What About Other Treatments I Hear About
When you have cancer you might hear about other ways to treat the cancer or treat your symptoms. These may not always be standard medical treatments. These treatments may be vitamins, herbs, special diets, and other things. You may wonder about these treatments.
Some of these are known to help, but many have not been tested. Some have been shown not to help. A few have even been found to be harmful. Talk to your doctor about anything youre thinking about using, whether its a vitamin, a diet, or anything else.
How To Find A Dermatologist
If you find a suspicious spot, seeing a dermatologist can give you peace of mind. Dermatologists are experts in caring for the skin and have more experience diagnosing skin cancer than any other doctor.
ReferencesAmerican Academy of Dermatology, AAD statement on USPSTF recommendation on skin cancer screening. News release issued July 26, 2016. Last accessed February 28, 2017.
Bichakjian CK, Halpern AC, et al. Guidelines of care for the management of primary cutaneous melanoma.J Am Acad Dermatol. 2011 Nov 65:1032-47.
Garg A, Levin NA, et al. Approach to dermatologic diagnosis. In: Wolff K, Goldsmith LA, et al. Fitzpatricks Dermatology in General Medicine . McGraw Hill Medical, New York, 2008: 25.
What Are The Signs And Symptoms Of Basal Cell Carcinoma
Basal cell carcinoma is a type of skin cancer that can show up on the skin in many ways. Also known as BCC, this skin cancer tends to grow slowly and can be mistaken for a harmless pimple, scar, or sore.
Common signs and symptoms of basal cell carcinoma
This skin cancer often develops on the head or neck and looks like a shiny, raised, and round growth.
To help you spot BCC before it grows deep into your skin, dermatologists share these 7 warning signs that could be easily missed.
If you find any of the following signs on your skin, see a board-certified dermatologist.
Dont Miss: What Do Skin Cancer Marks Look Like
A Sore That Doesn’t Heal
Many skin cancers are first dismissed as being due to a bug bite, minor injury, or irritation, but become more obvious when they don’t go away over time. If you notice a sore on your skin that refuses to heal, even if it seems to be healing but then reappears, talk to your healthcare provider. In general, any skin change that hasn’t resolved on its own over a period of two weeks should be evaluated.
Are There Different Kinds Of Skin Cancer
There are many types of skin cancer. Your doctor can tell you more about the type of skin cancer you have.
Basal cell and squamous cell skin cancers are much more common than melanoma and dont often spread to other parts of the body. Melanoma is more deadly because it is more likely to spread to other parts of the body.
Don’t Miss: Does Amelanotic Melanoma Blanch When Pressed
Squamous Cell Carcinoma: Common In Sun
Squamous cell carcinoma, also called squamous cell cancer, is the second most common type of skin cancer. It accounts for about 20 percent of cases.
This type of cancer starts in flat cells in the outer part of the epidermis. It commonly crops up on sun-exposed areas, such as the face, ears, neck, lips, and hands. It can also develop on scars or chronic sores.
Squamous cell carcinomas may develop from precancerous skin spots, known as actinic keratosis .
These cancers might look like:
- A firm, red bump
- A flat lesion with a scaly, crusted surface
- A sore that heals and then reopens
People with lighter skin are more at risk for developing squamous cell carcinoma, but the skin cancer can also affect those with darker skin.
Other risk factors include:
- Having light eyes, blond or red hair, or freckles
- Being exposed to the sun or tanning beds
- Having a history of skin cancer
- Having a history of sunburns
- Having a weakened immune system
- Having the genetic disorder xeroderma pigmentosum
How Is Cancer On The Scalp Treated
Potential treatments for skin cancer on your scalp include:
- Surgery. Your doctor will remove the cancerous growth and some of the skin around it, to make sure that they removed all the cancer cells. This is usually the first treatment for melanoma. After surgery, you may also need reconstructive surgery, such as a skin graft.
