Skin Cancer Removal

Skin cancer is the most common form of cancer among humans. More than three million new cases are diagnosed in the U.S., each year. Skin cancer occurs when skin cells grow abnormally, usually because of overexposure to the sun’s rays. While it can affect people of all races, it’s more common in lighter-skinned individuals who burn easily. Here are the basic facts everyone should know about this disease.

Types of Skin Cancer
Skin cancer appears in three basic types: 1) basal cell carcinoma (BCC), 2) squamous cell carcinoma (SCC), and 3) melanoma. Basal cell carcinoma is the most common form of the disease, followed by squamous cell carcinoma, then melanoma. While all three types should be treated as soon as they are discovered, melanoma is particularly deadly and require(s) prompt attention. If not treated in time, Actinic Keratosis (AK) is a type of precancerous growth that can progress into squamous cell carcinoma.

Signs and Symptoms
Basal cell carcinoma symptoms include:

• A raised, pearly bump on the head, neck, or shoulders
• Pink, crusty growths with raised borders
• Raised, reddish skin patches that may itch or appear crusty
• A white or yellow area that resembles a scar

Squamous cell carcinoma symptoms include:

• Red, scaly patches that bleed easily
• Open sores
• Growths that resemble warts
• Rough growths with an indented center

Melanoma symptoms include:

• Asymmetrical lesions with brown to black pigmentation
• Moles that change in size, shape, elevation, or color
• New moles that appear during adulthood
• Itching, bleeding, or ulceration of existing moles
• Lesions larger than 6 mm across

Actinic keratosis is characterized by crusty, scaly lesions along the face, scalp, or hands. It’s often referred to as “solar keratosis,” due to the fact that the lesions are most often caused by ultraviolet light from sun exposure. If left untreated, these lesions are considered precancerous and up to ten percent of (cases can develop into squamous cell carcinoma.

Causes of Skin Cancer
In most cases, these cancers are the result of DNA mutations caused by the effects of ultraviolet light on the cells of the epidermis. While the immune system normally does a good job of controlling these cells in their early stages, they can grow out of control if the immune system is compromised.

The most common causes include:

• Excessive sun exposure (of particular concern in coastal areas like Panama City and Panama City Beach)
• Frequent use of tanning booths
• Impairment of the immune system (immunosuppression)
• X-ray exposure
• Contact with oils, tar, soot, or arsenic

Common risk factors may include:

• Fair skin
• Light hair and blue or green eyes
• Albinism and other genetic disorders that deplete skin pigmentation
• Family history
• Severe sunburn, especially during youth

Treatment
Treatment of basic cell and squamous cell carcinoma typically involve surgical removal of the lesions. There are two primary types of surgical options: 1) electrodessication/curettage (EDC), and 2) surgical excision

EDC requires only a local anesthetic and is typically a quick, inexpensive procedure. Surgical excision also requires a local anesthetic and leaves a less visible scar than EDC, but it is more expensive and complicated.

Note that in some cases of basal cell carcinoma, topical medications are used to remove the offending lesions. These creams and solutions are designed to stimulate the immune system response, causing it to attack the cancer. Patients may or may not experience side effects from this type of treatment. Side effects can include redness, irritation, and inflammation. Their major drawback is that it can be difficult to determine whether or not the lesion is completely gone, due to the lack of remaining tissue.

In cases of malignant melanoma, several types of treatment may be necessary. In addition to surgery, these may include chemotherapy, radiation therapy, and/or immunotherapy. Due to the complexity of melanoma treatment, patients are often best served by combining the services of a surgeon trained to remove cancers; a dermatologist, and a medical oncologist.

Prognosis
In most cases, the prognosis for non-melanoma is very good. Fortunately, basal and squamous cell carcinoma are highly curable forms of the disease. Deaths are rare, except in cases of extremely immunosuppressed individuals. The cancer recurrence rate varies, depending on the type of treatment.

Prevention
The best way to prevent cancer is to avoid situations that cause tumors to develop. Sunscreens and protective clothing are strongly recommended, especially if you can’t avoid being in the sun. Whether you’re in the Northwest Florida region, or elsewhere, it is important to use sunscreen when you are exposed to harsh UV radiation. Avoid using tanning beds, as they are a major risk factor for skin cancer. In the event that you do notice peculiar moles or lesions on your skin, early detection is the best way to ensure a better outcome, so schedule an appointment at Gulf Coast Facial Plastics as soon as possible.

