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Skin Cancer


Overview

Physician developed and monitored.

Original source: www.oncologychannel.com
Original Date of Publication: 15 Aug 1999
Reviewed by: Stanley J. Swierzewski, III, M.D.
Last Reviewed: 04 Dec 2007

Home » Skin Cancer » Overview


Overview

Skin cancer, like other forms of cancer, results from the unrestrained growth and division of cells. Perhaps because of our love for the sun, skin cancer is being reported more frequently every year. In fact, it is now the most common form of cancer.



Skin cancer is categorized as one of two general types, melanoma and non-melanoma. Both types are principally caused by excessive exposure to the sun's ultraviolet rays, and each type can be deadly.

There are four types of melanoma and two common types of non-melanoma cancer. The four types of melanoma are classified according to their respective growth patterns. They are superficial spreading melanoma (SSM), nodular melanoma (NM), acral lentiginous melanoma (ALM), and lentigo maligna melanoma (LMM).

The two common types of non-melanoma skin cancer are basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). These types are the most common skin cancers, and BCC occurs more frequently than SCC. Although BCC and SCC are often treatable, malignant melanoma has a fatality rate unparalleled by either non-melanoma type. The types of skin cancer vary with regard to their cells of origination and the clinical presentation.

Non-Melanoma Skin Cancer
In the United States, approximately 1 million cases of non-melanoma skin cancer are detected each year. Of these cases, over 500,000 are basal cell carcinoma and the rest are squamous cell carcinoma. True incidence of these cancers is unknown. According to the American Cancer Society, approximately 2200 people died from non-melanoma skin cancer in the year 2002. Overall, non-melanoma skin cancers account for less than 0.1% of cancer-related deaths.

Like melanoma, non-melanoma skin cancer frequently develops on areas of the skin that are exposed to the sun. It often occurs on the neck, face, back, forearms, and the backs of the hands. Basal cell carcinoma and squamous cell carcinoma are the most common non-melanoma skin cancers. Unlike basal cell cancers, squamous cell carcinomas can metastasize. Despite this, the 5-year survival rate for squamous cell carcinoma is greater than 95%.



Early detection is important to increase the chance for successful treatment. Regular self-examination, as well as periodic, thorough examinations by a dermatologist, are the greatest aid in early diagnosis. Many experts suggest a monthly self-exam, especially in high-risk individuals (e.g., patients who have a history of skin cancer).

After or during a bath or shower, the skin (including the underarms, the backs of the legs and feet, the skin between the buttocks, the genital area, the soles of the feet, the spaces between the toes, and the scalp) should be examined in a bright room with a full-length mirror. A hand-held mirror can be used to examine hard-to-see areas, and a blow dryer can be used to move hair to examine the scalp.

The location, size, shape, number, and color of all familiar moles, birthmarks, scars, and blemishes should be noted, as well as any new or unusual changes in the skin. For example, a sore that does not heal, a mole that has grown or changed color, or any other change in the skin should be reported to a physician as soon as possible. Because BCC rarely invades and spreads, it is rarely life threatening; however, early detection and treatment is necessary to mimimize tissue destruction and scarring.



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