Squamous Cell Carcinoma

Squamous cell carcinoma (SCC) is another common type of skin cancer, but unlike basal cell carcinoma, it can be more aggressive.

Here’s a breakdown of what you need to know about SCC:

The Basics:

SCC arises from the abnormal growth of squamous cells, which are flat cells that make up the outer layer of your skin. The main culprit, as with most skin cancers, is ultraviolet (UV) radiation exposure from the sun or tanning beds.

Signs and Symptoms:

SCC typically appears on sun-exposed areas like the face, ears, neck, lips, arms, and hands. Be on the lookout for these warning signs: 

• Firm, red bump: This might be scaly, crusty, or bleed easily. 

• Scaly or rough patch: This can be red, pink, or brown. 

• Open sore that doesn’t heal: This sore may crust, bleed, or become painful. 

• Wart-like growth: This can be rough, scaly, and have a raised appearance. 

Risk Factors:

• Sun exposure: Excessive sun exposure throughout your life is the main risk factor. 

• Fair skin: People with fair skin and those who burn easily are at higher risk. 

• History of sunburn: Having multiple sunburns, especially severe ones, increases your risk. 

• Weakened immune system: Organ transplant recipients and people with certain medical conditions are more susceptible. 

• Age: SCC becomes more common with age. 

• Scars or ulcers: SCC can develop in pre-existing skin conditions like scars or ulcers. 

• Tanning beds: Artificial UV radiation from tanning beds significantly increases SCC risk.

Comparison to Basal Cell Carcinoma:

While both are skin cancers, SCC can be more aggressive than BCC. Although less common, SCC has a higher potential to spread to other parts of the body if left untreated. However, the good news is that SCC is also highly treatable when caught early.

Importance of Early Detection:

Early detection is crucial for effective treatment of SCC. If you notice any suspicious skin changes, see a dermatology provider for a checkup. Early diagnosis allows for easier removal with minimal scarring.

Treatment:

Similar to BCC, various treatment options are available for SCC, depending on the severity and location. Common treatments include: 

• Surgery: This is the most common treatment for SCC, aiming to remove the cancerous tissue completely. 

• Mohs surgery: This specialized technique offers precise removal of cancer cells while minimizing healthy tissue removal. 

• Radiation therapy: Using high-energy rays to kill cancer cells. 

• Cryotherapy: Freezing the SCC with liquid nitrogen. 

• Topical medications: Certain creams can be used for precancerous lesions or in some SCC cases. 

Prevention:

Sun protection is key to preventing SCC. Here are some essential sun safety practices: 

• Seek shade: Especially during peak sun hours (10 am to 4 pm). 

• Sun-protective clothing: Cover up with long sleeves, pants, and a wide-brimmed hat. 

• Sunscreen: Apply broad-spectrum SPF 30+ sunscreen generously and reapply every two hours, or more often if sweating or swimming. 

• Sunglasses: Protect your eyes from UV rays with sunglasses that block UVA and UVB rays. 

By following these sun safety tips and getting regular skin cancer screenings, you can significantly reduce your risk of SCC. Remember, early detection is key for successful treatment, so don’t hesitate to consult a dermatologist if you notice any changes in your skin. 

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