Before we discuss skin cancer specifically it may be a good idea to define what
cancer itself is.
Basically, cancer is defined as occurring when cells in a part
of our bodies begin to grow out of control. Normal cells divide and grow in
an orderly fashion,
but cancer cells do not. Cancer cells will continue to grow and even crowd
out normal cells. Even though there are many types of cancer, they all have
this
out-of-control growth of cells in common.
The Skin
The skin is the largest organ in the body and has
3 layers. From the outside in, they are: the epidermis, the dermis, and the
subcutis.
The epidermis itself has three layers: an upper, a middle, and a bottom
layer composed of basal cells.
These basal cells divide to form keratinocytes,
(also called squamous cells) which make a substance (keratin) that helps protect
the body.
Another type of cell, melanocyte, is also found in the epidermis.
These cells produce the brown pigment called melanin. This pigment is what
makes the skin
tan or brown and helps protect the deeper layers of the skin from the harmful
effects of the sun.
Because they act differently, skin cancers are divided into
2 groups: nonmelanoma and melanoma.
Nonmelanoma Skin Cancers
There are many types of nonmelanoma
skin cancer, but the 2 most common are basal cell carcinoma and squamous
cell carcinoma. Most basal cell and squamous
cell
skin cancers are caused by UV
radiation produced by the sun.
Basal cell carcinoma begins in the lowest layer of the epidermis, called the basal
cell layer. Most
skin cancers, (about 3 out of 4), are basal cell carcinomas.
They usually begin on areas exposed to the sun such as the face, hands and
neck. Once found mostly in middle-aged or older people, basal cell carcinoma is now
being seen in younger people. This may be because younger people are spending
more time in the sun without using adequate protection for their skin. That’s
why it extremely important to wear UV
protection such as a rash
guard and always
use sunscreen.
Basal cell carcinoma grows slowly, but if it is not treated it
can grow into nearby areas and invade the bone or other tissues beneath the
skin.
Even after treatment, basal cell carcinoma can recur in the same place
on the skin. Also, new basal cell cancers can start elsewhere on the skin.
Between
35% - 50% of the people who have one basal cell cancer will develop a new
skin
cancer
within the next 5 years.
Squamous cell carcinoma begins in the upper part
of the epidermis and accounts for about 2 out of 10 skin cancers. It usually
appears on places of the
body such as the face, ear, neck, lips, and backs of the hands.
Squamous
cell carcinomas are more likely to invade fatty tissues just beneath the
skin, and slightly more likely to spread to lymph nodes or
distant
parts of the body than are basal cell carcinomas.
Melanoma Skin Cancer
Melanoma is a cancer that begins in the
melanocytes, (the cells that produce the pigment melanin). Most of these cells
keep on making
melanin, so melanoma
tumors are often brown or black, but this is not always the case.
It
most often appears on the lower legs of fair-skinned women and on the trunk
of fair-skinned men, but it can appear other places
as well.
While
having dark
skin lowers the risk of melanoma, it does not mean that a person
with dark skin will never develop melanoma.
Melanoma is almost always
curable when detected in its early stages. Unfortunately it is also likely
to spread to other parts of the
body. Therefore, although
melanoma is much less common than basal cell and squamous
cell skin cancers it is far
more serious and it causes the majority of skin cancer deaths.
Protection is the Key
The best defense is a good offense so be aggressive in protecting yourself
and your family. As mentioned earlier the best ways to protect your skin from
the harmful UV rays of the
sun are to stay out of the sun, (especially between
the hours of 10am-4pm), wear UV
protective clothing, (such as a rash
guard,
long sleeve rashguard or Repel
StayDry Shirt), and ALWAYS use a "broad spectrum"
sunscreen to protect
against both UVA
and UVB rays, (even on a cloudy day).