MPIP: Melanoma Patients Information Page

The MPIP is the oldest and largest community of people affected by melanoma hosted through the Melanoma Research Foundation. It is designed to provide support and information to caregivers, patients, family and friends. Once you have been touched by melanoma—either as a patient or as a family member or friend of a patient—you become part of a community. It is not a community anyone joins willingly. But if you must be part of this group, you will find no better place to find the tools you need in your journey with this cancer, and the friends who can make that journey more bearable.

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Anonymous's picture
Replies 4
Last reply 8/18/2011 - 4:15pm
Replies by: Anonymous, Wendi Lynn, Donna M., eaca

Interferon is one of the most divisive subjects, it seems.  I appreciated the pros and cons as we were making a decision for my husband, but it seems to be one of those treatments that can bring about extreme comments. Let's help each other make informed decisions, not tear down when people are already at a tough spot in life.

My husband did interferon for 10 months, and, while it was hard, we don't regret it for a moment.  He is one that has done well, so far.  Was it due to interferon?  We'll never know, but he's still here, and we really had expections of something much worse than what we have.  His was extremely deep, lymph nodes matted, and is 3C.  He has been NED for over 2 years, and we're thankful for every doctor, surgery and treatment that helped him achieve this.  Even with a different outcome, I probably wouldn't feel we had done the wrong thing.

Has it been easy?  No.  He worked half days, and could barely make it home.  He has ringing in his ears, and it took about 7 months to really seem like himself again.  He wears down quicker, but so do I! 

The important things have already been mentioned....anti-depressants, huge amounts of water, bananas, family support, and discipline to keep some manner of normality.  He also needed some anti-anxiety medication, can't remember what it was. 

I do believe that if you really trust your physician and he recommends it, he probably has a reason for it.  Ask him why he suggests interferon rather than something else, and listen to what he says.  Interferon keeps coming back up here, so, obviously, melanoma oncologists aren't ready to throw it out the window.

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Angela C's picture
Replies 3
Last reply 8/17/2011 - 11:55am
Replies by: Jan in OC, kylez, Angela C

Hi everyone.

I will be having sterotactic radiation for a 2-3mm met in my brain. I am having it at Loyola in Chicago and they have a Novalis machine. I'm a little freaked out about the procedure and the frame that is attached to my head.

I'm hoping that those of you who have experienced radiation with Novalis can give me some info about your experience. I don't quite understand how the head frame is attached. Does it hurt?

Did they give you anything to help you relax? I do okay with my CT and PET scans, but I'm a little freaked out about having a cage attached to my head all day and wondering if I need to get an anti-anxiety pill that day.

I'm told that I will probably lose some hair because the met is very close to the top of my head. Did you lose hair? How much and how quick did it grow back?

This is the first time any

Be kind, for everyone is fighting a great battle. -Plato

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Replies by: AlanM, Lisa13

Over the summer I have received high dose(50 grams) vitamin C infusions twice a week. Last week I stopped because I was concerned about possibly multiplying the GI effects of ipi by taking the vit C. (I have my first ipi infusion tomorrow) The problem is that I am definitely feeling less energy and overall more poorly after stopping. Has anyone here had the Vit C infusions while also taking ipi? If so, any info on how the two coexisted would be appreciated.


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fowlera1's picture
Replies 16
Last reply 8/24/2011 - 5:17pm

Hello, My name is Andrea, I am 39 years old and was just diagnosed with stage 4 melanoma.  I have two nodes in my lungs, one that is 3 cm and one that is 2.3 cm.  After meeting with the medical oncologist today, I have a decision I need to make:  IL-2 or Yervoy.  I was wondering if anyone has been treated by these and could give me any input.  I really appreciate any feedback b/c I am totally sitting on the wall b/w the two.  Thank you in advance for any help you can provide.

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Anonymous's picture
Replies 10
Last reply 8/22/2011 - 9:01am

Hello all - My first post.