- Mohs surgery. This type of surgery is used for large, recurring, or hard-to-treat skin cancer. Its used to save as much skin as possible. In Mohs surgery, your doctor will remove the growth layer by layer, examining each one under a microscope, until there are no cancer cells left.
- Radiation. This may be used as a first treatment or after surgery, to kill remaining cancer cells.
- Chemotherapy. If your skin cancer is only on the top layer of skin, you might be able to use a chemotherapy lotion to treat it. If your cancer has spread, you might need traditional chemotherapy.
- Freezing. Used for cancer that doesnt go deep into your skin.
- . Youll take medications that will make cancer cells sensitive to light. Then your doctor will use lasers to kill the cells.
The outlook for skin cancer on your scalp depends on the specific type of skin cancer:
You May Like: How Fast Does Cancer Spread Without Treatment
Skin Cancer Can Look Like Many Things Therefore People Can Go Long Periods Of Time Without Recognizing That They Have A Skin Cancer Says Dr Steven Musick Md A Board Certified Dermatologist Who Runs Musick Dermatology Llc In Swansea Il Which Provides State
Not only can skin cancer mimic many benign conditions such as pimples and skin barnacles, but a tumor can develop in areas that are difficult to inspect or that are not considered during a persons self-skin exam.
For example, it would be difficult for one to examine their scalp unless theyre bald. Inside the ears is another hard-to-visualize location.
And then there are areas that people wouldnt think to check, such as between their butt cheeks, inside their belly button, between their toes, the soles of their feet and even the pupils of their eyes.
Yes, melanoma can grow in the pupils and go unnoticed for long periods of time.
Melanoma, along with squamous cell carcinoma, can also pop up internally, including within the genitals, mouth, nose and lungs.
Another factor that influences how long a person can have skin cancer and not know it is where they live.
If they live in a Third, and especially Fourth, World nation, they can have a basal cell carcinoma that goes undiagnosed for many years due to lack of skin cancer awareness campaigns and adequate skin cancer screenings.
However, this type of tumor will continue progressing, though very slowly it wont stop growing just because its untreated.
Can Blood Tests Or Scans Detect Skin Cancer
Currently, blood tests and imaging scans like MRI or PET are not used as screening tests for skin cancer. However, some national studies are underway to determine if concentrations of skin cancer DNA can be detected by blood tests. Occasionally, imaging detects signs of advanced disease. Sometimes, skin cancer that has spread to internal organs is detected incidentally when a patient is undergoing an imaging study such as MRI or PET scan for unrelated conditions.
Recommended Reading: Invasive Ductal Breast Cancer Prognosis
What To Do If You Notice Skin Changes
If you notice anything unusual on your skin, make an appointment to show it to your GP. It might help to take a photograph of anything unusual, so you can check for any changes. Remember there are many other skin conditions that are not cancer, especially in older people.
It can be more difficult to notice changes if you have darker skin. This is because symptoms of skin cancer may be less obvious than in people with paler skin. If you notice any changes, such as a sore that does not heal, always see your GP.
Macmillan is here to support you. If you would like to talk, you can:
Also Check: Can You Die From Basal Cell Skin Cancer
Is There Anything Else I Need To Know About A Skin Cancer Screening
Exposure to the ultraviolet rays that come from the sun plays a major role in causing skin cancer. You are exposed to these rays anytime you are out in the sun, not just when you are at the beach or pool. But you can limit your sun exposure and help reduce your risk of skin cancer if you take a few simple precautions when out in the sun. These include:
- Using a sunscreen with a sun protection factor of at least 30
- Seeking shade when possible
- Wearing a hat and sunglasses
Sunbathing also increases your risk of skin cancer. You should avoid outdoor sunbathing and never use an indoor tanning salon. There is no safe amount of exposure to artificial tanning beds, sunlamps, or other artificial tanning devices.
If you have questions about reducing your risk of skin cancer, talk to your health care provider.
Also Check: Is Melanoma Cancer Curable
Red Flags For Squamous Cell Carcinoma
Like basal cell cancer, squamous cell cancer tends to develop on parts of the body that get a lot of sun, such as the face, neck, ear, lip, and back of the hands.
