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Skin Cancer




  ICD10 -<BR>( ICD-O 8010-8720)
  ICD9 ,


In Medicine ( Dermatology ), there are several different types of Cancer referred to under the general label of skin cancer.


TYPES

The most common types are Basal Cell Carcinoma (BCC) and Squamous Cell Carcinoma (SCC) which may be locally disfiguring but unlikely to spread to other parts of the body. The most dangerous type is Malignant Melanoma , which can be fatal if not treated early, but forms only a small number of all skin cancers.


PREVALENCE

Skin cancer is an increasingly common condition, in part attributed to increased exposure to Ultraviolet Radiation , against which no level of sun screens offer any decisive protection. The increased exposure is mainly due to the recent popularity of Sun Tanning ( Sun Bathing ). Lighter-skinned individuals are more vulnerable. In the United States , about one out of every three new cancer cases is a skin cancer. Skin cancer is also the cancer that most people get over any other kind of cancer. To reduce the chances of getting skin cancer from ultra violet radiation, one should exercise caution and wear protective clothing such as hats and long sleeve shirts. Also the use of creams and lotions containing sun screen should be encourged as effective means of blocking Radiation .


PROGNOSIS

Minor surface skin cancers are readily treatable by simple Surgery , but if the cancer is allowed to grow then it will penetrate through the layers of skin and affect the Lymphatic System . It may also Metastasize and spread to other parts of the body.

Skin cancers which are aggressive, recurrent, or located upon 'high risk sites' of the body (central face, scalp, ears, genitalia) may require more advanced surgical approaches such as Mohs' Micrographic Surgery to achieve high cure rates.


SIGNS AND SYMPTOMS

There are a variety of different skin cancer symptoms. These include Sore s or changes in the Skin that do not heal, Ulcer s in the skin, discoloring in parts of the skin, and changes in existing Mole s.





PATHOLOGY


Squamous cell carcinoma is a malignant epithelial tumor which originates in epidermis, squamous mucosa or areas of squamous metaplasia.

Macroscopically, the tumor is often elevated, Squames and form round nodules with concentric, laminated layers, called "cell nests" or "epithelial/keratinous pearls". The surrounding stroma is reduced and contains inflammatory infiltrate (lymphocytes). Poorly differentiated squamous carcinomas contain more pleomorphic cells and no Keratinization . 1


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