Skin Cancer Information

Actinic Keratosis

What is it?

  • Extremely common precancerous skin lesions that appear as a scaly red bump.

  • They most commonly appear on the head and arms.

  • If left untreated, they can develop into squamous cell carcinoma.

Most likely causes?

  • Genetics plays a role as the condition is more common in people with light skin types.

  • Chronic sun exposure, especially for people who live in very sunny climates, such as Orange County. 

What to look for?

  • They can appear in various sizes and shapes.

  • Scaly red bump.

  • Lesions can feel like rough spots on the skin that don’t seem to heal completely.

  • Usually painless and the frequency increases with age. 

Prevention Tips

  • Avoid direct sunlight in the middle of the day.

  • Wear sun protective clothing. 

  • Wear a hat with a wide brim.

  • Use a broad spectrum sunscreen with SPF 30 or greater. Reapply throughout the day.

  • Avoid tanning beds. 

Basal Cell Carcinoma

What is it?

  • The most common cancer (overall) and type of skin cancer in humans.

  • An estimated 4.3 million cases are diagnosed in the US each year.

  • Can be low risk (superficial and nodular) to high risk (infiltrating or morpheaform).

Most likely causes?

  • Genetics - It is more likely in people with light skin and a family history of skin cancer. 

  • Environment - It is associated with the number of sunburns one has had, so chronic sun exposure poses a higher risk. This is especially true if you live in a sunny climate or spend a lot of time outdoors.

  • Age - It is more common in people over the age of 50. 

What to look for?

  • The spots are usually pink, pearly bumps that occur on sun exposed skin (although they can still occur on any part of the body, including the groin).

  • They often appear as pimples that occasionally bleed. 

  • They can come and go but get progressively larger. 

  • They sometimes develop a shallow hole in the center with small blood vessels on their surface.

Prevention Tips & Other Information

  • Avoid direct sunlight in the middle of the day.

  • Wear sun protective clothing.

  • Wear a hat with a wide brim.

  • Use a broad spectrum sunscreen with SPF 30 or greater. Reapply throughout the day.

  • Avoid tanning beds.

  • More than 2 people die of skin cancer every hour.

  • When treated early, there can be excellent results. 

  • Left untreated, these lesions can be severely disfiguring or even fatal.

Dysplastic Nevus/Atypical Moles

What is it?

  • Unusual looking moles with concerning features when looked at closely. 

  • Genetics - light colored eyes or hair, freckles, inability to tan, personal or family history of skin cancer, having many moles

  • Environment - living in sunny climates (such as Orange County), participating in long duration outdoor activities (golf, tennis, surfing, etc.)

  • Personal - history of multiple sunburns

Most likely causes?

What to look for? (ABCDEs)

  • A: asymmetry

  • B: broader irregularity

  • C: color change

  • D: diameter bigger than a pencil head (5 mm)

  • E: enlarging

Prevention Tips & Other Information

  • Avoid direct sunlight in the middle of the day.

  • Wear sun protective clothing.

  • Wear a hat with a wide brim.

  • Use a broad spectrum sunscreen with SPF 30 or greater. Reapply throughout the day.

  • Avoid tanning beds.

  • Get regular skin checks

  • Atypical moles can indicate a higher risk of melanoma

Melanoma

What is it?

  • A deadly form of skin cancer that can affect anyone. If left untreated, it can be life threatening by spreading (metastasizing) to other parts of the body.

  • An aggressive cancer from the pigment producing cells in the skin.

  • It can arise anywhere, including areas not exposed to the sun, such as the soles of one’s feet.

  • Darker skin types are also affected

Most likely causes?

  • Genetics - multiple dysplastic nevi/atypical moles, lighter skin types at a higher risk, personal or family history of melanoma

  • Environment - exposure to sunlight and ultraviolet radiation

  • Personal - history of sunburns, a changing mole

What to look for? ABCDEs

  • A: asymmetry

  • B: broader irregularity

  • C: color change

  • D: diameter bigger than a pencil head (5 mm)

  • E: enlarging

Prevention Tips & Other Information

  • Avoid direct sunlight in the middle of the day.

  • Wear sun protective clothing.

  • Wear a hat with a wide brim.

  • Use a broad spectrum sunscreen with SPF 30 or greater. Reapply throughout the day.

  • Avoid tanning beds.

  • Get regular skin checks

  • Just 5 sunburns doubles one’s risk of melanoma

Squamous Cell Carcinoma

What is it?

  • A common form of skin cancer that appears as red, scaly bumps on the skin and found in sun-exposed areas, such as the head or arms.

  • Often start as small scaly precancerous bumps known as actinic keratosis.

Most likely causes?

  • Genetics - fair skin, light hair or light eyes at a higher risk, history of precancerous cells (actinic keratosis), history of previous skin cancers, being immunosuppressed, men, those with scars or chronic ulcers

  • Environment - exposure to certain chemicals (such as arsenic), previous radiation exposure

  • Age - over 50 years old

What to look for?

  • Unusual, growing lesion

  • Red, scaly bumps that aren’t healing

Prevention Tips & Other Information

  • Avoid direct sunlight in the middle of the day.

  • Wear sun protective clothing.

  • Wear a hat with a wide brim.

  • Use a broad spectrum sunscreen with SPF 30 or greater. Reapply throughout the day.

  • Avoid tanning beds.

  • Get regular skin checks

  • Men are at a higher risk than women

  • Most common form of skin cancer in people of African or Asian descent

  • Slow growing but aggressive form of cancer

  • Twice as many people die from squamous cell carcinoma compared to melanoma in a given year (at least 15,000 people will die this year)

  • More than 1 million people will be diagnosed with squamous cell carcinoma this year in the United States