It might also appear in scars or skin sores anywhere on the body
While squamous cell carcinoma can look like a flat area closely resembling healthy skin, there may be clearer signs of malignancy, according to the SCF, including:
- Rough or scaly red patches that may bleed or crust
- Raised growths or lumps, sometimes with a depression in the center
- Open sores, possibly with oozing or crusted areas, that dont heal or that go through cycles of healing and bleeding
- Growths that resemble warts
Certain skin conditions may be precursors to squamous cell carcinoma, or even early forms of it:
What Tests Are Used To Stage Melanoma
There are several tests your doctor can use to stage your melanoma. Your doctor may use these tests:
- Sentinel Lymph Node Biopsy: Patients with melanomas deeper than 0.8 mm, those who have ulceration under the microscope in tumors of any size or other less common concerning features under the microscope, may need a biopsy of sentinel lymph nodes to determine if the melanoma has spread. Patients diagnosed via a sentinel lymph node biopsy have higher survival rates than those diagnosed with melanoma in lymph nodes via physical exam.
- Computed Tomography scan: A CT scan can show if melanoma is in your internal organs.
- Magnetic Resonance Imaging scan: An MRI scan is used to check for melanoma tumors in the brain or spinal cord.
- Positron Emission Tomography scan: A PET scan can check for melanoma in lymph nodes and other parts of your body distant from the original melanoma skin spot.
- Blood work: Blood tests may be used to measure lactate dehydrogenase before treatment. Other tests include blood chemistry levels and blood cell counts.
Read Also: How Serious Is Melanoma Cancer
Also Check: Cancer Spread All Over Body
Get To Know Your Skin
It is also a good idea to talk to your doctor about your level of risk and for advice on early detection.
It’s important to get to know your skin and what is normal for you, so that you notice any changes. Skin cancers rarely hurt and are much more frequently seen than felt.
Develop a regular habit of checking your skin for new spots and changes to existing freckles or moles.
What Are The Symptoms Of Skin Cancer Of The Head And Neck
Skin cancers usually present as an abnormal growth on the skin. The growth may have the appearance of a wart, crusty spot, ulcer, mole or sore. It may or may not bleed and can be painful. If you have a preexisting mole, any change in the characteristics of this spot – such as a raised or an irregular border, irregular shape, change in color, increase in size, itching or bleeding – are warning signs of melanoma. Sometimes the first sign of melanoma or squamous cell cancer is an enlarged lymph node.
Johns Hopkins Head and Neck Cancer Surgery Specialists
Our head and neck surgeons and speech language pathologists take a proactive approach to cancer treatment. Meet the Johns Hopkins specialists who will work closely with you during your journey.
Recommended Reading: Braf And Melanoma
Medical History And Physical Exam
Usually the first step your doctor takes is to ask about your symptoms, such as when the mark on the skin first appeared, if it has changed in size or appearance, and if it has been painful, itchy, or bleeding. You may also be asked about your possible risk factors for melanoma skin cancer, such as your history of tanning and sunburns, and if you or anyone in your family has had melanoma or other skin cancers.
During the physical exam, your doctor will note the size, shape, color, and texture of the area in question, and whether it is bleeding, oozing, or crusting. The rest of your body may be checked for moles and other spots that could be related to skin cancer .
The doctor may also feel the lymph nodes under the skin in the neck, underarm, or groin near the abnormal area. When melanoma spreads, it often goes to nearby lymph nodes first, making them larger.
If you are being seen by your primary doctor and melanoma is suspected, you may be referred to a dermatologist, a doctor who specializes in skin diseases, who will look at the area more closely.
Along with a standard physical exam, many dermatologists use a technique called dermoscopy to see spots on the skin more clearly. The doctor uses a dermatoscope, which is a special magnifying lens and light source held near the skin. Sometimes a thin layer of alcohol or oil is used with this instrument. The doctor may take a digital photo of the spot.