17 years ago had mole removed on my back, which was melanoma. Last month had mole removed on my chest. metastatic melanoma. PET and CAT showed nodule on lung 1.5 cm. Both oncologist and thoracic surgeon said not Mets. It was. Surgery for Thursday for wider excision of chest mole at which I am NED.

Oncologist says do nothing but revisit every 3 months with scan. 20% chance it will never come back.

So, with 80% chance it will return, I am wondering if the wait and watch is standard protocol, or if I can be more proactive. Not that I want to do toxic treatment for nothing, but waiting is hard also. Thanks for your thoughts.

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DeniseK's picture
Replies 17
Last reply 8/18/2011 - 2:03pm

Hi all!!
I mainly wanted to post for those of you getting ready to do Interferon. I saw Donna is feeling very anxious and nervous about starting. I saw some people have said things to her that is seriously uncalled for. These things were also said to me. It only created more fear where there was already enough fear! If I could give any advice to those of you thinking about Interferon or getting ready to do it, please don't listen to anyone but your own heart and your doctor! Having said that, here's my first experience.
It started on Saturday getting my PICC line installed. The picc line doesn't hurt going in!! They sent me over to the hospital to get a chest xray to be sure the line was put in right. The process only took about 2 hours total, it's a very sterile process. The PICC line will only stay in for 1 month during high dose then come out.
My first infusion was yesterday. The infusion center in my area is comfortable with tv's and headphones. You can bring in your laptop or a book, they have a refreshment center with soda's, water, and snacks. The nurses have been doing this for years and make you feel really comfortable.
They gave me 2 tylenol orally, then hooked me up to the IV for the saline, anti-nausea, and benedryl medicine. Next is the Interferon. I felt a little sleepy from the benedryl. They gave me 40 million units of Interferon. I felt fine leaving the facility and went to the store to get some water and soup. Bad idea! I should have went straight home because in the check out line I started feeling nauseated. Not bad but I wanted out of there! I made it home and walked straight in to bed. The side effects took about 1 1/2 hours to kick in.
I had a fever of 101.8 at the highest, chills, and body aches. This lasted about 5-6 hours but I was sleeping most of the time. I slept about 12 hours last night and woke up with body aches and a slight headache. The chills and fever were gone.
I go back in today at 2pm. This time I'm doing my errands before I go in so I can come home and lay down.
I would have to say that all and all it wasn't as bad as I thought it was going to be. I have a weird taste in my mouth, that was the first thing I noticed. I'm taking everyones advice about drinking plenty water and I got some bananas.
This morning I've been playing frisbee with my dog and getting ready to take a shower to do it all over again.

They keep a close eye on you with blood tests every week for the first month and once a month after that so if it becomes too hard on your body they'll reduce the dosage.


Cancer Cannot cripple love, silence courage, destroy friendship, shatter hope or conquer the spirit.

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ccbreeding's picture
Replies 1
Last reply 8/16/2011 - 12:00pm
Replies by: Janner

I was diagnosed almost four years ago IIIA.  My original site was on my shin.  I had the LND and have been NED ever since...Praise God!  I was "friends" with Amy Busby and oh how I miss her!!..I remember her mm came back after being NED for 6 yrs and it first appeared in her various lymph nodes.  So this is one reason I am concerned.  

I have one slightly enlarged node in my neck (assuming it's from allergies).  When I feel under my arms I feel several nodes...I can only feel them when I use the same hand as the arm vs reaching across my body.  This seems a bit weird.  They are not huge, probably the size of almonds??  My next check up is in Oct...cant decide if I should just wait or look into this sooner.

Anyone have any experience with enlarged nodes?  What did they feel like?  Where else would I notice nodes?  Sorry this is so wordy:)

Thanks for any insight!

