Treatment FAQ

what treatment is there for nonmelanoma

by Berneice Rosenbaum Published 2 years ago Updated 2 years ago
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Types of treatment for nonmelanoma skin cancer

  • Surgery. Surgery is a common treatment for nonmelanoma skin cancer. It is used in most cases when the cancer is still at...
  • Chemotherapy. Chemotherapy is done with medicines. With nonmelanoma skin cancer, chemotherapy is most often done by...
  • Targeted therapy. Targeted therapy is also done with medicine, but it works...

Surgery is the main treatment for non-melanoma skin cancer, although it may depend on your individual circumstances. Non-surgical treatments, such as freezing (cryotherapy), anti-cancer creams, photodynamic therapy (PDT), radiotherapy and electrochemotherapy, are also used in certain circumstances.

Full Answer

What is the treatment for nonmelanoma skin cancer?

Basal cell and squamous cell skin cancers are the two most common nonmelanoma skin cancers. Surgery is often used to treat them. These procedures usually take a matter of minutes to an hour and only require local anesthe sia. Excision. Your doctor will use a blade to remove the cancer, as well as some cancer -free skin.

Should I have multiple sessions of radiation therapy for nonmelanoma skin cancer?

But you may need to have several sessions. Nonmelanoma skin cancers treated only with radiation are more likely to come back than ones treated with surgery. And if you have certain other health issues, such as lupus or scleroderma, radiation therapy can sometimes make those conditions worse.

What are the treatment options for unresectable cancer?

If cancer cannot be removed with surgery, it is called unresectable. To control distant spread, a person’s treatment plan may include chemotherapy, radiation therapy, and/or targeted therapy. Palliative care will also be important to help relieve symptoms and side effects.

What are the most common nonmelanoma skin cancers?

Basal cell and squamous cell skin cancers are the two most common nonmelanoma skin cancers. Surgery is often used to treat them. These procedures usually take a matter of minutes to an hour and only require local anesthe sia.

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How is nonmelanoma skin cancer treated?

Basal cell and squamous cell skin cancers are the two most common nonmelanoma skin cancers. Surgery is often used to treat them. These procedures usually take a matter of minutes to an hour and only require local anesthesia. Excision.

What is the best treatment approach for aggressive nonmelanoma skin cancer?

NCCN currently recommends standard excision as a primary treatment choice for low-risk BCCs that can be excised with 4 mm clinical margins as well as low-risk SCCs that can be excised with 4–6 mm clinical margins [106].

How common is nonmelanoma skin cancer?

Nonmelanoma skin cancer An estimated 3.6 million cases of BCC are diagnosed in the U.S. each year. Squamous cell carcinoma (SCC) is the second most common form of skin cancer. An estimated 1.8 million cases of SCC are diagnosed in the U.S. each year.

How serious is non-melanoma skin cancer?

Treatment for non-melanoma skin cancer is usually successful as, unlike most other types of cancer, there's a considerably lower risk that the cancer will spread to other parts of the body. Basal cell carcinoma (BCC) does not usually spread to other parts of the body.

What's the difference between melanoma and nonmelanoma?

What is the Difference Between Melanoma and Nonmelanoma Skin Cancer? Nonmelanoma skin cancer can refer to any cancer that forms in the basal, squamous or Merkel cells of the skin. Melanoma is a cancer that develops in the skin's melanocytes.

What is the survival rate for non-melanoma skin cancer?

Survival for most non-melanoma skin cancers is excellent. The 5-year relative survival for BCC is 100%. This means that, on average, all of the people diagnosed with BCC are just as likely to live at least 5 years after their diagnosis as people in the general population.

What causes nonmelanoma skin cancer?

UVB is thought to be the main cause of non-melanoma skin cancer. Artificial sources of UV light, such as sunlamps and tanning beds, also increase your risk of developing skin cancer. Repeated sunburn, either by the sun or artificial sources of light, will make your skin more vulnerable to non-melanoma skin cancer.

What does nonmelanoma mean?

Listen to pronunciation. (non-MEH-luh-NOH-muh skin KAN-ser) Skin cancer that forms in the lower part of the epidermis (the outer layer of the skin) or in squamous cells, but not in melanocytes (skin cells that make pigment).

What are the chances of dying from squamous cell carcinoma?

