What Is Skin Cancer?
Skin cancer is the abnormal growth of skin cells, usually caused by damage from ultraviolet (UV) radiation. It typically develops on sun-exposed areas of the body, but it can also occur on areas that are rarely exposed to sunlight. Skin cancer is the most common type of cancer worldwide, with millions of new cases diagnosed each year.
Although skin cancer can be serious, early detection and treatment significantly improve the prognosis. Understanding the types, warning signs, and preventive measures is crucial for managing the risks associated with this condition.
Types of Skin Cancer
1. Basal Cell Carcinoma (BCC)
Basal cell carcinoma is the most common form of skin cancer. It arises in the basal cells, which are located in the lower part of the epidermis.
Characteristics:
- Pearly or waxy bumps
- Flat, flesh-colored, or brown scar-like lesions
- Bleeding or scabbing sore that heals and returns
BCC rarely spreads to other parts of the body but can cause local damage if left untreated.
2. Squamous Cell Carcinoma (SCC)
Squamous cell carcinoma originates in the squamous cells, which form the middle and outer layers of the skin.
Characteristics:
- Firm, red nodules
- Flat lesions with a scaly, crusted surface
SCC can spread to other parts of the body if not treated promptly.
3. Melanoma
Melanoma is the most dangerous form of skin cancer. It develops in melanocytes, the cells that produce melanin (the pigment that gives skin its color).
Characteristics:
- A large brownish spot with darker speckles
- A mole that changes in color, size, or feel
- A painful lesion that itches or burns
Melanoma can spread rapidly to internal organs and is responsible for most skin cancer deaths.
4. Less Common Types
- Merkel Cell Carcinoma: Rare, aggressive cancer that usually appears as painless, firm nodules.
- Kaposi Sarcoma: Often affects people with weakened immune systems, including those with HIV/AIDS.
External Source: American Cancer Society on Skin Cancer
Causes and Risk Factors
The primary cause of skin cancer is exposure to UV radiation from the sun or artificial sources like tanning beds. However, other factors can increase the risk:
Risk Factors Include:
- Fair skin, light-colored eyes, and hair
- History of sunburns, especially in childhood
- Excessive sun exposure
- Living closer to the equator or at high altitudes
- Having many moles or abnormal moles
- Family or personal history of skin cancer
- Weakened immune system
- Exposure to certain chemicals or radiation
Symptoms of Skin Cancer
Recognizing the early signs of skin cancer can lead to prompt diagnosis and treatment.
Common Symptoms:
- New growths or sores that do not heal
- Changes in existing moles (color, size, shape)
- Unusual bleeding, itching, or tenderness
- Skin lesions that look different from others
The ABCDE Rule for Melanoma:
- Asymmetry: One half of the mole doesn’t match the other
- Border: Irregular, ragged edges
- Color: Multiple colors or uneven shading
- Diameter: Larger than 6 mm (about the size of a pencil eraser)
- Evolving: Changes over time
Diagnosis of Skin Cancer
Skin cancer diagnosis begins with a physical examination. A dermatologist may use a dermatoscope to closely examine suspicious skin lesions.
Diagnostic Tools:
- Skin biopsy: The primary method for confirming skin cancer. A sample of skin tissue is removed and examined under a microscope.
- Imaging tests: CT scans, MRIs, or PET scans may be used if cancer has spread.
- Lymph node biopsy: For advanced melanoma cases to check for metastasis.
Treatment Options
Treatment depends on the type, size, location, and stage of the cancer.
Common Treatments Include:
1. Surgical Procedures
- Excisional surgery: Removal of cancerous tissue and surrounding margin
- Mohs surgery: Layer-by-layer removal, often used for BCC and SCC
2. Radiation Therapy
Used for cancers that can’t be removed surgically or in older adults
3. Cryotherapy
Freezing precancerous skin lesions (actinic keratosis) and early-stage cancers
4. Topical Medications
Creams containing imiquimod or 5-fluorouracil (5-FU) for superficial BCC
5. Chemotherapy
Rarely used for skin cancer but may be needed if cancer has spread
6. Immunotherapy
Drugs like pembrolizumab (Keytruda) and nivolumab (Opdivo) used for advanced melanoma
7. Targeted Therapy
For melanoma with specific genetic mutations (e.g., BRAF mutation)
Prevention Strategies
While not all skin cancers are preventable, you can significantly reduce your risk by taking protective measures.
How to Protect Your Skin:
- Use broad-spectrum sunscreen with SPF 30 or higher
- Reapply every two hours and after swimming or sweating
- Wear protective clothing, hats, and sunglasses
- Avoid peak sun hours (10 a.m. to 4 p.m.)
- Seek shade whenever possible
- Avoid tanning beds
- Perform regular skin self-exams
For more tips, check our Sun Protection and Skin Health Guide.
Living with Skin Cancer
Being diagnosed with skin cancer can be life-altering, but many people lead full lives after treatment. Emotional support, lifestyle adjustments, and regular follow-ups are essential.
Support Tips:
- Join a cancer support group
- Maintain a healthy diet and active lifestyle
- Follow up with dermatologists regularly
- Practice mindfulness or stress-relief techniques
FAQs About Skin Cancer
Is Skin Cancer Curable?
Yes, especially when detected early. Most cases of BCC and SCC are highly treatable. Melanoma is more serious but also curable when caught in early stages.
Can Dark-Skinned Individuals Get Skin Cancer?
Yes. While less common, skin cancer can still occur and is often diagnosed at later, more dangerous stages in darker-skinned individuals.
How Often Should I Get a Skin Check?
At least once a year or more frequently if you have risk factors or a history of skin cancer.
Conclusion
Skin cancer is a common but highly manageable condition when caught early. Awareness, prevention, and early detection are your best defenses. By taking sun safety seriously and knowing the warning signs, you can significantly reduce your risk.
Whether you’re concerned about a mole, seeking prevention tips, or supporting a loved one, staying informed is the first step toward protection and peace of mind. Consult with a dermatologist for regular skin exams and any concerns you may have.
Explore more resources on skin health and cancer prevention in our Dermatology and Oncology Health Hub.
Disclaimer: This article is for informational purposes only and does not replace professional medical advice. Please consult a healthcare provider for diagnosis and treatment options.