Types of cancers
When most people think of skin cancer, they conjure up an image of a big black ugly mole ? an obvious, disfiguring growth that is hard to miss.? In reality, the vast majority of skin cancers are far more inconspicuous. As dermatologists, we divide skin cancer into melanoma and non-melanoma subtypes, together accounting for 99 percent of all cases.
As with other human cancers, those that arise in the skin are named according to the cells from which they originate. While melanoma arises from the pigment-producing cells, called melanocytes, the far more common basal cell carcinoma and squamous cell carcinoma arise from keratinocytes in the epidermis, and together are referred to as non-melanoma skin cancer (NSMC). 95 percent of skin cancers ?are basal cell and squamous cell carcinomas.
Clinically, NMSC presents as a small dome-shaped papule, or a flat scaly pink plaque on sun exposed areas of fair-skinned individuals and occasionally bleed, scab, or ulcerate.? The most common descriptions that patients provide are ?a pimple that just won?t go away,? or, ?a spot that bleeds when I wash my face.?
A wide array of treatment options exist
Surgical management remains the treatment for localized melanoma, with national guidelines that dictate the indicated width of surgical margins needed for tumor removal.? For NMSC, many therapeutic options exist. For small or superficial cancers located on the trunk or extremities, treatments such as curettage and electrodesiccation, photodynamic therapy, cryotherapy and topical immune modulators yield an acceptable cure rate.? However, the majority of NMSC occur on the head and 
What you can do
As physicians, we have a responsibility to deflate the hype that the sun is a safe and necessary source of vitamin D when oral supplements are readily available and common fortified foods exist.
The University of Rochester Medical Center Department of Dermatology treats thousands of cancers annually, with the Division of Mohs Surgery treating a large percentage of cases diagnosed across the entire Upstate New York area.? If you would like to schedule an appointment or require further information about skin cancer or the Mohs technique, contact 585-275-SKIN (7546) or 585-487-1440.
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