What are the survival rates of skin cancer?

Survival rates for skin cancer depend on the type, stage, and timing of diagnosis. Basal cell carcinoma, the most common type, has an excellent prognosis when caught early, with near-complete cure rates after proper treatment. Melanoma survival rates are also high if detected and treated early but decrease significantly if it spreads beyond the original site.

What is the most common treatment for skin cancer?

Surgery for skin cancer is the most common treatment, with methods like Mohs surgery highly effective, especially for basal cell carcinoma removal. The Mohs procedure for skin cancer precisely removes the affected tissue layer by layer, minimizing damage to healthy tissue and ensuring the entire cancer is removed.

How fast does melanoma skin cancer spread?

Melanoma can spread rapidly, potentially advancing to other parts of the body within weeks or months. Early detection and prompt melanoma skin cancer surgery are crucial to prevent the spread and improve survival outcomes.

What does melanoma skin cancer look like?

Melanoma typically appears as an irregularly shaped mole or growth, often with uneven borders, varied colors, and a diameter larger than a pencil eraser. Any skin lesion exhibiting rapid changes in color, size, or shape should be evaluated promptly by a healthcare professional.

What not to do after skin cancer surgery?

After a skin cancer operation, avoid strenuous activities, heavy lifting, and exposure to direct sunlight until fully healed. Refrain from touching, scratching, or picking at the surgical site to prevent infection or delayed healing. Follow your doctor’s specific post-operative care instructions carefully to ensure optimal healing and cosmetic results.

What to expect when having skin cancer removed?

Skin cancer removal procedures typically involve local anesthesia to ensure comfort. The duration can vary based on the cancer type and method used, such as Mohs surgery, which carefully removes affected tissue layer by layer. Patients can expect some swelling, redness, and mild discomfort afterward, with stitches typically removed within one to two weeks.

Will I be disfigured after Mohs surgery?

Mohs surgery is designed to minimize disfigurement by preserving as much healthy tissue as possible, particularly crucial when removing skin cancer from the face or nose. Any scarring is generally minimal and tends to fade significantly over time. Additional reconstructive procedures are available if needed to achieve the best cosmetic outcomes.

Can you remove skin cancer yourself?

You should never attempt to remove skin cancer yourself, as this can lead to serious complications, including incomplete removal, infection, or further spread of the cancer. Professional medical evaluation and treatment are necessary to safely and effectively remove skin cancer.

How long does it take to remove skin cancer?

The duration of a skin cancer removal procedure can vary but usually takes between 30 minutes to several hours, depending on the type, size, and location of the cancer. Mohs surgery, for example, may take longer due to its meticulous nature, ensuring thorough removal and minimal impact on surrounding tissue.

What is the most common type of skin cancer?

Basal cell carcinoma is the most common type of skin cancer, accounting for a significant majority of skin cancer cases. It typically appears as a small, shiny bump or patch and is commonly associated with prolonged sun exposure.

Is skin cancer becoming more common?

Yes, skin cancer rates, including basal cell carcinoma and melanoma, have been steadily increasing, primarily due to greater sun exposure, tanning practices, and heightened awareness leading to more diagnoses. Regular skin checks and protective measures against UV radiation are essential to reduce risk.

What are the treatments for skin cancer?

Treatments for skin cancer include surgical removal (such as Mohs surgery), excision, cryotherapy, radiation therapy, and topical chemotherapy. The choice of treatment depends on the type, stage, and location of the skin cancer, as well as patient-specific factors like overall health and cosmetic considerations.

What does a skin cancer tumor look like?

Skin cancer tumors can vary widely in appearance, but they often present as unusual growths, moles, or skin lesions. Common characteristics include irregular shapes, varied colors (brown, black, or red), raised or scaly surfaces, and sometimes bleeding or ulceration.

What are some skin cancer symptoms?

Symptoms of skin cancer include new or changing moles, sores that don’t heal, skin lesions that bleed or itch, and areas of skin with irregular pigmentation. Any noticeable changes in your skin should prompt a visit to a medical professional for evaluation and possible treatment.