Causes of Skin Cancer

Skin cancer is usually found in fair-skinned people who are exposed to too much sun.

What are the main types of skin cancer?

Basal cell carcinoma

·       The commonest and least dangerous type

·       Usually appears on the face and neck

·       Is easily treated

Squamous cell carcinoma

·       Is quite dangerous

·       Appears on hands, forearms, face and neck

·       Can spread to other parts if left untreated too long

Melanoma

·       The rarest and most dangerous type

·       Usually starts in a mole

·       Can occur anywhere on the body

What are the signs of skin cancer?

·       Crusty non-healing sores or ‘ sunspots ‘

·       A persistent small lump that is red, pale or pearly in colour

·       A new spot, freckle or mole that has changed colour, thickness or shape over months.

·       Dark spots (dark brown, black or blue-black ) need special attention.

What are the causes?

The main cause is exposure to the harmful ultraviolet rays of the sun over a long time. Exposure to some chemicals, such as arsenic and polycyclic hydrocarbons, can cause skin cancer.

What are the areas to watch?

Watch your face, ears, neck, shoulders, arms and the backs of your hands. However, melanoma is an exception and can appear anywhere on the body.

Who is at risk?

Fair-skinned people living in hot, sunny climates are most at risk. People with freckles and fair skin are especially at risk. It is most common in people of Celtic (Scottish, Irish and Welsh ) background. It is not as common in people with very dark skin (of African, Indian and Asian origin). It is rare in Australian Aborigines.

The darker the skin, the lower the risk of developing skin cancer. Those with fair, sensitive skin who burn easily and rarely tan are at greatest risk.

Sunspots ( solar keratosis) are dry, rough, persisting spots on the skin, which can change into skin cancer and need to be watched.


Early detection of a melanoma, basal-cell carcinoma and squamous-cell carcinoma decreases morbidity and mortality, and therefore result in better prognosis of malignant skin tumours. The typical application of dermoscopy is early detection of melanoma.

Dermoscopy is also use to diagnose other types of skin tumors such as basal cell carcinomas, squamous cell carcinomas,  cylindromas, dermatofibromas, angiomas, seborrheic keratosis etc.

It is also used in the diagnosis of scabies and pubic louse. This is achieved by staining the skin with India ink. A dermatoscope can help identify the location of the mite in the burrow, facilitating scraping of the scabetic burrow. The dermatoscope can magnify the very small, difficult to see pubic louse, allowing fast and accurate diagnosis and hence, the treatment.

Suspicious moles can be excised by a doctor for biopsy and histology.


Sinopharm COVID-19 & Latest Influenza Vaccines (Protects against Flu and H1N1 Viruses) / Pre-Departure COVID-19 PCR  Swab & Serology Tests for Travellers, Serology Testing to Certify Vaccination status and Pre-Event COVID Testing. Make your Appointment at Tel: 6694 1661

Flu Subsidy Scheme eligible for Singaporeans & PRs (Pay subsidized rate of $10 for Consultation and Treatment) & Merdeka Generation /Pioneer Generation seniors (Pay subsidized $5) for patients with Acute Respiratory Infections (ARIs).

Health Assessment & Screening Packages

William Li - Can we eat to starve cancer?

William Li presents a new way to think about treating cancer and other diseases: anti-angiogenesis, preventing the growth of blood vessels that feed a tumor. The crucial first (and best) step: Eating cancer-fighting foods that cut off the supply lines and beat cancer at its own game.

How is it prevented?

Protect yourself from the sun:

·       Try to avoid direct sunlight when the sun is strongest (from 10am to 3 pm standard time, i.e. from 11am to 4pm daylight-saving time).

·       Always wear a broad-brimmed hat, T-shirt and baggy shorts when in the sun.

·       Be wary of reflected sun on cloudy days and wind that dries the skin.

·       Use a factor 15+ sunscreen on exposed skin and renew it regularly.

·       Make sure you protect yourself at high altitudes.

·       Wear a shirt or dress with sleeves.

·       Protect children from sunburn. Their skin is more sensitive than adults’ skin to sunlight.

Early detection

The earlier you detect skin cancer, the simpler the treatment. The outlook for most skin cancers is excellent. 

Remember

You are the best person to check your skin – no one knows it as well as you.

What should be done?

Go to your doctor without delay if you develop a skin lump. The doctor may want to remove part or all of it for examination in the laboratory.

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

* The images of cancerous and benign moles are courtesy of the book 'Dermoscopy' and are for educational purposes only. Kindly consult your doctor if you are unsure or suffering from any medical problems.


Learn what is Cancer, Skin Cancer-Types, Causes & Prevention, Melanomas Explained. Detecting Skin with Dermoscopy


Learn about the Diagnosis, Treatment and/or Removal of the following skin problems :


Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

Part of MOH's Swab & Go Home programme. Our clinic can carry out the COVID-19 Swab test for anyone who meets the MOH medical criteria. All individuals aged 13 and above, diagnosed with ARI will be COVID Swab-tested. Cost of Swab test to be borne by Ministry of Health Singapore.