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Phil S's picture
Replies 6
Last reply 9/6/2011 - 3:56pm

Robert posted back the first week of June that he was going to do the biochemo treatment in California. I was following his posts during his decision making, and have been hoping he had good response. If you get a chance let us know how you are doing? Valerie (Phil's wife)

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Ashykay's picture
Replies 6
Last reply 8/16/2011 - 9:41am

Hi all,

Just thought I would provide an update after my Mum's oncologist appointment today.

All in all, it's not great. The oncologist would like to keep her CT scans to ensure that the growth didn't actually occur prior to the radiation, and whether or not the radiation has affected the density of the tumour, although this doesn't appear to have reduced the tumour on the outside. I think realistically we can take from this however that the tumour has grown and radiation wasn't successful at all. We are praying to be proven wrong.

Options from here on - although Mum's biopsy tested negative to c-kit positive gene mutation, the oncologist seems to still be pushing the Gleevac due to the c-kit staining. Dad and I tried to raise some immunology treatments such as Yervoy with him but he was incredibly dismissive of it and recommended Gleevac still. He back pedaled again then by saying that he needs to get access to the drug - he had basically guaranteed us weeks ago that this would be accessible, even if Mum didn't have the biopsy tested for c-kit positive. Quite po'd at this. He has recommended us to an immunologist to see what his opinion is, but he was very discouraging of this approach due to teh side effects involved with immunology drugs (which I understand).

Dad and I have concluded that he oncologist takes the safe approach....he was disinterested in any experimental treatments, trials and the like. Dad and I will continue our search...we're going to try another oncologist - our aim is to find someone who is willing to go out of their way to help us find something (be it experimental or not) and be more aggressive with respec t to treatments. We really don't have any other options.

I suppose then we will consider whether a move to the United States could be considered on the basis of the trials they have going over there....hopefully Dr Hodi will get in touch, even if we could teleconference options or approachs which we could try access through Australia.

Anyway so that's my update. I'm not sure what to say to Mum at the moment...Dad and I are speechless. I had a good cry when I got back to worka fter the appointment, and trying to move on now as best as I possibly can.


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Has anyone developed pancreatitus after taking interferon   I did after being on it for 3 months, Just trying to figure out if that was one of the nasty side effects that can ocurr

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mclaus23's picture
Replies 4
Last reply 8/16/2011 - 7:43pm

Hi All,


My dad, Stage IV mel with mets in the adrenal glands, began ipi 5 days ago. He is in extreme abdominal pain and had night sweats last night. Dr says this is an indication the ipi is working. Has anyone here had  this experience?

He also said the tumor on his groin is slightly inflamed and sensitive to touch.


Thanks in advance for your input!


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gossteach's picture
Replies 8
Last reply 8/17/2011 - 12:05am

Seems to be quite a few people starting interferon in the upcoming weeks. Maybe we could se up a time to "chat" with those who have been through it. I've only done the chat thing once, but it might be a good way to support eachother. Any takers?

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Anonymous's picture
Replies 1
Last reply 8/15/2011 - 9:55pm
Replies by: bcl

ABC News link



Science Daily
Frequent Tanning Bed Users Exhibit Brain Changes and Behavior Similar to Addicts, Study Finds

ScienceDaily (Aug. 10, 2011) — People who frequently use tanning beds may be spurred by an addictive neurological reward-and-reinforcement trigger, researchers at UT Southwestern Medical Center have found in a pilot study.

This could explain why some people continue to use tanning beds despite the increased risk of developing melanoma, the most lethal form of skin cancer. The brain activity and corresponding blood flow tracked by UT Southwestern scientists involved in the study is similar to that seen in people addicted to drugs and alcohol.

"Using tanning beds has rewarding effects in the brain so people may feel compelled to persist in the behavior even though it's bad for them," said Dr. Bryon Adinoff, professor of psychiatry and senior author of the study available online and in a future print edition of Addiction Biology. "The implication is, 'If it's rewarding, then could it also be addictive?' It's an important question in the field."

