Skin cancer refers to any cancer that begins in your skin. It may develop on any part of your skin and can spread to nearby tissues and organs if the disease advances.
There are two main types of skin cancer:
- Keratinocyte cancer develops in skin
cells called keratinocytes. It has two main subtypes, basal cell carcinoma
(BCC) and squamous cell carcinoma (SCC).
- Melanoma develops in skin
melanocyte cells. Melanocytes are skin cells that generate skin’s brown
Other types of skin cancer include:
- Merkel cell carcinoma
- Kaposi’s sarcoma
- cutaneous (skin) lymphoma
- skin adnexal tumors
- other types of sarcomas
These types account for less than 1 percent of all skin cancers.
What are the types of skin cancer?
Skin cancer is the most common form of cancer in the United States. More people receive skin cancer diagnoses each year in the United States than all other cancers combined, including breast, prostate, lung, and colon cancer.
Each case of skin cancer is considered unique if a doctor believes it’s a separate cancer. A person may have multiple different types — and cases — of skin cancer.
Each year, more than 3 million Americans are affected by BCC or SCC, estimates the American Academy of Dermatology. Having one skin cancer diagnosis puts you at a higher risk for having another, too, but there are preventive measures you can take.
Here are the main types of skin cancer:
Basal cell carcinoma (BCC)
BCC is the most common type of skin cancer. More than 4 million cases of BCC are diagnosed in the United States each year, estimates the Skin Cancer Foundation. This makes it the most common form of all cancers in the United States.
However, death from BCC isn’t common. About 3,000 people die from BCC each year.
BCC most frequently develops on areas often exposed to the sun. This includes the:
However, BCC can also develop in skin areas that don’t get a lot of sun exposure.
Squamous cell carcinoma (SCC)
More than 1 million cases of SCC are diagnosed in the United States each year, notes the Skin Cancer Foundation. SCC is responsible for about 15,000 deaths each year.
SCC most commonly appears on areas of the body that are frequently exposed to the sun. SCC, like BCC, may also develop in places that don’t get a lot of sun exposure. For example, SCC can develop on the genitals, inside the mouth, and on the lip.
Melanoma is the most serious type of skin cancer. It develops in the same skin cells that create moles. Because of this, melanoma is particularly dangerous. It can look like a harmless mole when it first develops.
Fewer people develop melanoma than BCC or SCC. It accounts for only 1 percent of all skin cancer cases, estimates the American Cancer Society. It is, however, responsible for the majority of deaths.
In 2018, melanoma will account for more than 91,000 new cases of skin cancer in the United States, notes the National Cancer Institute. More than 1 million Americans live with melanoma.
Actinic keratosis (AK)
AK is a less common type of skin cancer. It’s more accurately considered a precancer.
Most people associate skin cancer with big, red bumps or brown spots. AK, on the other hand, presents as rough, dry, scaly patches that develop on skin that’s had frequent exposure to sun or artificial UV light, like tanning beds.
The sun’s ultraviolet (UV) rays can destroy delicate skin. Over time, AK can form. More than 58 million Americans have AK, estimates the Skin Cancer Foundation.
How common is skin cancer?
You may think places with sunnier, hotter weather have more cases of skin cancer. This isn’t necessarily the case. In fact, the Centers for Disease Control and Prevention notes California and Florida had fewer cases per 100,000 people than states with cooler climates, like Wyoming, Montana, and Idaho, in 2015.
The states with the fewest cases of skin cancer are:
- District of Columbia
- New York
States with the most cases of skin cancer include:
- New Hampshire
What age does skin cancer commonly develop?
The older you get, the higher your chance for developing skin cancer. About half of all Americans will develop either BCC or SCC at least once by the time they’re 65. The average age of a melanoma diagnosis is 63, notes the American Cancer Society.
But melanoma is also one of the most frequently occurring cancers in young adults, especially women. Overall, melanoma occurs more frequently in women than in men before age 50. By age 65, twice as many men than women have melanoma. Rates triple by age 80.
Long-term exposure to the sun’s UV rays increases a person’s chances of developing skin cancer. Artificial UV light, as found in indoor tanning beds, is also a culprit. It accounts for approximately 419,000 cases of skin cancer each year in the United States, estimates a 2014 review and meta-analysis.
The Skin Cancer Foundation goes on to report that indoor tanning beds account for:
cases of BCC
- 168,000 cases of SCC
- 6,200 cases
Any history of tanning bed use increases the risk of BCC before age 40 by 69 percent.
Although we’re more educated and aware of skin cancer risks, the number of new cases has been climbing for 30 years — even among younger Americans. In the United States, cases of BCC and SCC among men and women under age 40 are increasing. New cases in children are also on the rise.
Is ethnicity a factor?
The American Cancer Society estimates Caucasians are 20 times more likely to develop skin cancer than people of African descent. In fact, they note lifetime risk of getting melanoma is significantly higher for non-Hispanic Caucasians:
- 2.6 percent for
- 0.58 percent for Hispanics
- 0.10 percent
What are the risk factors for skin cancer?
Some risk factors for skin cancer are controllable, meaning you can change them to protect yourself. Others aren’t controllable. This means you can’t change them — but you can practice proper preventive measures.
Your skin color impacts your risk for developing skin cancer. Non-Latino Caucasians have the highest risk of developing skin cancer. People who have a greater number of moles are more likely to get skin cancer, too.
The risk is even higher if you’re of non-Latino Caucasian descent and have moles, fair skin with either blonde or red hair, and either blue, green, or gray eyes.
