ?? ????????? ???????????? ??????????? ?? ????????? ?????????? ??? ?? ???????? ? ???????.


???? ???????????? ?? ??????????????? ????????? (SCC)
? ???????????? ??? ???? ?????????? ??? ??? ??????????????? ??????? ???? ???????? ?????????? ?? ????????? ??? ??????? ????, ?????? ??? ???? ?????? ? ?? ??????? ??? ????????. ???? ????????? ????? ?? ????? ???? ???? ??????? ?? ??????????? ????? ??? ??? ????. ??????? ?????????, ?????? ?????????? ?? ???????? ??? ?????? ??? ???? ??? ??? ????? ??? ???????????? ????????????? ???. ???? ???????????????? ???????? ?????? ?? ???????????? ????? ??? ???? ????????? ???? ??? ????? ???? ????????? ?????????? ? ????? ??? ????? ????. ??????? ??????????? ?? ?????????? ????????? ?????????? ?? ?????? ??? ????? ??????????? ? ??????????? ????????. ??????????? ?????? ??????????? ?? ?????? ?? ????????????? ?????? ???? ?????. ?? ??????????????? ??????????? (SCC) ??? ?????, ???? ??? ????? ????? ????????? ??????? ???? ????????????.
????? ??? ???? ????????? ???? ??? ????? ??? ???????????? ?????? ???????, ???????????? ???????? ?????????? ???? ????? ?? ????? ??? ??????? ????????? ??? ??????? ??????????????. ?? ????????? ??? ?????????????? ? ????????, ? ?????? ??????? ?? ???? ?? ????????? ??? ??? ??????? ???? ??? ??????????? ????? ????????? ??? ??????? ????????????? ???????? ???? Mohs ???????????? ???????????, ? ????? ????? ????????? ?????????????? ??? ??? ??????????? ????????? ??? ????????.


??????? ??? ???????? ??? ????????

????? ???????? ?????? ?? ??????????? ??? ??????? ???? ?? ??? ????????? (??????????) ?? ??????? ??? ?????? ? ???????? ??? ???????? ????? ?????? ????? ???????????? ???? ?????????? ??? ????? ??????? ????????, ????? ??? ???????? ?????????, ??? ????????? ???????? ??? ?????, ????? ??? ??????????? ????????? ??? ?????????? ??? ?????? ???.
?? ?????????? ?? ?????????? ???? ????, ?????????? ???? ??? ???? ??????? ???? 10 ?.?. ??? 4 ?.?.
?? ?????????? ?? ?????????
*?? ?????????? ??? ???????????? ????? ??? ?? ??????? ???????? (solarium) ?? U.V ???????????.
*???? ??? ?????? ??? ???? ???? ?? ????????? ?? ???? ??? ?? ?????? ?????, ????????? ?????? ??? ?????? ?????, ?? ????? ??? ???????????? ??? ??? ???????????.
*?? ??????????????? ??????????, ?????????? ?? ?????? ?????????? SPF ?????? ???????? 15 ? ?????????.
??? ????????????? ?????????????? ?? ????????? ???? ?? ?????? ????? ??????????, ???????????, ?????? ???????? (UVA / UVB) ?? ?????? ?????????? ??? 30 ??? ???.
* ?? ?????? ???????? ???????????, ?? ???????? ??? ?? 2 ????????? ?????? ?? ???????? ?? ???? ???, 30 ????? ???? ???????? ?? ????????? ????. ??????????? ??? ????????, ?? ????????? ???? 2 ???? ???? ???? ??? ??????? ? ???? ??? ?????????? ??????.
*?? ??? ???????? ?? ?????????? ???? ????. ???? ??? ?????? ??? ??????? ??? 6 ????? ?? ???? ?????? ?? ?????? ??????????.
*?? ????????? ?? ????? ??? ??? ??? ?????? ??? ?? ?????, ???? ????.
*?? ???????????? ??? ????? ???, ???? ????? ?? ????? ??? ????????????? ??????? ??? ???????? ???.


???????????? ?????????:
Perry Robins, MD. Alfred W. Kopf, MD. Ronald G. Wheeland, MD
???????????? ????????? ??? ????????:
Penny Emmanouil, MD
??????????? ?? ??? ?????? ???????:
William A. Crutcher, MD; Alfred W. Kopf, MD; Mark Lebwohl, MD; Ashfaq Marghoob, MD; Leonard J. Swinyer, MD
A Publication of The Skin Cancer Foundation

??? ???????????? ??????????? ??? ????????, ?????????????:
The Skin Cancer Foundation
149 Madison Ave., Suite 901, New York, NY 10016
www.SkinCancer.org
1990. Revised 2010.
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