About 120,000 new cases of melanoma are diagnosed in the U.S. each year, according to the Skin Cancer Foundation. People younger than 30 who use a tanning bed 10 times a year have eight times the risk of developing malignant melanoma. While public knowledge of these dangers has grown, so has the regular use of tanning beds.

In this study, participants used tanning beds on two separate occasions: one time they were exposed to ultraviolet radiation and another time special filters blocked exposure to ultraviolet radiation. Participants did not know on which session they received the real or the filtered ultraviolet exposure. At each visit, participants were asked before and after each session how much they felt like tanning. Participants were also administered a compound that allowed scientists to measure brain blood flow while they were tanning.

Dr. Adinoff, who also is a staff physician at the Veterans Affairs North Texas Health Care System, said the next step is to create technology to further study brain changes among frequent tanners.

Other UT Southwestern researchers involved in the study were Dr. Heidi Jacobe, assistant professor of dermatology; Dr. Michael Devous, professor of radiology; and Thomas Harris, senior research scientist. Former dermatology resident Dr. Cynthia Harrington served as lead author.

The study was funded by the Department of Dermatology at UT Southwestern. Dr. Steven Feldman of Wake Forest University donated the ultraviolet radiation filters used in the tanning bed, and GE Healthcare donated the radioligand, the compound that traced the brain changes.


More Evidence Tanning Beds May Be Addictive
In the presence of UV radiation, reward centers in the brains of 'tanorexics' lit up, study found

By Denise Mann

HealthDay Reporter

MONDAY, Aug. 15 (HealthDay News) -- Frequent indoor tanners may exhibit brain changes that are similar to those seen among people who are addicted to drugs and alcohol, according to a new study that adds to a growing body of evidence suggesting that indoor tanning may be addictive.

Click here to find out more!

Close to 30 million Americans visit indoor tanning salons each year despite the well-publicized risks of skin cancer associated with this practice. The U.S. Food and Drug Administration is now considering a ban on indoor tanning for people under age 18 and the American Academy of Pediatrics is on record that it supports this legislation.

The new findings, released online in advance of publication in an upcoming print issue of the journal Addiction Biology, suggest that indoor tanning taps into the brain's "reward center."

"We saw brain changes that are consistent with that of other things that are considered rewarding such as money, food or drugs," explained study author Dr. Bryon Adinoff, a professor of psychiatry at University of Texas Southwestern Medical Center at Dallas. "The same areas of the brain lit up, and we know that if something is rewarding to the brain, there is the potential for addiction."

The new study involved seven frequent tanners who said they had used tanning beds an average of about 27 of the previous 90 days.

The researchers had each participant use a tanning bed for 10-minute sessions under two conditions: in one session, the tanner was exposed to ultraviolet (UV) radiation, while in the other session special filters blocked such exposure. Volunteers did not know if the tanning session involved UV radiation or not.

Participants were asked before and after each session how much they felt like tanning. They also received an intravenous compound that allowed the researchers to measure brain blood flow during their tanning sessions.

The result: Indoor tanning sessions that involved UV radiation triggered activation of the brain's dorsal striatum region and the medial orbitofrontal cortex, each of which plays a role in reward and reinforcement. Sessions where UV radiation was blocked showed less of this type of brain activation, the team found.

The findings make sense to Dr. Heidi Waldorf, an associate clinical professor of dermatology at Mount Sinai Medical Center in New York City. "Like other addicts, 'tanorexics' continue to tan indoors and out despite clear warnings of the dangers," she said. "In my practice, I've seen women continue to tan after skin cancer surgery and after spending thousands of dollars on cosmetic procedures to rejuvenate their photodamaged skin."

But John Overstreet, the executive director of the Indoor Tanning Association, a Washington, D.C.-based trade group representing the indoor tanning industry, said that UV light is essential for survival.