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).


Skin Problems - Treatment for Allergies, Dermatitis, Eczema & Urticaria/Hives


Groups at Higher Risk for Severe Illness in a COVID-19 Infection

Comorbidities & Underlying Health Conditions in COVID-19 Patients with Complications

·       Hypertension

·       Diabetes mellitus

·       Cerebrovascular disease

·       Cardiovascular disease

·       Chronic lung diseases including COPD

·       Chronic Kidney disease

·       Asthma

·       Dementia

·       Chronic Neurological Disorders

·       Cancer

·       Rheumatological Disorder

·       Obesity

·       Smoking

·       Chronic Hematologic disease / Haemoglobin Blood Disorders

·       Liver disease / Hepatitis B Infection

·       Malnutrition

·       Immunodeficiency / Immunocompromised eg HIV AIDS

·       People aged 65 and older

(Ref: https://www.nature.com/articles/s41430-020-0642-3.pdf, Dailymail.co.uk, https://pubmed.ncbi.nlm.nih.gov/32320003/, Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis https://erj.ersjournals.com/content/early/2020/03/17/13993003.00547-2020


Co-infection of COVID-19 with other infectious diseases is possible.

Reduce your risk of getting sick with COVID-19

  • Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against influenza (Flu 2021/22) and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  • Do not delay getting medical care for your underlying condition because of COVID-19. MD International Medical Centre has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
  • Continue your medications and do not change your treatment plan without talking to your doctor.
  • Make sure that you have at least a two-week supply of your chronic disease medications.
  • Call MDIMC @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. Our clinic is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.


Dermatology Problems - Acne, Dry Skin, Warts, Corns & Calluses on Feet


Dermatology Laser Equipment

Bison Dual Accento Dual Wavelength Laser

Bison Cyma  CO2 Laser >


Q-Switched Nd:YAG Laser

Tattoo / Nevus / Freckles / Lentigines Removal

LED Diathermy Cautery machine for Dermatology Treatment

Cauterization / Haemostasis / Removal of Skin tags, Water warts, Verruca, Corn & Calluses etc / Release Blood clot under the nail

Liquid Nitrogen Freezing


Dermatology Treatments @ MDIMC


Dermoscopy is also use to diagnose other types of skin tumors such as basal cell carcinomas, squamous cell carcinomas,  cylindromas, dermatofibromas, angiomas, seborrheic keratosis etc.


Sinopharm COVID-19 Vaccine in Singapore

Sinopharm COVID-19 Vaccine is now available @ MD International Medical Centre. Make a Vaccination or Booster Appointment at Tel: 6694 1661. Learn more about Sinopharm here.

Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).

To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.

Inactivated vaccines are a tried-and-tested form of vaccine technology which is used in other well-established vaccines, such as the Flu and Hepatitis B vaccines.

If you would like to receive the Sinopharm vaccine or booster, please make your appointment at MD Int'l Medical Centre at Tel: 6694 1661.

Effects of COVID-19 on the Brain

COVID Symptoms to watch out for:

SARS-CoV-2 Virus Infection of Human Organ  Tissues through Cell ACE-2 Receptors:

mRNA Vaccines Possible Adverse Reactions or Side Effects (source: https://jamanetwork.com/journals/jama/fullarticle/2778441)



Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International (Singapore) Pte Ltd

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9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori

- Doctor of Chiropractic

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

Medical Conditions Treatable with Chiropractic:  

  • Head & Neck – Neckaches/ Spondylosis/ Wry Neck/ Whiplash/ Headaches/ Migraine/ Facial Palsy
  • Back – Back Strain/ Slipped Disc/ Scoliosis/ Sciatica/ Spondylosis/ Spondylolisthesis/ Spondylolysis
  • Shoulder – Frozen Shoulder/ Rotator Cuff Tear/ Impingement Syndrome
  • Elbow – Tennis Elbow/ Golf Elbow
  • Hip / Knee – Anterior Knee Pain/ Runner’s Knee/ Meniscus Injury/ Ligament Injury
  • Foot – Plantar Fasciitis/ Heel Pain/ Metatarsalgia
  • Joint – Arthritis/ Cartilage Wear & Tear/ Osteoarthritis
  • Ligament – Sprains/ ACL Laxity/ Ankle Sprain
  • Muscle – Strains/ ITB Tightness/ Hamstring Tear
  • Tendons – Tendonitis/ Repetitive Strain Injury/ Tendinopathy
  • Sports Injuries
  • Obesity – Exercise & Meal Planning 
  • Post Operation/ Hospitalization
  • Fibromyalgia

Dr Lee Sao Bing – Opthalmologist (in-house Specialist)

MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS

Dr Pang Yoke Teen – ENT (Visiting Consultant)

FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS

MD International Medical Centre

Medical Services

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud

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