Most people know staying out of the sun and wearing sunscreen can help prevent skin cancer, the most common type of the disease. But what some may not realize is cancerous growths can also occur on areas not directly exposed to harmful ultraviolet radiation.
As a specialist in complex general surgical oncology, Dr. Trevan Fischer utilizes his extensive knowledge of cancer and cutting-edge treatments to diagnose and treat a range of conditions, including skin cancers such as squamous cell carcinoma, at his private practice in Santa Monica, California.
In addition, he works at Cedars-Sinai affiliate The Angeles Clinic and Research Institute, conducting research and training surgical oncology fellows.
Squamous cells are thin and flat, often resembling a fish scale. They are one of three types found in the skin's top layer, known as the epidermis. Additionally, they are located in the respiratory and digestive tracts, as well as the lining of the bladder, kidneys, and other hollow organs.
Squamous cell carcinoma is the second most common type of skin cancer, with approximately 1.8 million cases diagnosed annually. Its prevalence has increased by about 200% over the past 30 years.
Squamous cell carcinoma can manifest in various forms. In some cases, it may be a bump or growth that is skin-colored or has a range of colors, including red, pink, brown, or black. At other times, it may be a sore, a red, scaly patch, or an area of thickened skin that itches or bleeds.
Squamous cell carcinoma occurs most often on areas of the skin that are exposed to the sun, such as the head, ears, lips, and backs of the hands. However, this isn't exclusively true.
It can also strike areas that get little or no ultraviolet radiation. This can happen to anyone but can be more likely in people with skin that is brown or black.
This means it can be diagnosed in the inside of the mouth, on the tongue, or in the throat. It can also grow on the soles of the feet, on or in the genitals or anus, or in other organs.
Diagnosis typically includes a physical exam and, in some cases, a skin biopsy or imaging tests to determine the size and if it has spread.
Treatment depends on the size, shape, and location of the cancer. Options may include freezing the cells in a procedure known as cryosurgery or removing them through other means, such as with photodynamic therapy, excision, Mohs surgery or by scratching it off and burning the area with a specialized electric needle. Chemotherapy or other medications may be additional options.
Catching squamous cell carcinoma early and beginning treatment can stop the cancer from growing and spreading to other areas, therefore offering the best prognosis.
If you have a new or different blemish on your skin, getting a prompt determination is important. For those who have already received a diagnosis, starting treatment as soon as possible is key.
Dr. Fischer can help. Click to book an appointment or call the office today at 310-807-2688.
