Golf Course: Mark Twain famously said that golf is a good walk spoiled. For most golfers, the sport is also fraught with a very high risk of getting skin cancer.

On the course, golfers are exposed to the sun’s ultraviolet (UV) radiation, which is the primary cause of nonmelanoma skin cancer (NMSC). The journal Exercise Medicine advises that golf is associated with more UV radiation exposure than other outdoor activities such as fishing, tennis, swimming, gardening, sun-worshipping and sailing.

How common is NMSC? Some 9,500 Americans are diagnosed with skin cancer every day, with more than 3 million new cases recorded yearly – more cases than all other types of cancer combined. One in five Americans will have NMSC in their lifetime, and incident rates are rising.

Dr. Robyn Messing, a physician specializing in diseases of the skin at Family Medicine of Michigan in Grand Ledge and who is married to a golf pro, notes, “New research shows that 27 percent of golfers have been diagnosed with skin cancer, compared to just seven percent of the general population. That really underscores how important it is for golfers to use sunscreen repeatedly during their outings, and to wear protective clothing.”

Popular tee times between 11am and 3pm result in exposure to the sun’s strongest UV rays, leading to the fact that golfers are prone to cancerous lesions on the scalp, shoulders, back of neck and forearms. The more one plays, the higher the cancer risk, as UV exposure is cumulative over one’s lifetime.

Professional golfer Rory Sabbatini had a squamous cell carcinoma removed from his face; Adam Scott was diagnosed with basal cell carcinoma, another type of NMSC; and Aron Price reported three incidents of NMSC before doctors diagnosed him in 2010 with melanoma. NewsUSA/SP