Skin Cancer Treatment

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Doctor's View on Skin Cancer Treatments

Comment by Charles P. Davis, MD, PhD

Skin cancer definition and symptoms

Skin cancer is the most common cancer in the world. Fortunately, about 75% of all skin cancers are curable and many skin cancers are preventable by reducing the skin's exposure, especially on the face, to ultraviolet (UV) radiation from the sun. The major types of skin cancers are basal cell, squamous cell, and melanoma cancers. Basal and squamous cell cancers infrequently spread to areas other than the skin but melanomas, if not treated early in their development, often spread beyond the skin. Signs of skin cancer (basal and squamous) are occasionally similar so the combined symptoms are as follows:

  • Any unusual bump or sore that does not go away
  • A waxy skin patch that may be translucent, brownish, or crusty that may bleed if injured
  • A firm lump with reddish scaly covering

Melanoma signs and symptoms

Melanomas are aggressive and the following signs and symptoms are summarized by the Cancer Treatment Centers of America as follows. Melanoma skin cancer signs include new spots on the skin, or a change in size, shape, or color of an existing mole. The ABCD rule is another way to recognize abnormal growths:

  • A is for Asymmetry: A mole that has an irregular shape, or two different looking halves.
  • B is for Border: Irregular, blurred, rough, or notched edges may be signs of skin cancer.
  • C is for Color: Most moles are an even color -- brown, black, tan or even pink -- but changes in the shade or distribution of color throughout the mole can signal melanoma.
  • D is for Diameter: Moles larger than ¼ inch (6 mm, the size of a pencil eraser) across may be suspect, although some melanomas may be smaller than this.

Other potential signs of melanoma in a mole include:

  • A sore that does not heal
  • Pigment, redness, or swelling that spreads outside the border of a spot to the surrounding skin
  • Itchiness, tenderness, or pain
  • Changes in texture or scales, oozing, or bleeding from an existing mole

Skin cancer treatments

Basel and squamous cell cancers are usually easily treated in office visits by a dermatologist using safe and effective methods such as superficial excision with a skin scraping tool (curette), heat (cauterization), freezing (cryotherapy), or low dose radiation of the skin lesion. Some clinicians use chemotherapeutic agents (5-fluorouracil or imiquimod) topically to kill these cancer cells. If these cancers do spread, surgical removal, chemotherapy, and radiation may be used in combination to treat the patient.

Melanomas occur more deeply in the skin and spread more aggressively to other areas and organs. The first treatment option is to surgically remove enough tissue so that the remaining tissue contains no cancer cells. Because of the tendency of melanoma to spread fairly rapidly, some clinicians recommend removing lymph nodes near the cancer site. In contrast to basal and squamous cell cancers, surgery, radiation, or chemotherapy will cure advanced melanomas but such treatments may reduce symptoms and slow the disease progression. Unfortunately, about 20% of patients with skin cancer have reoccurrences within 2 years.

Other treatments for skin cancer

Researchers are using different methods to try to treat skin cancers, especially ones that have spread and the aggressive melanomas. Vaccines, drugs (interferon, interleukin-2, ipilimumab) to stimulate immune cells, and genetic manipulation of melanomas are all being developed to treat skin cancer patients. Some drugs are available in clinical trials while others have recently been approved for patient use under special conditions.

Fortunately, the majority of skin cancers are not only treatable but curable. However, the best news is that many people can prevent or reduce the risk of getting skin cancers by taking simple precautions of limiting skin exposure to the sun with clothing, hats, and effective sunscreen application.

Read what patients are saying about skin cancer treatments!

Skin Cancer Treatment Resources

Doctor written main article on Skin Cancer

REFERENCES:

"Skin Cancer Symptoms." Cancer Treatment Centers of America.

"Skin Cancer Treatment." WebMD.


Last Editorial Review: 7/23/2013 8:27:33 PM




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