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Skin Cancer


What is Skin Cancer?

Skin cancer, the most common form of cancer in the United States, is the uncontrolled growth of abnormal skin cells. Skin cancer types include actinic keratosis (or solar keratosis), basal cell carcinoma, squamous cell carcinoma and melanoma.

Although only 1% of skin cancers are melanomas, they are the deadliest of all skin cancers due to their ability to spread throughout the body and metastasize. However, melanoma is also one of the most curable cancers due to its visibility to the unaided eye.

Other types of skin cancer that are far less common include Merkel cell carcinoma, Kaposi sarcoma, cutaneous lymphoma and skin adnexal tumors. These account for less than 1% of all skin cancers.

Signs and Symptoms

Warning signs of skin cancer include:

  • Changes in the shape, size, or color of a mole or other skin lesion
  • New growth on the skin
  • Sores that don’t heal

Diagnosis of Skin Cancer

Screening Tests

Regular screenings by a dermatologist are encouraged if you or a family member has already had melanoma.

  • Skin exam - Dermatologists, or patients themselves, examine the surface of the patient’s face, head and body for any new or abnormal changes (large, dark, misshapen or raised spots). Skin exams are quick and non-invasive.
  • Skin biopsy - All or part of any abnormal-looking growth is cut from the skin and viewed under a microscope to check for the presence of cancer.

Talking with your doctor

Your dermatologist may refer you to a surgical, medical or radiation oncologist for treatment. However physician assistants (PAs), nurse practitioners (NPs), nurses, nutrition specialists, social workers, and other health and hospital professionals may be a part of your treatment team.

Some questions you might consider asking a health care professional include:

  • How far has my melanoma spread within or beneath the skin?
  • What are the chances of my cancer growing or recurring?
  • Should I take special precautions to avoid sun exposure?
  • Are my family members at risk for skin cancer?

Causes and Risk Factors of Skin Cancers

Skin cancer occurs when unrepaired DNA damage to skin cells triggers mutations that lead the cells to multiply rapidly and form malignant tumors.

Some causes of skin cancer are:

  • Tanning beds
  • Excessive sun light or ultraviolet rays
  • Previous skin cancer
  • Exposure to certain chemicals and radiation

Several factors that increase your risk of getting skin cancer include:

  • Fair skin
  • History of sunburns
  • Moles and other precancerous skin lesions
  • Family history of skin cancer
  • Weakened immune system

Prevention of Skin Cancer

A few ways to reduce your chances of skin cancer include:

  • Avoiding intentional tanning
  • Seeking shade on sunny days
  • Wearing protective clothing and hats
  • Applying sunscreen with SPF 30 or higher

Stages of Skin Cancer

Because basal cell carcinomas rarely spread the staging system may not be used. Squamous cell carcinomas have a slightly higher chance of spreading therefore the staging system may be used. However melanomas are usually categorized by stage.

  • Stage 0: The cancer cells are confined to the epidermis (the top layer of the skin) and have not spread. The cancer is usually cured by surgery.
  • Stage I: The cancer cells have grown deeper into the skin. They have not spread to the lymph nodes or beyond.
  • Stage II: The cancer cells have grown deeper into the skin or have more high-risk features. They have not spread to the lymph nodes or beyond.
  • Stage III: The cancer cells have spread to nearby lymph nodes.
  • Stage IV: The cancer cells have spread beyond the skin and regional lymph nodes to distant organs.

Treatment Options for Skin Cancer

If melanoma is recognized and treated early, it is almost always curable. If left alone, the cancer may advance and spread to other parts of the body, where it becomes hard to treat and can be fatal.

Working and speaking with your doctor can help determine which treatment option is best for you.

Mohs micrographic surgery

Physicians trained in Mohs surgery remove the visible tumor and surrounding tissue with a scalpel. The tissue is sectioned, frozen and examined under a microscope.

Excisional surgery

Physicians remove the entire tumor, along with the surrounding normal skin. The wound is then sutured. The excised tissue is then sent to the lab for examination to verify that all cancer has been removed.

Cyrosurgery

The physician freezes and destroys the cancerous tissue with liquid nitrogen, using a cotton-tipped applicator or spray device. There is no cutting or bleeding and no anesthesia is required.

Other methods include:

  • Radiation
  • Electrosurgery
  • Photodynamic therapy
  • Laser surgery
  • Topical medications

Prognosis of Skin Cancer

When discussing patients with Stage I, II, III or IV melanoma, the five-year survival rate for each is:

  • Stage IA: The 5-year survival rate is around 97%.
  • Stage IB: The 5-year survival rate is around 92%.
  • Stage IIA: The 5-year survival rate is around 81%.
  • Stage IIB: The 5-year survival rate is around 70%.
  • Stage IIC: The 5-year survival rate is around 53%.
  • Stage IIIA: The 5-year survival rate is around 78%.
  • Stage IIIB: The 5-year survival rate is around 59%.
  • Stage IIIC: The 5-year survival rate is around 40%.
  • Stage IV: The 5-year survival rate is around 15-20%.

Learn more about the Shawnee Mission Cancer Center.

SHAWNEE MISSION HEALTH LOCATIONS
Shawnee Mission Medical Center
9100 West 74th Street
Shawnee Mission, Kansas 66204
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Main Number
913-676-2000
Prairie Star
23401 Prairie Star Parkway
Lenexa, Kansas 66227
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Main Number
913-676-8500
Overland Park
7820 W. 165th Street
Overland Park, KS 66223
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Main Number
913-373-1100