Squamous Cell Carcinoma (SCC)

13 min read

Squamous cell carcinoma (SCC) is a type of cancer that arises from the squamous cells in the epidermis, the outermost layer of skin. It is the second-most common type of skin cancer, with more than 700,000 new cases diagnosed in the United States each year. SCC is most commonly caused by long-term sun exposure, but can also be caused by other factors such as smoking, HPV infection, and exposure to certain chemicals.

Risk Factors

The primary risk factor for SCC is long-term exposure to ultraviolet (UV) radiation from sunlight or tanning beds. Those who work outdoors, have fair skin, and have a history of frequent sunburns are at higher risk for developing SCC. Other risk factors include a history of smoking, HPV infection, and exposure to certain chemicals such as arsenic.

Those with a weakened immune system, such as those with HIV/AIDS or those undergoing chemotherapy, are also at increased risk of developing SCC. People who have had other forms of skin cancer, such as basal cell carcinoma or melanoma, are also at higher risk of developing SCC.

Signs and Symptoms

The most common sign of SCC is a spot on the skin that is red, scaly, and may be tender or itchy. It may also look like a wart or a sore that does not heal. The spot may bleed and crust over, and will usually be located on areas of the body most often exposed to the sun. Other signs include an open sore, a bump or nodule, or a thickened patch of skin.

If the SCC has spread to other parts of the body, there may be additional symptoms such as weight loss, fatigue, and pain in the affected area. It is important to seek medical help if any of these symptoms are present.

Treatment

The primary treatment for SCC is surgery to remove the affected area of skin. Other treatments may include radiation therapy, chemotherapy, or immunotherapy. Treatment will depend on the size and location of the tumor, as well as the overall health of the patient.

It is important to follow-up with regular skin exams to ensure that the SCC has not returned or spread. In some cases, additional treatments may be necessary if the cancer has spread. For those at high risk of developing SCC, preventative measures such as regular use of sunscreen and avoiding tanning beds can help reduce the risk.

Take the Squamous Cell Carcinoma (SCC) Assessment

Symptoms

Common Symptoms of SCC

  • A firm, red bump on the skin that may be tender to the touch
  • A scaly, crusty patch of skin that may bleed or ooze
  • A sore that does not heal or that bleeds easily
  • A wart-like growth that may be itchy or painful
  • A sore throat or hoarseness that does not go away
  • A lump in the neck or throat
  • Difficulty swallowing
  • A persistent cough
  • Shortness of breath

If you experience any of these symptoms, it is important to see a doctor as soon as possible. Early diagnosis and treatment of SCC can help prevent it from spreading to other parts of the body.

Causes

Exposure to Ultraviolet (UV) Radiation

Exposure to ultraviolet (UV) radiation from the sun or tanning beds is one of the most common causes of SCC. UV radiation damages the DNA in the skin cells, which can lead to the development of SCC. It is important to protect your skin from UV radiation by wearing sunscreen, hats, and protective clothing when outdoors.

Weakened Immune System

A weakened immune system can make it more difficult for the body to fight off abnormal cell growth, which can lead to SCC. People with weakened immune systems, such as those with HIV/AIDS or those undergoing chemotherapy, are at an increased risk of developing SCC.

Chronic Skin Irritation

Chronic skin irritation can also increase the risk of SCC. This includes skin irritation caused by long-term exposure to certain chemicals, such as arsenic, or from wearing tight clothing that rubs against the skin. People who have had skin grafts or skin ulcers are also at an increased risk of developing SCC.

Tobacco Use

Tobacco use is another risk factor for SCC. Smoking cigarettes or using other forms of tobacco can damage the skin cells and increase the risk of SCC. Quitting smoking can help reduce the risk of SCC.

HPV Infection

Human papillomavirus (HPV) is a virus that can cause certain types of cancer, including SCC. HPV is spread through sexual contact and can increase the risk of SCC in both men and women.

Conclusion

Squamous cell carcinoma (SCC) is a type of skin cancer that can be caused by a variety of factors, including exposure to ultraviolet (UV) radiation, weakened immune system, chronic skin irritation, tobacco use, and HPV infection. It is important to protect your skin from UV radiation and to quit smoking to reduce the risk of SCC.