"Some people overdo things, but that doesn't mean they are addicted," he said. "Moderation is the key, whether your UV exposure is from a tanning bed or sun."

More information

Find out more about the dangers of UV radiation at the Skin Cancer Foundation.

Copyright © 2011 HealthDay. All rights reserved.


Really!    In this case addiction is really an attraction. Further, it is UV lgiht we seek, not a tan. We want to be expsoed to UV light whether we tan or not. It seems like an oversimplification to call all UV exposure tanning!

[report comment]

Doug McNabb @ Aug 15, 2011 15:13:26 PM

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Centers for Disease Control and Prevention report here that   "More than one-third of the 224 tanning machines observed in 47 of the 85 facilities visited did not have any warning signs posted, and signs were difficult to see in many others"
 Public Health Research, Practice and Policy
Warning Signs Observed in Tanning Salons in New York City: Implications for Skin Cancer Prevention
Corey H. Brouse, EdD; Charles E. Basch, PhD; Alfred I. Neugut, MD, PhD

Suggested citation for this article: Brouse CH, Basch CE, Neugut AI. Warning signs observed in tanning salons in New York City: implications for skin cancer prevention. Prev Chronic Dis 2011;8(4):A88. Accessed [date].



Use of artificial tanning may be contributing to the increased incidence of skin cancer. Federal law requires warning signs to inform consumers about health risks. All of the tanning facilities in New York City were assessed for compliance with this law during April and May 2010. More than one-third of the 224 tanning machines observed in 47 of the 85 facilities visited did not have any warning signs posted, and signs were difficult to see in many others.

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Skin cancer is the most common form of cancer in the United States, and rates of melanoma, the most dangerous form, are increasing (1). A main cause of skin cancer is ultraviolet radiation. Despite the known relationship between use of tanning machines and risk of basal and squamous cell carcinomas and melanoma (2) and that radiation from “tanning beds” has been deemed a carcinogen (3), use of indoor tanning has increased (4) and may be contributing to increased incidence of skin cancer. Several studies suggest that young girls (5) and adolescents (5) are most likely to engage in tanning, but high rates of tanning have been found in adults (6). Given that ultraviolet radiation is a known carcinogen (7), a clearly visible warning sign on each tanning machine is required by the US Food and Drug Administration (8) (Box). The warning is intended to alert the potential user about the danger of overexposure to ultraviolet radiation, of not using protective eyewear, and potential adverse interactions with certain cosmetics and medications.


Research on compliance with various indoor tanning regulations is limited, but studies suggest low compliance with posting the regulations (9-11). This noncompliance may impede informed decision making by consumers and pose a threat to public health. This study was conducted to estimate the prevalence of warnings in all of the tanning facilities in New York City.

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In this cross-sectional study, we compiled telephone numbers and addresses from Yellow Pages (for Bronx, Brooklyn, Manhattan, Staten Island, and Queens) and 3 online address sites (Google, Yahoo Local, and to determine the number of tanning facilities in New York City, which yielded 183 sites. Of these, telephone outreach identified 85 (46%) tanning facilities. The remaining sites had disconnected telephone numbers or were businesses that did not offer tanning (93 [51%]); 3 (2%) sites offered only spray tanning, and 2 (1%) offered only gel tanning. This process was repeated by a second coder who confirmed that there were 183 tanning facilities listed in New York City.

The observer visited each of the 85 facilities and asked to view the machines that were not occupied by customers. The number viewed at each site varied depending on the number of machines present and available in each site. Direct observations were conducted to assess the number of tanning machines and the presence and visibility of a warning sign posted on each machine observed (Table). All tanning machines were considered, regardless of whether they were beds or stand-up models. Spray tanning devices were found at several facilities studied, and those devices were excluded from our study. All data were collected by a single person (C.H.B.) during April and May 2010. Data analysis involved descriptive statistics, including frequencies and percentages. This study was deemed not human subjects research by the Human Subjects Committee at Columbia University Medical Center.




