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.
Squamous cell carcinoma is cancer that occurs in the outermost part of the epidermis (skin surface) or the surface of certain portions of the body (areas of the head and neck or genitalia) known as squamous cells.
But what happens when an SCC does spread? 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.
Unlike basal cell cancer, which doesn't spread, squamous cell cancer can spread to the lymph nodes and even to internal organs. Yale Medicine's dermatologists are known for their specialized expertise in treating complex skin disorders of all kinds, including skin cancer.
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].
Squamous cell carcinoma rarely metastasizes (spreads to other areas of the body), and when spreading does occur, it typically happens slowly. Indeed, most squamous cell carcinoma cases are diagnosed before the cancer has progressed beyond the upper layer of skin.
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.
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.
Squamous cell carcinoma of the skin is usually not life-threatening, though it can be aggressive. Untreated, squamous cell carcinoma of the skin can grow large or spread to other parts of your body, causing serious complications.
Of these anatomic sites, there are four which make up the majority of SCC cases: non-melanoma skin cancer, head and neck cancer, esophageal cancer, and non-small cell lung cancer.
Flat cell that looks like a fish scale under a microscope. These cells are found in the tissues that form the surface of the skin, the passages of the respiratory and digestive tracts, and the lining of the hollow organs of the body (such as the bladder, kidney, and uterus, including the cervix).
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.
Immunosuppression, desmoplasia, and bone invasion were the leading risk factors.
Stage 4 squamous cell carcinoma
In stage 4, the cancer can be any size and has spread (metastasized) to one or more lymph nodes which are larger than 3 cm and may have spread to bones or other organs in the body.
If you've had SCC, you have a high chance of recurrence. You also have an elevated risk of developing another SCC or basal cell carcinoma (BCC), since sun damage is the primary cause of both forms of skin cancer. If you have had a previous diagnosis of BCC, you also have a greater chance of developing SCC.
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.
Systemic chemotherapy is not widely used for treating squamous cell carcinoma. In most cases, the cancer cells are confined to one area of skin and, if detected early, can be effectively addressed with localized treatments, such as surgery.
Blood test
Squamous cell carcinoma blood tests typically include a complete blood count (CBC), which looks at the number of red and white blood cells and platelets. Abnormal numbers can be indicative of a problem.
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).
Symptoms of stage 4 squamous cell carcinoma usually begin with some kind of skin lesion or growth. Often, the tumors of squamous cell carcinoma look like a scaly red patch of skin that won't heal. These tumors are often crusty and raised, and they may cause sores or ulcers that last for several weeks.
How does squamous cell skin cancer begin? This cancer usually begins when ultraviolet (UV) light from the sun or tanning beds badly damages the skin. The body tries to repair this damage.
The key warning signs are a new growth, a spot or bump that's getting larger over time, or a sore that doesn't heal within a few weeks. (See Signs and Symptoms of Basal and Squamous Cell Skin Cancer for a more detailed description of what to look for.)