Skin cancer is the most common type of cancer, with estimates of 1 in 5 Americans developing some form over the course of their lifetime. However, when detected early, skin cancer is highly treatable. Typically, people will notice a mole or other lesion that is new or has changed in size, shape, or color. All of these observations are possible warning signs of cancer. At Goodskin Dermatology, we encourage anyone who has concerns or questions regarding a suspicious lesion to come visit us. We take pride in being skin cancer experts and will use our knowledge, experience, and the best tools to accurately diagnose and effectively treat your condition. Read on below to learn about Risk Factors and Common Types of Skin Cancer.
Common Skin Cancer Risk Factors
Anyone can get skin cancer, regardless of skin color. However, there are certain factors that increase the risk of occurrence. These factors don’t necessarily mean you will get skin cancer, but it’s helpful to understand if you are at higher risk so you can take extra precautions to help avoid skin cancer.
Risk Factors include:
- Age
- Light-Colored Skin
- Skin Prone to Sunburn
- Blond/Red Hair
- Blue/Green Eyes
- More Than 50 Moles
- History of Sunburns
- Use of Tanning Beds
- Received an Organ Transplant
- History of Skin Cancer (Self or Family History)
Actinic Keratoses (AKs)
Actinic keratosis (or solar keratosis) is scaly or dry skin, caused by over-exposure to UV light from the sun or tanning beds. Commonly found on the hands, forearms, face, and scalp, groups of these AKs often start as small, sandpaper-like patches of skin. They can range in color (skin-colored to red-brown) and can grow in size, from almost undetectable to larger than a quarter.
Actinic keratoses are considered to be pre-cancerous spots that, left undetected or untreated, can lead to skin cancer. Having a dermatology provider examine any worrisome dry or scaly patches of skin will help identify any AKs early on. Effective treatment can then be used to prevent the potential progression of skin cancer.
Common Types of Skin Cancer
Basal Cell Carcinoma
Basal Cell Carcinoma (BCC) is the most common form of skin cancer. It typically appears as uncontrolled growths or lesions that perpetuate from normal basal cells in the skin.
BCCs can come in many shapes and sizes. It might appear dome-shaped with visible blood vessels or could be a sore that doesn’t heal. BCCs do not typically spread past the original lesion, but they can cause disfiguration at the site and should be treated promptly.
BCC most commonly appears on skin exposed to a lot of UV light from the sun or tanning beds. The scalp, face, nose, neck, and hands are all high risk areas.
Squamous Cell Carcinoma
Squamous Cell Carcinoma (SCC) is the second most common form of skin cancer and is characterized as a growth of abnormal cells also arising from the skin (similar to BCC).
SCCs can present as bumps that feel crusty or rough, scaly red patches, open sores, or lesions that won’t heal. They can also begin as precancerous growths (AKs). Like BCC, they commonly appear on areas of skin that are frequently exposed to UV light from the sun. Sometimes they can develop on areas of the body that do not get sun, like inside the mouth or on the genitals.
It’s important to note that SCCs should be treated promptly because they can spread to other areas of the body, making treatment more difficult. Left untreated, they can be disfiguring at the site of the lesion, and in some cases, can be deadly.
Melanoma
Melanoma is the most dangerous form of skin cancer, affecting the pigment-producing cells in the skin (melanocytes). Mutations to these cells cause them to rapidly reproduce as a malignant (cancerous) tumor. This is typically caused by over-exposure to UV light from the sun or tanning beds, but melanomas can occur on other areas of the body not commonly exposed to the sun. In addition, a family history of melanoma increases your risk of developing the disease.
Melanoma often resembles a mole on your skin. However, there are certain things to pay attention to to help distinguish a harmless spot from melanoma. Healthy moles typically are symmetrical in shape, have well-defined borders, and are all one color. Pay attention to any moles that don’t follow those guidelines or are changing rapidly in color, size, or shape. You will definitely want to have a provider check those particular moles for melanoma.
If caught early and treated, melanoma is almost always curable. If not diagnosed early enough, it can spread (metastasis) to other parts of the body, making treatment much harder and it can be fatal. Be sure to schedule an appointment with a provider if you are suspicious of any lesions on your skin.
Common Skin Cancer Treatment Options
After biopsy results have been returned, your provider will use them to create an effective and appropriate treatment plan based on the type and severity of skin cancer present. Often, treatment options are fairly straightforward and minimally invasive. In certain cases, surgical options are required to achieve complete removal of cancerous tissue.
Curettage and Desiccation
Also known as C&D (or ED&C), this treatment is a scraping and burning technique commonly used to remove layers of cancerous tissue.
After a local anesthetic is injected, the lesion is scraped with a sharp-edged tool called a curette to remove malignant tissue. Then, an electro-desiccation device is used to cauterize the wound, which prevents excess bleeding and destroys remaining cancerous cells. This removal heals in 4-6 weeks by secondary intention, which means no stitches are used.
Topical Chemotherapy Cream
Another common method used to treat skin cancer is chemotherapy cream. This is a prescription medicinal cream that can be applied directly to a cancerous lesion to treat it.
This cream is used on superficial skin cancers only, and can be a very effective, non-invasive treatment option. This treatment option is a 6-week course that causes inflammation and irritation to the site in which it is being applied. This is a necessary response to achieve successful results.
Excision
This is when the skin cancer is removed from the body by cutting around the lesion using a scalpel. Stitches will be required to close the wound and remain in for 7-14 days, dependent upon the location of the excision on the body.
Any tissue removed by excision is then sent to a dermatopathologist to confirm that clear margins were achieved and no lingering cancer cells remain.
Mohs Surgery as a Treatment Option
In some cases, skin cancers appear on parts of the body where a more delicate approach to treating them is necessary. Mohs micrographic surgery is a highly specialized, advanced surgical technique that is often utilized to treat these more technical cases. This type of surgery is tissue-sparing, meaning that the surgeon will remove the cancerous lesion while keeping as much of the unaffected surrounding tissue intact. By using this approach, the surgeon can ensure the complete removal of the cancerous tissue and still suture the wound in such a way as to minimize scarring. Mohs surgical procedures do require patients to wait while the surgeon ensures they have achieved clear margins before the wound is stitched closed. However, the benefit of this procedure is that a patient will know that a skin cancer has been fully removed by the end of the appointment.