Blog

Applying Sap From Common Garden Weed ‘Could Cure Skin Cancer’

I don’ know about you but quite a few of my patients try this and have had some success.  Many call it chickweed.

 

The plant has been used for centuries as a traditional folk medicine to treat conditions such as warts, asthma and several types of cancer.

But for the first time a team of scientists in Australia has carried out a clinical study of sap from Euphorbia peplus, which is related to Euphorbia plants grown in gardens in the UK.

The study of 36 patients with a total of 48 non-melanoma lesions included basal cell carcinomas (BCC), squamous cell carcinomas (SCC) and intraepidermal carcinomas (IEC), a growth of cancerous cells confined to the outer layer of the skin.

Patients had failed to respond to conventional treatment including surgery, or they refused or were unsuitable for surgery because of their age.

The patients were treated once a day for three consecutive days by an oncologist using a cotton bud to apply enough of the E.peplus sap to cover the surface of each lesion.

The initial results were impressive, says findings to be released this week in the British Journal of Dermatology.

After only one month 41 of the 48 cancers had completely gone.

Patients who had some of the lesions remaining were offered a second course of treatment.

After an average of 15 months following treatment, two thirds of the 48 skin cancer lesions were still showing a complete response.

Of the three types of skin cancer tested, the final outcome was a 75 per cent complete response for IEC lesions, 57 per cent for BCC and 50 per cent for SCC lesions.

Side-effects were low, with 43 per cent of patients in no pain as a result of the treatment and only 14 per cent reporting moderate pain, and only one patient encountered severe short-term pain.

In all cases of successful treatment the skin was left with a good cosmetic appearance.

The researchers, from a number of medical institutions in Brisbane, attribute the benefit to the active ingredient ingenol mebutate which has been shown to destroy tumor cells.

British experts said further studies were needed and people should not try this at home as the weed sap can be harmful to the eyes and should not be eaten.

More than 76,500 people are diagnosed with non-melanoma skin cancer in the UK each year, with 90 per cent caused by ultraviolet light exposure.

Lesions usually appear on the areas most exposed to the sun, such as the head, neck, ears, and back of the hands.

Kimberley Carter of the British Association of Dermatologists said:

‘This is a very small test group so it will be interesting to see what larger studies and the development of the active ingredient in E. peplus sap will reveal.

‘Whilst it would not provide an alternative to surgery for the more invasive skin cancers or melanoma, in the future it might become a useful addition to the treatments available to patients for superficial, non-melanoma skin cancers.’

‘Any advances that could lead to new therapies for patients where surgery is not an option are definitely worth investigating.’

‘It is also very important to note that this is definitely not a treatment people should be trying out at home. Exposure of the sap to mucous producing surfaces, such as the eyes, results in extreme inflammation and can lead to hospitalization.’

‘The concentration of the active ingredients in the sap also varies between different plants, with high doses able to cause very severe and excessive inflammatory responses.’

 




What Medicare is auditing this year

According to Medicare:

Skin lesions and associated items

We will continue current compliance activities (including audits, recovery and review under the Practitioner Review Program) associated with skin lesion excisions, wounds and cryotherapy.

In 2010–2011 we will develop and implement compliance strategies focussing on upcoding of skin lesion and flap repair items and billing an item that is not substantiated by the required histopathology test.

We released a new eLearning product in late 2009 covering consultation items and the treatment of skin lesions. We will monitor the need for additional education tools to address other aspects of billing for these services.




Dermoscopy of Patients With Multiple Nevi

This article highlights how one should not look at a mole in isolation but in the context of the patient’s other moles. I certainly know that I am less inclined to excise an atypical looking mole if all the other moles look the same.

What do you think.

regards

Ian

 

Dermoscopy of Patients With Multiple Nevi

Improved Management Recommendations Using a Comparative Diagnostic Approach

Giuseppe Argenziano, MD; Caterina Catricalà, MD; Marco Ardigo, MD; Pierluigi Buccini, MD; Paola De Simone, MD; Laura Eibenschutz, MD; Angela Ferrari, MD;Giustino Mariani, MD; Vitaliano Silipo, MD; Iris Zalaudek, MD

Arch Dermatol. 2011;147(1):46-49. doi:10.1001/archdermatol.2010.389

Objective To assess the outcome on management recommendations of a comparative approach vs a morphologic approach in evaluating dermoscopic images of lesions from a series of patients with multiple nevi.

Design In a 2-step study, 6 experienced dermoscopists were asked to provide management recommendations (excision or follow-up) for a series of lesions from patients with multiple nevi based on dermoscopic images of the lesions. In the first step, participating dermoscopists evaluated individual images of lesions based only on morphologic structure (morphologic approach). In the second step, the same lesions were grouped by patient, allowing the participants to evaluate the lesions in the context of other nevi from the same patient (comparative approach).

