Skin Cancer FAQ: Skin Cancer Types & Symptoms

Skin cancer is the most common form of cancer in the United States. In 2014, nearly 77,000 people alone were diagnosed with melanoma, the deadliest form of skin cancer. There are, however, several skin cancer types that are diagnosed each year. In this article, you’ll learn about the different skin cancer types and their symptoms as well as ways we diagnose and treat them.

What is Skin Cancer?

Like other cancers, skin cancer is an abnormal growth of cells. Though skin cancer is rarely fatal, it can be disfiguring both before and after treatment. Skin cancer can appear anywhere on the body but are most often found in areas of the body that are frequently exposed to the sun, such as the arms, face, ears, back of the neck, and even the back of the calves.

Skin Cancer Types & Symptoms

There are different types of skin cancer, and they have somewhat different signs and symptoms. Pre-cancerous growths and skin cancer types include:

Actinic Keratosis

Actinic keratosis is a precancerous condition, which means the cells can become malignant if the condition isn’t treated. It’s a patch of rough, scaly skin that most often appears on the scalp, neck, face, ears, forearms or other places that have a lot of sun exposure. Actinic keratosis is not painful, but it begins as a small red, pink or brown spot that gradually enlarges. It can be flat, somewhat bumpy or feel like a hard wart. Sometimes, it burns and itches. Since it is hard for a layperson to tell whether they have an actinic keratosis or something more benign, you should consult a dermatologist if you suspect the lesion might be precancerous.

Basal Cell Carcinoma

Basal cell carcinoma is the most common type of skin cancer. Like actinic keratosis, it is found on areas of the body most exposed to the sun, although it can appear anywhere. Basal cell carcinoma skin cancer symptoms include:

  • A lesion that has a dome that is pink or the color of your skin – You may be able to see tiny blood vessels inside of it. Sometimes, the center of the dome forms a crater, and the growth bleeds, oozes and then crusts over.
  • A patch of skin that is both shiny and scaly – You might think it is a patch of eczema. It is often red or pink.
  • A hard, pale growth that looks like a scar and has a waxy feel – It can be the color of your skin, yellow or pale.
  • A sore that doesn’t heal

Basal cell carcinoma grows slowly and rarely spreads to other organs in the body, but it is a cancer that can cause disfigurement if it is not treated promptly.

Squamous Cell Carcinoma

Squamous cell carcinoma is different from basal cell carcinoma in that it can metastasize or invade other organs of your body. Squamous cell carcinoma skin cancer symptoms include:

  • A lump or bump that feels rough
  • Like basal cell carcinoma, this lesion can grow into a dome, bleed and crust over
  • A slowly growing scaly patch of skin that is reddish in color
  • A sore that doesn’t heal – In some cases, the sore heals but then reopens

Melanoma

melanoma skin cancer types

Melanoma –  National Institutes of Health

One person dies from melanoma every hour in the United States. It also claims the lives of very young people, even patients in their teens and early 20’s. Melanoma is often mistaken for a regular mole, but there are some distinct traits of malignant melanoma you can spot and have evaluated by a board-certified dermatologic surgeon right away:

  • Asymmetrical shape
  • Has more than one color
  • Has irregular or indistinct borders
  • Is bigger around than a pencil eraser and keeps growing
  • Itches, hurts, bleeds and doesn’t heal

Dermatofibrosarcoma Protuberans

This is a rare type of skin cancer that starts in the deeper layers of the skin. It is slow-growing and rarely metastasizes. Dermatofibrosarcoma protuberans skin cancer symptoms include a little purplish bump that looks like a rough patch, a scar, a bump, or a birthmark. At first, it is not painful or tender. As it grows, the lesion becomes tender, bleeds and feels hard. It is more common in young people.

Merkel Cell Carcinoma

Merkel cell skin cancer is also rare. It appears as a nodule that is either bluish-red or the color of your skin. It’s most often found on your head, neck or face. Like melanoma, Merkel cell carcinoma grows quickly and can metastasize. Some doctors believe that a virus called the Merkel cell polyomavirus has a role in causing this cancer.

Sebaceous Carcinoma

This cancer is also uncommon but is one of the skin cancer types that can be aggressive. It usually starts on your eyelid as a painless round lesion. It can also develop in a sebaceous gland, which lubricates your hair and skin. It is also called a Meibomian gland carcinoma.

Diagnosing Skin Cancer Types and Treatment Options in Indianapolis

At the Laser and Skin Surgery Center of Indiana, we diagnose and treat skin cancer in our Indianapolis dermatology practice. Our founder and board-certified dermatologic surgeon, Dr. C. William Hanke, is a leader in Mohs micrographic surgery and other common, effective skin cancer treatments. He was the president of the American College of Mohs Surgery, the American Society for Dermatologic Surgery and senior vice-president of the Skin Cancer Foundation, and he has authored peer-reviewed articles on the diagnosis and treatment of different skin cancer types. Our center is also a renowned clinical trials facility and is accredited by the Accreditation Association for Ambulatory Health Care, Inc.

It’s important to note that you are an integral part of your diagnosis and treatment. As stated above, early detection saves lives. That is why we urge everyone to do monthly skin checks at home. Additionally, a yearly skin check with a board-certified dermatologic surgeon is essential to check spots or areas that are less obvious. Your physician may encourage you to come in more frequently, depending on your skin condition, family history, or history of sun damage. Additionally, if you find a questionable spot on your skin, don’t wait until your yearly appointment to get it checked out by a professional. Call us and schedule a skin check so that Dr. Hanke can examine the spot and, if necessary, take a biopsy.

