Squamous cell carcinoma of the skin most often occurs on sun-exposed skin, such as your scalp, the backs of your hands, your ears or your lips. But it can occur anywhere on your body, including inside your mouth, the bottoms of your feet and on your genitals.
What are the most common places for squamous cell carcinoma to occur? Skin: This is by far the most common location. We see more of these every year than all of the others combined. Head and neck: Squamous cell carcinomas of the head and neck include cancers of the mouth, throat and voice box.
The sun-exposed head and neck are the most frequent sites for these cancers to arise and in most patients diagnosed with a cutaneous squamous cell carcinoma, local treatment is usually curative.
Dr. Hanke: The first place SCCs metastasize to is the regional lymph nodes. So if you have a squamous cell carcinoma on your cheek, for example, it would metastasize to the nodes in the neck.
Metastasis of cutaneous squamous cell carcinoma (cSCC) is rare. However, certain tumor and patient characteristics increase the risk of metastasis. Prior studies have demonstrated metastasis rates of 3-9%, occurring, on average, one to two years after initial diagnosis [6].
Metastatic squamous cell carcinoma is often referred to as a neck cancer because it tends to travel to the lymph nodes in the neck and around the collarbone. Because of this, signs of metastasis may include a painful or tender lump in the neck or a sore throat that doesn't improve or go away.
Untreated squamous cell carcinoma of the skin can destroy nearby healthy tissue, spread to the lymph nodes or other organs, and may be fatal, although this is uncommon.
Squamous Cell Carcinoma Early Stages
At first, cancer cells appear as flat patches in the skin, often with a rough, scaly, reddish, or brown surface.
Age over 50: Most SCCs appear in people over age 50. Fair skin: People with fair skin are at an increased risk for SCC. Gender: Men are more likely to develop SCC. Sun-sensitive conditions including xeroderma pigmentosum.
In general, the squamous cell carcinoma survival rate is very high—when detected early, the five-year survival rate is 99 percent. Even if squamous cell carcinoma has spread to nearby lymph nodes, the cancer may be effectively treated through a combination of surgery and radiation treatment.
Treatment should happen as soon as possible after diagnosis, since more advanced SCCs of the skin are more difficult to treat and can become dangerous, spreading to local lymph nodes, distant tissues and organs.
If squamous cell carcinoma has spread, chemo might be an option, although an immunotherapy drug might be used first. If chemo is used, drugs such as cisplatin and 5-fluorouracil (5-FU) might be options. These drugs are given into a vein (intravenously, or IV), usually once every few weeks.
Diagnosis of squamous cell carcinoma
If it's diagnosed early, the five-year survival rate is approximately 99%. To protect yourself, get a professional skin cancer examination at least once a year and perform monthly self-examinations of your skin. Report any changes to your physician.
If left untreated, squamous cell carcinoma can spread to nearby lymph nodes, bones or distant organs (such as the lungs or liver). Normal squamous tissue usually appears flat. When this tissue develops cancer it can appear as round masses that are can be flat, raised, or ulcerated.
Although squamous cell carcinoma can be more aggressive than basal cell cancer, the risk of this type of cancer spreading is low—as long as the cancer is treated early, Dr. Leffell says. He notes that the lesions must be treated with respect because they may grow rapidly and invade deeply.
A common type of squamous cell cancer is the keratoacanthoma. It is a rapidly growing tumor which tends to appear suddenly and may reach a considerable size. This tumor is often dome-shaped with a central area resembling a crater which is filled with a keratin plug.
Basal and squamous cell skin cancers are the most common types of skin cancer. They start in the top layer of skin (the epidermis), and are often related to sun exposure. Cancer starts when cells in the body begin to grow out of control. Cells in nearly any part of the body can become cancer cells.
Most squamous cell carcinomas of the skin can be completely removed with relatively minor surgery or occasionally with a medicine applied to the skin. Which treatments are best for you depends on the size, location and aggressiveness of the tumor, as well as your own preferences.
Surgery: When surgery can remove the cancer and you're healthy enough to have surgery, this is often the preferred treatment. After surgery, another treatment, such as radiation therapy or chemotherapy, is often given. Adding another treatment helps to kill any remaining cancer cells.
Yes, squamous cell carcinoma can make you feel tired. It can make a person feel weak and exhausted. During the treatment procedures of squamous cell carcinoma, the patient tends to feel more tired. These types of fatigue that are related to cancer are known as cancer-related fatigue (CRF).
No specific laboratory tests are required for the diagnosis of squamous cell carcinoma. Routine blood tests are performed as part of the complete evaluation, including a complete blood count and serum electrolytes.
Squamous cell skin cancer can be quite serious in a minority of cases, but it does not “turn into” melanoma. Melanoma is a deadly cancer that arises from melanocytes, a different type of skin cell than squamous cells.
Epidemiological studies suggest that individuals with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) of the skin are more likely to develop other malignancies; however, the factors responsible for this are unknown.
About 60 percent of people who have had one skin cancer will be diagnosed with a second one within 10 years, says a 2015 study in JAMA Dermatology. Your odds increase dramatically if you've been diagnosed with a second BCC or SCC (or third, or any other number beyond first).