Squamous Cell Carcinoma: 2

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Squamous Cell Carcinoma Diagnosis

Your doctor may refer you to a dermatologist who specializes in skin conditions. They will:

  • Ask about your medical history
  • Ask about your history of severe sunburns or indoor tanning
  • Ask if you have any pain or other symptoms
  • Ask when the spot first appeared
  • Give you a physical exam to check the size, shape, color, and texture of the spot
  • Look for other spots on your body
  • Feel your lymph nodes to make sure they aren’t bigger or harder than normal

If your doctor thinks a bump looks questionable, they’ll remove a sample of the spot (a skin biopsy) to send to a lab for testing.

Squamous Cell Carcinoma Treatment

Squamous cell carcinoma can usually be treated with minor surgery that can be done in a doctor’s office or hospital clinic. Depending on the size and location of the SCC, your doctor may choose different techniques to remove it.

For small skin cancers:

  • Curettage and electrodessication (C and E): removing the top layer of the skin cancer then  using an electronic needle to kill cancer cells
  • Laser therapy: an intense light destroys the growth
  • Photodynamic therapy: a photosensitizing solution applied to your skin then activated with a light or daylight, or sometimes with intense pulsed light
  • Cryosurgery: freezing of the spot using liquid nitrogen

For larger skin cancers:

  • Excision: cutting out the cancer spot and some healthy skin around it, then stitching up the wound
  • Mohs surgery: excision and then inspecting the excised skin using a microscope; this requires stitching up the wound
  • Superficial radiation therapy

For cancers that spread beyond your skin

  • Lymph node surgery: remove a piece of the lymph node; uses general anesthesia
  • Topical chemotherapy : a gel or cream applied to the skin, sometimes with microneedling
  • Targeted drug treatment
  • Ablative and nonablative lasers, or chemical peels

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Kathy Andrews
Journal Manager
Journal of Clinical & Experimental Dermatology Research
Email: derma@peerreviewedjournals.com