Finally, we will provide you with recommendations for effective sun protection, such as high-quality sunscreens, wide-brimmed hats, and even UV-protective clothing. Prevention, combined with routine skin checks, will help protect you against aggressive skin cancer types.

Schedule an Appointment With Dr. Hanke in Indianapolis

If you have a lump, a strange mole or a sore that simply won’t heal and are worried about skin cancer, don’t hesitate to schedule a consultation with Dr. Hanke at the Laser and Skin Surgery Center of Indiana in Carmel. With skin cancer, the sooner it is diagnosed, the easier it is to treat. Furthermore, if you haven’t had a routine skin check in over a year, it’s time to come in! Yearly skin checks help with early detection.

Mohs Surgery Recovery

Mohs Surgery Recovery: Minimizing the Appearance of Scars After Surgery

When you are recovering from a skin cancer treatment and have received the relieving news that your cancer is gone, you may focus on the scars commonly visible after surgery. This is particularly true for patients who had cancer removed from the facial area. Fortunately, there are things you can do to reduce the visibility surgical scars. After your Mohs surgery recovery, our skin care team can help you diminish the appearance of scars with different treatments, including our new Microneedling treatment and our tried and true laser skin resurfacing device.

What is Mohs Surgery?

Mohs surgery is specifically designed for the treatment of skin cancer. The treatment was developed in the 1930s by Dr. Frederick Mohs, and has become increasingly popular in the past decade. Mohs surgery is the single most effective method for removing the two most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. Mohs surgery has the ability to remove nearly all cancer cells, while maintaining the integrity of the surrounding healthy tissue. Cure rates with this type of surgery are very high, at 98 percent or greater.

Actor Hugh Jackman Talks Skin Cancer and Mohs Surgery

How Does Mohs Surgery Differ From More Traditional Surgical Techniques?

Mohs micrographic surgery differs from traditional excisional surgery because it is performed all at one site. A dermatologic surgeon trained in Mohs micrographic surgery gives you a local anesthetic before removing a thin layer of skin from the affected area. The skin is then examined microscopically by the Mohs surgeon using frozen sections at the on-site lab. If cancer cells still remain, you are called back into the operating room and another thin layer is removed. The process is repeated until the edges of the final tissue sample are cancer-free. At this point, the dermatologist will suture the wound. In some cases, a skin graft may be necessary.

Laser Skin Resurfacing: Laser Away Scars and Regrow Healthy Skin Tissue

Laser skin resurfacing is performed using an ablative laser. Ablative lasers vaporize the skin on the surface of the body and are an effective method for removing the topmost layer, leaving room for healthy new skin to grow. The CO2 laser can be focused to a very thin beam for scalpel-thin cuts. It can also be used in a more diffused mode to vaporize a greater amount of soft tissue. This process is commonly used to treat a wide variety of skin conditions, including acne scars, extensive sun damage and surgical scars.

The process can take anywhere from a couple minutes to an hour depending on the size of the area to be treated. Because of the ablative nature of the procedure, an anesthetic or numbing agent will be required. The laser skin resurfacing technique stimulates the production of new collagen in the skin to complete the healing process. This is useful in Mohs surgery recovery, reducing the appearance of residual surgical scars once the cancer has been completely removed.

Microneedling: How This Celebrity Beauty Craze Helps Mohs Surgery Recovery

microneedling scar treatment before and after

Individual results may vary from person to person.

Microneedling, or collagen induction therapy and percutaneous induction, is a minimally invasive procedure and effective skin rejuvenator that helps stimulate the production of healing collagen. The procedure uses a device containing many fine needles that are applied across the skin to create a controlled micro-injury. This injury triggers the body to produce collagen and elastin. The result of microneedling is improved skin texture and increased firmness. Microneedling is also an effective treatment for scars and stretch marks, and the depth of the treatment can be controlled by your provider to ensure the best results.

Before treatment, you will receive a topical anesthetic cream on your face. You will hardly feel anything when your skin care specialist applies the microneedling device. Multiple treatments are often required to achieve the desired final result. You may also benefit from maintenance treatments every six to 12 months. Because it can be performed on all skin types and colors, microneedling is occasionally preferred over laser treatments that can cause pigmentation issues in some darker skin tones.

Microneedling requires no downtime following the first treatment. Initial redness may occur, but this usually dissipates by the next day. For Mohs surgery recovery scars, however, you should expect to receive more than one treatment. Repeat treatments are spaced four to six weeks apart to give your body a chance to rebuild healthy skin cells.

Start Your Scar Treatments to Help With Mohs Surgery Recovery in Indianapolis

Dr. C.William Hanke is an expert in Mohs surgery, skin cancer treatments and scar revision. As a board-certified dermatologic surgeon and past president of the American College of Mohs Surgery, Dr. Hanke has contributed research and innovation to the field of Mohs micrographic surgery. Furthermore, Dr. Hanke’s skill as a general and cosmetic dermatologist provides patients with advanced skin care through lasers and other technologies to reduce the appearance of scars.

Schedule a consultation today with Dr. Hanke and our team of skin care experts and find out which treatments for scar reduction are right for you.