People with freckles are also more likely to have fair skin that burns easily. This increases their skin cancer risk.
History of sunburn
Too much UV exposure can burn your skin. A history of sunburns — especially burns that lead to blisters — will increase your risk of skin cancer, including melanoma.
One blistering sunburn as a child or teen can double a person’s risk of melanoma, while five or more blistering sunburns before age 20 increases the risk for melanoma by 80 percent.
Having a family member with skin cancer, specifically BCC, means you’re at a higher risk for skin cancer. The risk is especially strong if a close relative, such as a parent, sibling, or child, has skin cancer.
Certain events can increase your risk for developing skin cancer. These include an exposure to certain chemicals, such as arsenic, industrial pollution, or coal.
Having an autoimmune disease, such as lupus, increases your risk. Likewise, having had an organ transplant increases your risk of SCC 100 times.
People who smoke or use chewing tobacco have a higher chance of developing SCC in the mouth or throat.
People are more likely to develop skin cancer from using tanning beds than developing lung cancer from smoking.
Tanning beds have been classified as “carcinogenic to humans” by the World Health Organization and the International Agency for Research on Cancer. They note there’s a 75 percent increase in melanoma risk when indoor tanning beds have been used before age 30.
History of skin cancer
Once you’ve had one skin cancer, your risks for developing another increases. This is especially true if you had nonmelanoma skin cancer.
Where you live — specifically the elevation of where you live — can affect your risk of skin cancer. People who live or vacation at high altitudes or tropical climates are more likely to develop skin cancer. This is because UV rays are more powerful at higher altitudes.
Certain medications, like immunosuppressants, can increase your risk for skin cancer if you take them long term.
What are the symptoms of skin cancer?
Symptoms of skin cancer can be easily confused — and are often overlooked — if you have a history of noncancerous moles, freckles, or growths.
However, any change on your skin could be a potential cancer. Knowing the additional symptoms of skin cancer will help you know whether you’re in the clear or need to book an appointment with your doctor.
What does skin cancer look like?
- bleeding or oozing from a skin spot
- a sore that doesn’t heal in a normal time frame
- spreading pigment
- a mole with irregular borders
- sudden tenderness, itchiness, or pain
- a noticeable, fast-growing spot
Treatment options for skin cancer
The goal of any skin cancer treatment is to remove the cancer before it has a chance to spread. If the skin cancer has spread to nearby tissues or organs, treating the cancer becomes more difficult. If it hasn’t spread, though, treating skin cancer is often very successful.
Treatment options include:
- Surgery. Surgically removing the cancerous spot is a common option. In
some cases, the spot can be removed easily in a doctor’s office. More advanced
cases may require in-depth surgery.
- Cryosurgery. This type of surgery freezes the affected skin, killing the
cancerous cells. Over time, the dead skin cells fall off.
- Immunotherapy. Immunotherapy uses a person’s immune system to target and
destroy cancer. In the case of skin cancer, a medicated cream is applied to the
cancerous area. The immune system then works to destroy the cancer.
- Chemotherapy. If skin cancer has progressed beyond the skin, chemotherapy can
help target and kill any cancer cells surgery can’t remove. Chemotherapy comes
in several forms, including oral medication, injected shots, and IV infusions.
It can even be applied to the skin.
- Radiation therapy. Radiation seeks out and destroys cancer cells. Radiation is
used to treat a larger area, or an area that’s too difficult to treat with
- Photodynamic therapy. In this type of therapy, a chemical is applied to the skin
cancer. After staying on the skin for many hours, the skin is exposed to a
special light, destroying the cancer cells.
Ways to prevent skin cancer
You don’t have to avoid the sun completely to avoid skin cancer. Here are some tips to protect yourself:
- Avoid the sun at its peak. Keep out of the sun when the UVA and UVB rays are strongest.
This happens between 10 a.m. and 4 p.m.
- Seek shade. If you have to be outside during the sun’s strongest hours, try
to stay in the shade.
- Slather on sunscreen. No matter the time of day, apply sunscreen to all exposed areas
of skin. Use a sunscreen with a sun protection factor (SPF) of at least 30.
Don’t put it on while you’re outside, either. Your skin needs time to absorb
the sunscreen, so it’s best to apply it at least 30 minutes before you head out
- Don’t forget to reapply. Add another layer of
sunscreen to your skin every two hours. If you’re sweating heavily or swimming,
you may need to reapply more frequently.
- Wear a hat. Sunscreen on your scalp, face, and neck is more likely to wear
off if you’re sweating. Add an extra layer of sun protection with a hat.
Wide-brimmed hats are preferable, but a baseball cap is fine if you apply extra
sunscreen to your ears and neck.
- Protect your eyes. Even your eyes need sun protection. Make sure your sunglasses
block 100 percent of UVA and UVB light. This protects your sensitive eyes and
the delicate skin around them.
- Don’t prolong your stay. These sun-protective measures aren’t license to stay in the sun
longer. Do what you need to do and have your fun, then return indoors until the
sun has fallen in the sky.
- Avoid artificial UV lights. The sun isn’t your only skin cancer foe. Tanning beds and sun
lamps are linked to skin cancer, too. This makes cancer from these sources
completely preventable. Avoid using these artificial UV light sources.
- Get checked. Regular skin exams can help you and your doctor identify
suspicious spots. They can be removed as soon as you find them, or your doctor
may suggest watching for changes.