Skin cancer usually presents as a growth or lump on the skin. The specific signs of these growths depend upon the type of cancer present. Symptoms pertaining to the type of cancer are listed below:-
Basal cell carcinoma
- Raised, smooth, pearly and translucent bump on the skin
- Pink or red growths with a crusted centre
- Appearance of small blood vessels on the lump or lesion
Squamous cell carcinoma
- Red scaly patches with irregular borders
- Ulceration and bleeding in these patches
- Dome-shaped growths with rough surface and an indented centre
Melanoma
- Moles that are asymmetrical and irregular
- Change in colour or diameter of the mole
- Redness, itching, ulceration, bleeding
- Spots or growths of various colours, ranging from brown to black
- A physical exam by a dermatologist would help in determining whether a lump is cancerous or not. The dermatologist would take into account the specifics of the lump such as the size, colour, shape etc.
- Biopsy- a biopsy would be required to confirm whether the lump is cancerous and if yes, then which type of cancer it is.
- If the cancer is a basal cell cancer, a biopsy alone can determine the extent of the cancer, as it does not spread in most cases.
- If the cancer is found to be squamous cell cancer or a melanoma, further tests may be needed to determine the extent of the cancer, as they are capable of metastasizing.
- Imaging tests may be required to determine the presence of cancer in neighboring cells and lymph nodes.
A number of surgical techniques can be used depending upon the type of cancer and its extent.
- Curettage and electrodessication- in this procedure, the skin is repeatedly scraped with a long sharp instrument called a curette and the skin is then cauterized with an electric needle (electrode).
- Surgical excision- a surgical knife is used to cut out the tumor along with some tissue. It is then diagnosed to make sure that the entire tumor has been removed.
- Mohs surgery- is a microscopically controlled surgery wherein the tumor is removed with a small piece of tissue which is then examined under a microscope for cancer cells. If cancer cells are present, some more tissue is removed and examined, and this is continued until no more cancer cells are found.
- Radiation Therapy
- Chemotherapy
- Photodynamic therapy
- Biological Therapy
- Cryosurgery
- Pain
- Swelling
- Bleeding
- Infection
- Nerve damage
- Numbness
- Fatigue
- Scarring
- Lymphedema
- Risk of cancer recurrence
- Metastasis ( cancer spreading to different body parts )
Regular skin examinations by the patient themselves and the doctor at regular intervals would be necessary. A few tests may also be recommended by the doctor to make sure the cancer does not regrow.