Most tanning facilities were in Manhattan (n = 46), followed by Brooklyn, (n = 18), Queens (n = 12), Staten Island (n = 8), and the Bronx (n = 1). Most of the businesses were freestanding tanning facilities (n = 62), although some tanning machines were available in beauty salons (n = 21) and in a fitness facility (n = 2). A variable number of machines were present in each facility (total, 951; mean, 11; range, 1-42), and a different number was viewed in each facility depending on availability (range, 1-8). Of 951 machines, 224 (24%) were observed. Seventy-eight (35%) machines in 47 (55%) of the 85 facilities had no warning labels. For the remaining 146 machines, the warning labels were barely visible (n = 32); moderately visible (n = 54); clearly visible (n = 57); and completely visible (n = 3).

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This study was limited by the cross-sectional design, by having only 1 researcher conducting observations and recording data, and by uncertainty about the representativeness of the machines observed. Generalizability of the findings is restricted to New York City. Nevertheless, the findings begin to fill a gap in knowledge regarding compliance with required warnings on tanning machines. No studies were identified that used systematic direct observations of tanning machines to assess the presence and visibility of warnings. One study, conducted more than a decade ago, assessed warnings and other criteria via observation or query of a clerk but did not specify the number of tanning machines observed to measure the presence of warning signs (12).

This study suggests that compliance with federal regulations is low for warning signs on indoor tanning machines in New York City. Research is needed to verify this finding and to assess generalizability to other localities. Warning signs are not sufficient to change consumer behavior (13) but are necessary to help consumers make informed choices about indoor tanning. Regulations requiring posted warnings on tanning machines will not serve their intended purpose if compliance is low, which was found in this study.

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Author Information

Corresponding Author: Corey H. Brouse, EdD, Postdoctoral Research Scientist, Columbia University, 722 W 168th St, 7th Floor, New York, NY 10032. E-mail:

Author Affiliations: Charles E. Basch, Alfred I. Neugut, Columbia University, New York, New York.

  1. Cancer facts and figures 2009. Atlanta (GA): American Cancer Society; 2009.
  2. International Agency for Research on Cancer Working Group on Artificial Ultraviolet (UV) Light and Skin Cancer. The association of use of sunbeds with cutaneous malignant melanoma and other skin cancers: a systematic review [published correction appears in Int J Cancer 2007;120(11):2526]. Int J Cancer 2007;120(5):1116-22.
  3. Solar and ultraviolet radiation: summary of data reported and evaluation. Vol 55. Lyon (FR): World Health Organization, International Agency for Research on Cancer; 1992.
  4. Schulman JM, Fisher DE. Indoor ultraviolet tanning and skin cancer: health risks and opportunities. Curr Opin Oncol 2009;21(2):144-9.
  5. Geller AC, Colditz G, Oliveria S, Emmons K, Jorgensen C, Aweh GN, Frazier AL. Use of sunscreen, sunburning rates, and tanning bed use among more than 10,000 US children and adolescents. Pediatrics 2002;109(6):1009-14.
  6. Heckman CJ, Coups EJ, Manne SL. Prevalence and correlates of indoor tanning among US adults. J Am Acad Dermatol 2008;58(5):769-80.
  7. United States Department of Health and Human Services. Report on carcinogens, eleventh edition. Accessed June 10, 2010.
  8. US Department of Health and Human Services, Food and Drug Administration. Report to Congress: labeling information on the relationship between the use of indoor tanning devices and development of skin cancer or other skin damage. DeviceRegulationandGuidance/ Overview/MedicalDeviceUserFeeandModernizationActMDUFMA/ ucm109296.pdf. Accessed June 19, 2010.
  9. Heilig LF, D’Ambrosia R, Drake AL, Dellavalle RP, Hester EJ. A case for informed consent? Indoor UV tanning facility operator’s provision of health risks information (United States). Cancer Causes Control 2005;16(5):557-60.
  10. Mayer JA, Hoerster KD, Pichon LC, Rubio DA, Woodruff SI, Forster JL. Enforcement of state indoor tanning laws in the United States. Prev Chronic Dis 2008;5(4). Accessed May 19, 2010.
  11. Hester EJ, Heilig LF, D’Ambrosia R, Drake AL, Schilling LM, Dellavalle RP. Compliance with youth access regulations for indoor UV tanning. Arch Dermatol 2005;141(8):959-62.
  12. Culley CA, Mayer JA, Eckhardt L, Busic AJ, Eichenfield LF, Sallis JF, et al. Compliance with federal and state legislation by indoor tanning facilities in San Diego. J Am Acad Dermatol 2001;44(1):53-60.
  13. Hillhouse J, Turrisi R. Skin cancer risk behaviors. Arch Dermatol 2005;141(8):1028-31.