Compared with skin BCCs, skin SCCs not only are more likely to metastasize but also to cause mortality. Although the case-fatality rate is only approximately 1%, the national NMSC mortality figures equal or exceed those for melanoma, which is far more lethal but less common.

How fast does non-melanoma skin cancer grow?

It is usually a slow-growing cancer. It develops over many years. The two most common types of this cancer are mycosis fungoides and the Sezary syndrome.

What does Stage 1 melanoma look like?

Stage IA Melanoma: The melanoma tumor is less than 1.0 millimeter thick (less than the size of a sharpened pencil point) with or without ulceration (broken skin) when viewed under the microscope. Stage IB Melanoma: The melanoma tumor is more than 1.0 millimeter and less than 2.0 millimeters thick without ulceration.

How long can you have skin cancer before it spreads?

Melanoma can grow very quickly. It can become life-threatening in as little as 6 weeks and, if untreated, it can spread to other parts of the body.

How to give a systemic treatment for non-melanoma?

Common ways to give systemic therapies include an intravenous (IV) tube placed into a vein using a needle or in a pill or capsule that is swallowed (orally). The types of systemic therapies used for non-melanoma skin cancer include: Chemotherapy. Targeted therapy.

What is the best way to treat skin cancer?

Since skin cancer often develops on a person’s face, a reconstructive (plastic) surgeon or facial specialist may be part of the health care team. When doctors plan treatment, they consider how treatment might affect a person’s quality of life, such as how the person feels, looks, talks, and eats.

What is included in a cancer care plan?

Treatment options and recommendations depend on several factors, including the size and location of the skin cancer, possible side effects, and the patient’s preferences and overall health.

How often do you apply topical treatment for skin cancer?

In skin cancer treatment, these drugs are usually applied to the skin every day for several weeks. This is called topical treatment. These types of medications may cause skin inflammation or irritation, which will go away after treatment is finished.

What do doctors want to learn about new treatments?

Doctors want to learn whether the new treatment is safe, effective, and possibly better than the standard treatment. Clinical trials can test a new drug, a new combination of standard treatments, or new doses of standard drugs or other treatments.

What is the procedure for Merkel cell cancer?

This is often done for Merkel cell cancer. Surgeries and other procedures for non-melanoma skin cancer include: Curettage and electrodessication. During this common procedure, the skin lesion is removed with a curette, which is a sharp, spoon-shaped instrument.

Can you receive immunotherapy at the same time?

Immunotherapy. Each of these types of therapies is discussed below in more detail. A person may receive 1 type of systemic therapy at a time or a combination of systemic therapies given at the same time. They can also be given as part of a treatment plan that includes surgery and/or radiation therapy.

Overview

Nonmelanoma skin cancer refers to all the types of cancer that occur in the skin that are not melanoma.

Clinical trials

Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.

What is the treatment for nonmelanoma?

The range of treatments offered to people with nonmelanoma skin cancer includes surgery, chemotherapy, radiation therapy, photodynamic therapy and targeted drug therapy.

Does Mayo Clinic treat melanoma?

Mayo Clinic doctors have extensive experience diagnosing and treating nonmelanoma skin cancer, including very rare types of this disease . This experience means your care team is equipped with the knowledge and resources to provide you with exactly the care you need.

Is Mayo Clinic a national cancer center?

Mayo Clinic Cancer Center meets strict standards for a National Cancer Institute comprehensive cancer center, which recognizes scientific excellence and a multidisciplinary approach to cancer prevention, diagnosis and treatment.

Does Mayo Clinic require a referral?

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care.

What is the American Academy of Dermatology's new guidelines for treatment of nonmelanoma skin cancer?

American Academy of Dermatology issues new guidelines for treatment of nonmelanoma skin cancer. The American Academy of Dermatology has addressed this growing health concern with the release of its guidelines of care for the management of basal cell carcinoma and cutaneous squamous cell carcinoma, published online in the Journal ...

What is the best treatment for NMSC?

According to the guidelines, surgical treatment — excision, Mohs surgery, or curettage and electrodessication — is the most effective option for most cases of NMSC. In some cases, however, doctors may consider other treatments, such as cryotherapy, radiation or topical therapy.

What is the best way to detect skin cancer?

The AAD also recommends that everyone perform regular skin self-exams to detect skin cancer early, when it’s most treatable. Those who notice any new or suspicious spots on their skin, as well as anything changing, itching or bleeding, should see a board-certified dermatologist.

