Squamous Cell Carcinoma

Why choose us for Squamous Cell Carcinoma (SCC) care?

What you need to know about Squamous Cell Carcinoma

Squamous cell carcinoma (SCC) is a common type of skin cancer that arises from the squamous cells in the outer layer of the skin. These cells are flat and thin and are found in the epidermis, the outermost layer of the skin. SCC can also occur in other areas of the body, such as the mouth, throat, esophagus, lungs, bladder, cervix, and other organs that have squamous cells.

How to talk to your doctor about Squamous Cell Carcinoma

Prepare for the Appointment: Before your appointment, take some time to gather information about your symptoms, medical history, and any relevant family history of cancer. Write down any questions or concerns you have about SCC and its treatment.
Be Honest and Open: During the appointment, be honest about your symptoms, concerns, and any lifestyle factors that may have contributed to your SCC, such as sun exposure or smoking. Your doctor needs accurate information to provide the best possible care.
Ask Questions: Don’t hesitate to ask your doctor questions about SCC, such as:
- What type of SCC do I have?
- What stage is my SCC?
- What are my treatment options, and what are the benefits and risks of each?
- What can I expect during treatment, and what are the possible side effects?
- How will SCC and its treatment affect my daily life, including work, physical activity, and personal care?
- What follow-up care will I need after treatment?
Seek Clarification: If you don’t understand something your doctor says, ask for clarification. Medical terminology can be complex, and your doctor is there to help you understand your condition and treatment options.
Discuss Your Preferences: Talk to your doctor about your preferences and values regarding treatment. Consider factors such as your overall health, quality of life, and personal beliefs when making treatment decisions.
Bring a Support Person: It can be helpful to bring a trusted friend or family member to your appointment for support and to help remember important information.
Take Notes: Consider taking notes during your appointment or asking if it’s okay to record the conversation. This can help you remember important details later.
Follow Up: Make sure you understand any follow-up appointments, tests, or treatments recommended by your doctor. Follow your doctor’s instructions carefully and don’t hesitate to contact them if you have any concerns or questions between appointments.

By being proactive, asking questions, and actively participating in your care, you can work together with your doctor to develop a treatment plan that’s right for you.

Types

Cutaneous Squamous Cell Carcinoma (CSCC): This is the most common type, occurring on the skin, particularly on sun-exposed areas.
Non-cutaneous Squamous Cell Carcinoma: These SCCs occur in other areas of the body, such as the mouth, throat, lungs, esophagus, bladder, and cervix.

Causes

Sun Exposure: Prolonged exposure to ultraviolet (UV) radiation from the sun is the primary cause of cutaneous SCC.
Other Factors: Factors like smoking, exposure to certain chemicals, chronic wounds or inflammation, and immunosuppression (such as in organ transplant recipients) can also increase the risk of developing SCC.

Symptoms

A persistent, scaly red patch with irregular borders.
A firm, raised growth or lump with a crusted or ulcerated center.
A sore that does not heal.
Bleeding from a lesion.
Itching, tenderness, or pain in the affected area.

Diagnosis

Physical Examination: A healthcare provider will examine the skin or affected area to look for any suspicious lesions.
Biopsy: A sample of the suspicious tissue is removed and examined under a microscope by a pathologist to determine if cancer cells are present. This may involve a shave biopsy, punch biopsy, or excisional biopsy.

Treatment

Surgical Excision: The primary treatment for SCC involves surgically removing the cancerous lesion along with a margin of healthy tissue to ensure complete removal.
Mohs Surgery: This specialized surgical technique is often used for SCCs located in cosmetically sensitive or functionally critical areas, as it allows for precise removal of the cancer while sparing healthy tissue.
Radiation Therapy: Radiation may be used as the primary treatment for SCC in cases where surgery is not feasible, or as adjuvant therapy following surgery to kill any remaining cancer cells.
Topical Medications: In cases of superficial SCC or in patients who are not candidates for surgery, topical medications such as imiquimod or 5-fluorouracil (5-FU) may be used to destroy cancer cells.
Chemotherapy: Systemic chemotherapy may be recommended for advanced or metastatic SCC that cannot be treated effectively with surgery or radiation alone.