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Return to your place in the textTable. Categories Used to Code the Visibility of Warning Signs on Tanning Machines in 85 Tanning Facilities, New York City, 2010


Not at all visible
No warning sticker or present only in a foreign language.

Barely visible
Warning was present but not very visible because it was placed on the back of a machine, had worn-off print, was only a remnant, or used type of a size and color that made visibility very difficult.

Moderately visible
Difficult to locate the sticker because of odd placement, often on the groove of a stand-up machine between the machine and the door; in bed machines, the sticker was in obscure places on the inside. In all cases, the type was small, making visibility difficult.

Clearly visible
Warning was easier to find, often on the top of a bed machine or on the side of a stand-up machine; the type was easily readable in size, but the text still required effort to read.

Completely visible
Warning was “up front and center.” A user would notice it without having to look. On stand-up machines, these would have been affixed to the door and were in large, dark type. On bed machines, these were typically above the latch used to close the machine and were also in large, dark type.

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Box. Label Requirements and Food and Drug Administration (FDA) Policy Regarding Sunlamp Products FDA promulgated the sunlamp products performance standard, 21 Code of Federal Regulations (CFR) 1040.20, in 1979, 44 Fed. Reg. 65,352 (November 9, 1979), and most recently amended it in 1985, 50 Fed. Reg. 36,548 (September 6, 1985). This regulation requires each sunlamp product to have a label that contains a warning statement with the words:

DANGER — Ultraviolet radiation. Follow instructions. Avoid overexposure. As with natural sunlight, overexposure can cause eye and skin injury and allergic reactions. Repeated exposure may cause premature aging of the skin and skin cancer. WEAR PROTECTIVE EYEWEAR; FAILURE TO MAY RESULT IN SEVERE BURNS OR LONG-TERM INJURY TO THE EYES. Medications or cosmetics may increase your sensitivity to the ultraviolet radiation. Consult physician before using sunlamp if you are using medications or have a history of skin problems or believe yourself especially sensitive to sunlight. If you do not tan in the sun, you are unlikely to tan from the use of this product.

21 CFR 1040.20(d)(1)(i). The regulation does not specify requirements for the format in which these words must appear, or the exact location on the product that the warning label must appear, as long as it is “permanently affixed or inscribed on an exterior surface of the product when fully assembled for use so as to be legible and readily accessible to view by the person being exposed immediately before the use of the product.” 21 CFR 1040.20(d)(3)(i).

FDA also issued a letter dated June 25, 1985, regarding the warning label to sunlamp product manufacturers outlining FDA policy. The policy letter states

The intended purpose of the warning label required on sunlamp products is to provide that information necessary for the consumer to make an informed decision regarding the risks of using sunlamp products and to provide adequate directions for skin tanning. Therefore, the label must be legible and conspicuously placed on the product so as to render it likely to be read by the user under normal conditions of purchase and use.

Note: The terms “sunlamp products” and “indoor tanning devices” have the same meaning.

Source: FDA (8).


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