When was the American Academy of Dermatology's guidelines for the management of basal cell carcinoma published?

The American Academy of Dermatology has addressed this growing health concern with the release of its guidelines of care for the management of basal cell carcinoma and cutaneous squamous cell carcinoma, published online in the Journal of the American Academy of Dermatology on Jan. 10.

Can NMSC be treated with laser therapy?

The guidelines do not include recommendations for treating NMSC with laser therapy or electronic brachytherapy, as there was not enough evidence available for the work group to make an informed decision. “Board-certified dermatologists have the training, knowledge and experience to provide NMSC patients with the highest-quality care,” says ...

What is cancer?

Cancer is when cells in the body change and grow out of control. To help you understand what happens when you have cancer, let’s look at how your body works normally. Your body is made up of tiny building blocks called cells. Normal cells grow when your body needs them, and die when your body does not need them any longer.

What is nonmelanoma skin cancer?

Skin cancer is a disease that begins in the cells of the skin. The area of skin with the cancer is often called a lesion. There are several types of skin cancer (carcinoma). Melanoma is the most serious. But there are others that are known as nonmelanoma skin cancer. These include:

What are the different types of nonmelanoma skin cancer?

Basal cell carcinomas form in places exposed to the sun and look raised and pearly.

Talk with your healthcare provider

If you have questions about nonmelanoma skin cancer, talk with your healthcare provider. Your healthcare provider can help you understand more about this cancer.

Radiation Therapy

Radiation therapies (RTs), such as superficial RT, have been long-established treatment options. 25 However, there also are emerging methods of delivering RT, including electronic brachytherapy (EB).

Photodynamic Therapy

Photodynamic therapy has been in use since the 1970s when Dougherty et al 35 performed one of the first studies on its use in skin cancer. Since then, PDT has been used for the treatment of actinic keratoses (AKs) and more recently BCCs.

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Treatment Overview

Surgery

  • Surgery is the removal of the tumor and surrounding tissue during a medical procedure. Many skin cancers can be removed from the skin quickly and easily during a simple surgical procedure. Often, no other treatment is needed. Which surgical procedure is used depends on the type of skin cancer and the size and location of the lesion. Most of these procedures use a local anesthetic t…
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Radiation Therapy

  • Radiation therapy is the use of high-energy rays or other particles to destroy cancer cells. A doctor who specializes in giving radiation therapy to treat cancer is called a radiation oncologist. Radiation therapy may be used instead of surgery for skin cancer that is located in a hard-to-treat place, such as on the eyelid, the tip of the nose, or the ear. It is also used in some people who wo…
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Other Local Treatments

  • To treat precancerous skin conditions or a cancerous lesion located only in the top layer of the skin, doctors may use photodynamic therapy, cryotherapy, or laser therapy. Photodynamic therapy. This is a combination treatment for actinic keratoses (see Risk Factors and Prevention). First, a topical medication called aminolevulinic acid (Levulan) is...
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Therapies Using Medication

  • Systemic therapy is the use of medication to destroy cancer cells. This type of medication is given through the bloodstream to reach cancer cells throughout the body. Systemic therapies are generally prescribed by a medical oncologist, a doctor who specializes in treating cancer with medication. Common ways to give systemic therapies include an intravenous (IV) tube placed in…
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Physical, Emotional, and Social Effects of Cancer

  • Cancer and its treatment cause physical symptoms and side effects, as well as emotional, social, and financial effects. Managing all of these effects is called palliative care or supportive care. It is an important part of your care that is included along with treatments intended to slow, stop, or eliminate the cancer. Palliative care focuses on improving how you feel during treatment by man…
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Metastatic Or Advanced Skin Cancer

  • It is uncommon, but non-melanoma skin cancer can spread to another part in the body from where it started. In these situations, doctors call it metastatic cancer. If this happens, it is a good idea to talk with doctors who have experience in treating it. Doctors can have different opinions about the best standard treatment plan. Clinical trials might also be an option. Learn more abou…
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Remission and The Chance of Recurrence

  • A remission is when cancer cannot be detected in the body and there are no symptoms. This may also be called having “no evidence of disease” or NED. A remission may be temporary or permanent. This uncertainty causes many people to worry that the cancer will come back. While many remissions are permanent, it is important to talk with your doctor about the possibility of t…
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