Setting Academic referral center.

Patients Seventeen patients with 190 lesions (184 monitored nevi, 4 excised nevi, and 2 excised melanomas).

Main Outcome Measure Using pooled data from each step, excision recommendation rates for the comparative approach and the morphologic approach were calculated.

Results Using the morphologic approach, 55.1% of overall recommendations favored excision; using the comparative approach, the rate decreased to 14.1%. The 2 melanomas included in the study were correctly judged to merit excision by all participants in step 1 and in step 2.

Conclusion Among patients with multiple nevi, evaluation of equivocal lesions in the context of a patient’s other nevi results in a lower rate of excision recommendations compared with evaluation of individual lesions based on morphologic structure alone.

 




Newborns with low levels of vitamin D have higher rates of respiratory infection and wheezing than infants born with more vitamin D in their systems.

As reported in the LA Times

Even as a high-profile panel of experts recently disputed the conventional wisdom that Americans don’t get enough vitamin D — and that vitamin D deficiencies create greater risk of disease — new research shows that newborns with low levels of vitamin D have higher rates of respiratory infection and wheezing than infants born with more vitamin D in their systems.

There was no correlation, however, between low vitamin D levels and asthma.

The study, published Monday in the journal Pediatrics, expanded on earlier work by Dr. Carlos Camargo of the Massachusetts General Hospital in Boston that had shown that babies born to mothers who took vitamin D supplements were less likely to develop wheezing during childhood.

This time around, instead of focusing on supplement intake, Camargo and his team looked at the levels of vitamin D in newborn cord blood samples collected from a group of 922 children in New Zealand who had participated in a study on asthma and allergies between 1997 and 2001.

In addition to allowing researchers to collect cord blood, the babies’ mothers had filled out periodic questionnaires about their children’s health up until the children turned 5.  The researchers mined these data to determine rates of wheezing, infections and asthma in the group and correlate them with vitamin D levels in the cord blood.

They found that the lower the amount of vitamin D, the higher the risk of wheezing.  Newborns with particularly low levels of the vitamin — about one in five — were twice as likely to develop respiratory infections such as colds, coughs and ear infections during the first three months of life, the team reported.  Those babies also had an increased risk of other types of infections.

The researchers found higher levels of vitamin D in children born to slightly older mothers and to mothers of European ethnicity.  They observed lower levels in kids born in winter and in children of lower socioeconomic status.

The paper reported that the team was surprised that children with less vitamin D in their cord blood didn’t also develop asthma at a higher rate than other babies.  In the past, some had speculated that vitamin D deficiency might be a cause of the high incidence of asthma in the world today.

But even though asthma doesn’t appear to result directly from low vitamin D levels, treating asthmatic kids with vitamin D could still be effective because it might reduce respiratory infections that can exacerbate the condition, the authors wrote.




Ask for referrals!!!

Asking for referrals, sourced from Practice Builders

Did you ever wonder why some Healthcare Practitioners only get 10% of their new patients from patient referrals, while others get as many as 70%? Probably the biggest reason is they let their existing patients know they like to get patient referrals – that means they consistently “ask” them for referrals

Me, ask for referrals? I don’t think so – I’d look needy, greedy, even sleazy! Well, if that’s the reason you don’t ask for referrals, I suggest you change your thought patterns. Think more in terms of “helping” your patients’ friends to prevent them from developing problems. Isn’t that what you really do?

Develop one or two “scripts” that you feel comfortable with and practice delivering them. Here’s an example of a general script you can adapt:

“Well, I’ve checked for skin cancer and you’re in good shape – nothing to worry about. But, you know, some people go 2 or 3 years without a comprehensive check up, sometimes resulting in very serious problems which could have been prevented had the condition been identified in the early stages.

So, if you have any friends who are putting their health at risk by not having annual checks, please send them along to me and I’ll check them out…. OK?

(And for those brave hearts amongst you) Here, let me give you one of my brochures you can pass along to them”

Or if you are treating a specific condition (for example) patient:

“You know, so many people in this area suffer from skin cancer because they don’t know that it is so easily treated if caught early. So, if you know anyone you think may have skin cancer, please get them call me so we can help them with it, just like we did with you…. OK?”

Need an incentive to do it? How about adding 10% to your revenues every year with the additional patient referrals you can generate. Maybe worth making the effort, huh?

This is sourced from http://www.practicebuilders.com/




Skin Cancer Job Opportunities in Australia

Southern Sun Skin Cancer Clinics, based throughout NSW, Australia is always on the look-out for great GP’s experienced in skin cancer practice or willing to learn skin cancer practice. Full training provided if long-term commitment given. Contact Dr Ian Katz: [email protected]