A Primer On Skin Cancer
Malignant melanoma, especially in the later stages, is serious and treatment is difficult. Early diagnosis and treatment can increase the survival rate. Nonmelanoma skin cancers include basal cell carcinoma and squamous cell carcinoma. Both are common and are almost always cured when found early and treated. People who’ve had skin cancer once are at risk for getting it again they should get a checkup at least once a year.
Also Check: Skin Cancer Metastasis To Lymph Nodes
Looking For Signs Of Skin Cancer
Non melanoma skin cancers tend to develop most often on skin that’s exposed to the sun.
To spot skin cancers early it helps to know how your skin normally looks. That way, you’ll notice any changes more easily.
To look at areas you cant see easily, you could try using a hand held mirror and reflect your skin onto another mirror. Or you could get your partner or a friend to look. This is very important if you’re regularly outside in the sun for work or leisure.
You can take a photo of anything that doesn’t look quite right. If you can it’s a good idea to put a ruler or tape measure next to the abnormal area when you take the photo. This gives you a more accurate idea about its size and can help you tell if it’s changing. You can then show these pictures to your doctor.
How Can I Prevent Skin Cancer
For all types of skin cancer, the first lines of defense are awareness and prevention. Prevention steps center on avoiding ultraviolet radiation exposure from both sunlight and tanning beds. This means staying out of the sun, especially when the suns rays are strongest, between 11 a.m. and 3 p.m. using a broad-spectrum water-resistant sunscreen with SPF of at least 30 and covering exposed skin with protective clothing when outdoors, even on a cloudy day.
Perform a skin self-exam
Don’t Miss: Prognosis Of Skin Cancer
Preparing For Your Appointment
If you have any concerns about the health of your skin, it is important to share them with your doctor. After making an appointment, there are steps you can take to prepare yourself and make the most of your time with your doctor.
Here are some things to consider and be prepared to discuss before visiting the clinic or hospital:
What symptoms are you experiencing ?
When did you first notice your symptoms?
Have there been any major changes or stressors in your life recently?
What medications and/or vitamins are you taking?
What questions do you have for your doctor?
Different Kinds Of Skin Cancer
There are many types of skin cancer. Some are very rare. Your doctor can tell you more about the type you have.
The two most common kinds of skin cancers are:
- Basal cell cancer, which starts in the lowest layer of the skin
- Squamous cell cancer, which starts in the top layer of the skin
Another kind of skin cancer is called melanoma. These cancers start from the color-making cells of the skin . You can read about melanoma in If You Have Melanoma Skin Cancer.
Read Also: Can You Die From Basal Cell Skin Cancer
Basal Cell Carcinoma Stages
There are certain features that are considered to make the cancer at higher risk for spreading or recurrence, and these may also be used to stage basal cell carcinomas. These include:
- Greater than 2 mm in thickness
- Invasion into the lower dermis or subcutis layers of the skin
- Invasion into the tiny nerves in the skin
- Location on the ear or on a hair-bearing lip
After the TNM components and risk factors have been established, the cancer is given a stage. For basal cell carcinoma staging, the factors are grouped and labeled 0 to 4. The characteristics and stages of basal cell carcinoma are:
Stage 0: Also called carcinoma in situ, cancer discovered in this stage is only present in the epidermis and has not spread deeper to the dermis.
Stage 1 basal cell carcinoma: The cancer is less than 2 centimeters, about 4/5 of an inch across, has not spread to nearby lymph nodes or organs, and has one or fewer high-risk features.
Stage 2 basal cell carcinoma: The cancer is larger than 2 centimeters across, and has not spread to nearby organs or lymph nodes, or a tumor of any size with 2 or more high-risk features.
Stage 3 basal cell carcinoma: The cancer has spread into facial bones or 1 nearby lymph node, but not to other organs.
Stage 4 basal cell carcinoma: The cancer can be any size and has spread to 1 or more lymph nodes which are larger than 3 cm and may have spread to bones or other organs in the body.