Getting a Diagnosis

Signs and Symptoms of Squamous Cell Carcinoma

The most common signs and symptoms of SCC include:

  • A firm, red bump on the skin
  • A scaly, crusty patch of skin
  • A sore that does not heal
  • A sore that bleeds easily
  • A sore that is tender to the touch

Diagnosis of Squamous Cell Carcinoma

If you have any of the signs and symptoms of SCC, it is important to see a doctor right away. Your doctor will perform a physical exam and may order tests such as a biopsy or imaging tests to confirm the diagnosis.

A biopsy is the most accurate way to diagnose SCC. During a biopsy, a small sample of the suspicious area is taken and examined under a microscope. This can help determine if the cells are cancerous or not.

Imaging tests such as X-rays, CT scans, and MRI scans can also be used to diagnose SCC. These tests can help determine if the cancer has spread to other parts of the body.

Conclusion

Squamous cell carcinoma is a type of skin cancer that can be difficult to diagnose. It is important to be aware of the signs and symptoms of SCC so that it can be caught early and treated effectively. If you have any of the signs and symptoms of SCC, it is important to see a doctor right away. Your doctor will perform a physical exam and may order tests such as a biopsy or imaging tests to confirm the diagnosis.

Questions for Your Doctor

Diagnosis and Staging

Your doctor will need to determine the type and stage of your SCC. This will help them decide on the best treatment plan for you. Ask your doctor about the tests they will use to diagnose and stage your SCC, such as a biopsy or imaging tests.

Treatment Options

Your doctor will discuss the different treatment options available to you. These may include surgery, radiation therapy, chemotherapy, or a combination of treatments. Ask your doctor about the risks and benefits of each option, and how they will affect your quality of life.

Follow-up Care

Your doctor will likely recommend follow-up care after your treatment. This may include regular check-ups, imaging tests, or blood tests. Ask your doctor how often you should have follow-up care and what tests you should expect.

Side Effects

Treatment for SCC can cause side effects. Ask your doctor about the possible side effects of your treatment and how to manage them. Your doctor can also recommend ways to reduce your risk of developing side effects.

Support

Dealing with a diagnosis of SCC can be overwhelming. Ask your doctor about support groups or other resources that can help you cope with your diagnosis and treatment. Your doctor can also refer you to a mental health professional if needed.

Treatment

Surgery

Surgery is the most common treatment for SCC. The goal of surgery is to remove the tumor and some of the surrounding healthy tissue. Depending on the size and location of the tumor, the surgeon may use a scalpel, laser, or cryosurgery to remove the tumor. In some cases, the surgeon may also need to remove lymph nodes to check for cancer spread.

Radiation Therapy

Radiation therapy is a type of treatment that uses high-energy beams to kill cancer cells. It is often used to treat SCC that has spread to other parts of the body or to treat tumors that cannot be removed with surgery. Radiation therapy can be used alone or in combination with other treatments.

Chemotherapy

Chemotherapy is a type of treatment that uses drugs to kill cancer cells. It is often used to treat SCC that has spread to other parts of the body or to treat tumors that cannot be removed with surgery. Chemotherapy can be used alone or in combination with other treatments.

Immunotherapy

Immunotherapy is a type of treatment that uses the body’s own immune system to fight cancer. It is often used to treat SCC that has spread to other parts of the body or to treat tumors that cannot be removed with surgery. Immunotherapy can be used alone or in combination with other treatments.

Conclusion

Squamous cell carcinoma (SCC) is a type of skin cancer that can be treated with a variety of methods. Surgery, radiation therapy, chemotherapy, and immunotherapy are all potential treatments for SCC. The best treatment option for a particular patient will depend on the size and location of the tumor, as well as the patient’s overall health. It is important to talk to your doctor about all of your treatment options.

Drugs & Medications

Chemotherapy

Chemotherapy is a type of drug treatment that uses drugs to kill cancer cells. It is often used to treat SCC that has spread to other parts of the body. Common chemotherapy drugs used to treat SCC include cisplatin, carboplatin, and 5-fluorouracil. These drugs are usually given intravenously (IV) or orally.

