Skin Cancer Vaccine: Promising, But Don't Skip Sunscreen
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A New Weapon Against Melanoma Is In Clinical Trials
Dr. Matthys' Take: Don't Let a Vaccine Replace Vigilance
- 5–12% of melanoma is inherited.
- Twin heritability of melanoma is the highest of any cancer (55-58%).
- UV exposure accounts for 75-95% of melanoma risk in light-skinned persons.
Don't Skip the Sunscreen
How to Understand the SPF Number on Your Sunscreen
Most people really don’t understand what "SPF" numbers mean. "SPF 50" means that in a standardized test, it takes 50 times more sun exposure to sunburn on sunscreen-protected skin than on unprotected skin.
Still unclear? Exactly. THAT is why, somewhat ironically, sunburns are higher in people that use sunscreen vs people who do not. Why?
- Sunscreen is often applied when longer UV exposure is expected.
- Real world use of SPF doesn’t match the testing in the lab.
- Real world use of SPF doesn’t match the number in the bottle.
- Sunscreen alone is not a sufficient strategy for sun protection; It should be paired with shade, clothing, and timing.
What This Means For You
Don't misunderstand me — I am 100% in favor of anything and everything that helps people live better, longer coming to market. Science and technology are powerful contributors to achieve that increased longevity and quality of life.— Dr. Matthys
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A Population-Based Study of Australian Twins With Melanoma Suggests a Strong Genetic Contribution to Liability The Journal of Investigative Dermatology. 2009. Shekar SN, Duffy Dl, Youl P, et al.
Prevalence of Sun Protection Use and Sunburn and Association of Demographic and Behavioral Characteristics With Sunburn Among US Adults JAMA Dermatology. 2018. Holman DM, Ding H. Guy GP, et al.
Reduced Melanoma After Regular Sunscreen Use: Randomized Trial Follow-Up Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology. 2011. Green AC, Williams GM, Logan V. Strutton GM.
How Many Melanomas Might Be Prevented if More People Applied Sunscreen Regularly? The British Journal of Dermatology. 2008. Olsen CM, Wilson LF, Green AC, et al.
Application of Sunscreen — theory and reality Photodermatology, Photoimmunology & Photomedicine. 2013. Petersen B, Wulf HC.
Decision Tree Model vs Traditional Measures to Identify Patterns of Sun-Protective Behaviors and Sun Sensitivity Associated With Sunburn JAMA Dermatology. 2018. Morris KL, Perna FM.
Global Burden of Cutaneous Melanoma Attributable to Ultraviolet Radiation in 2012 International Journal of Cancer. 2018. Arnold M, de Vries E, Whiteman DC, et al.
Cutaneous Melanoma The Journal of the American Medical Association. 2025. Joshi UM, Kashani-Sabet M, Kirkwood JM.