Targeted Therapy

Targeted therapy is a type of drug treatment that targets specific molecules in cancer cells. It is often used to treat SCC that has spread to other parts of the body. Common targeted therapy drugs used to treat SCC include cetuximab, panitumumab, and vismodegib. These drugs are usually given intravenously (IV) or orally.

Immunotherapy

Immunotherapy is a type of drug treatment that uses the body’s own immune system to fight cancer cells. It is often used to treat SCC that has spread to other parts of the body. Common immunotherapy drugs used to treat SCC include ipilimumab, nivolumab, and pembrolizumab. These drugs are usually given intravenously (IV).

Radiation Therapy

Radiation therapy is a type of drug treatment that uses high-energy radiation to kill cancer cells. It is often used to treat SCC that has spread to other parts of the body. Common radiation therapy drugs used to treat SCC include cobalt-60, cesium-137, and iodine-125. These drugs are usually given externally.

Conclusion

Squamous cell carcinoma (SCC) is a type of skin cancer that can be treated with a variety of drugs. Chemotherapy, targeted therapy, immunotherapy, and radiation therapy are all common treatments for SCC. Depending on the severity of the cancer, different drugs may be used to treat SCC.

Diet

Nutrients to Include in Your Diet

A diet that is rich in antioxidants, such as vitamins A, C, and E, can help protect against SCC. Eating plenty of fruits and vegetables is a great way to get these nutrients. Other foods that are high in antioxidants include nuts, seeds, and whole grains. Eating foods that are high in omega-3 fatty acids, such as salmon, tuna, and flaxseed, can also help reduce the risk of SCC.

In addition to antioxidants, it is important to get enough protein in your diet. Protein helps to repair and rebuild damaged cells, which can help reduce the risk of SCC. Good sources of protein include lean meats, fish, eggs, beans, and nuts.

Foods to Avoid

It is important to limit your intake of processed and sugary foods, as these can increase inflammation in the body and may increase the risk of SCC. It is also important to limit your intake of alcohol, as this can increase the risk of SCC. Finally, it is important to limit your exposure to UV radiation, as this can increase the risk of SCC.

Conclusion

Eating a healthy diet can help reduce the risk of developing SCC and may also help improve the prognosis for those who have already been diagnosed with the disease. Eating plenty of fruits and vegetables, as well as foods that are high in antioxidants and omega-3 fatty acids, can help reduce the risk of SCC. It is also important to limit your intake of processed and sugary foods, as well as alcohol and UV radiation.

Lifestyle

1. Wear Sunscreen

One of the best ways to protect yourself from SCC is to wear sunscreen every day. Look for a sunscreen with an SPF of 30 or higher and make sure it is broad-spectrum, meaning it protects against both UVA and UVB rays. Reapply sunscreen every two hours, or more often if you are swimming or sweating.

2. Avoid Tanning Beds

Tanning beds are a major source of UV radiation, and using them can significantly increase your risk of developing SCC. If you want to get a tan, opt for a spray tan or self-tanning lotion instead.

3. Cover Up

When you are out in the sun, make sure to cover up with clothing, a hat, and sunglasses. Look for clothing that is labeled as “sun protective” and has an ultraviolet protection factor (UPF) of at least 30. This type of clothing is designed to block out UV rays.

4. Stay in the Shade

Whenever possible, try to stay in the shade when you are outside. This is especially important during the middle of the day, when the sun’s rays are the strongest. If you are going to be outside for an extended period of time, make sure to take breaks in the shade.

5. Check Your Skin Regularly

It is important to check your skin regularly for any changes or new growths. If you notice anything unusual, make an appointment with your doctor right away. Early detection is key to successful treatment of SCC.

Conclusion

By following these lifestyle tips, you can reduce your risk of developing SCC. Remember to wear sunscreen, avoid tanning beds, cover up, stay in the shade, and check your skin regularly. If you have any concerns, make sure to talk to your doctor.