Skin Cancer Treatment

Skin Cancer Screening & Surgery in Toronto

No referral needed. OHIP covered.

A skin cancer diagnosis — or even the discovery of a suspicious mole — can be an incredibly anxious experience. Waiting months to see a specialist only adds to that stress. At the Toronto Minor Surgery Center (TMSC), we provide rapid access to comprehensive skin cancer screening, biopsy, and surgical removal.

As a premier skin cancer clinic in Toronto, our team of board-certified plastic surgeons specializes in the precise excision of Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC), and Melanoma. We prioritize patients with suspicious lesions, ensuring you receive expert care, clear margins, and optimal cosmetic reconstruction without the long wait times.

Skin Cancer Symptoms: What to Look For

One of the most important things to understand about skin cancer symptoms is that they are often subtle, especially in the early stages. Many patients visit our Toronto skin cancer clinic after noticing a small change on their skin that they initially dismissed as a pimple, a scar, or a harmless mole. Knowing what to look for — and acting on it early — is what makes the difference between a straightforward excision and a complex surgery.

The Most Common Warning Signs

Skin cancer does not always look alarming. The following are the most frequently reported symptoms across all three types:

  • A sore or lesion that does not heal — This is one of the most reliable warning signs. If a cut, scab, or sore on your skin has been present for more than four weeks without fully healing, or if it repeatedly heals and then reopens, it should be evaluated immediately.
  • A new growth or bump on the skin — Any new lump, bump, or raised area that appears on the skin — particularly on sun-exposed areas like the face, scalp, neck, ears, forearms, and hands — warrants attention.
  • A mole that is changing — Changes in the size, shape, color, or texture of an existing mole are among the most important warning signs of melanoma. Use the ABCDE rule (see below) to assess any mole you are concerned about.
  • A flat, discolored patch — A flat, pink, red, or brown patch of skin that appears different from the surrounding skin and does not resolve on its own can indicate Basal Cell Carcinoma or early Squamous Cell Carcinoma.
  • Bleeding or crusting without injury — A spot on the skin that bleeds, oozes, or forms a crust for no apparent reason — particularly if it is not the result of any trauma — should be assessed by a surgeon.
  • Persistent itching, tenderness, or pain — While many skin cancers are painless in the early stages, some patients report persistent itching, tenderness, or a burning sensation in a specific area of skin before a visible lesion is apparent.

The ABCDE Rule for Moles and Melanoma

The ABCDE rule is a widely used guide for identifying moles that may be developing into melanoma. Check your moles regularly and consult a physician if any of the following apply:

  • A — Asymmetry: One half of the mole does not match the other half in shape or size.
  • B — Border: The edges of the mole are irregular, ragged, notched, or blurred rather than smooth and well-defined.
  • C — Color: The mole is not a uniform color. It may contain multiple shades of brown, black, pink, red, white, or blue within the same lesion.
  • D — Diameter: The mole is larger than 6 millimeters in diameter — roughly the size of a pencil eraser. However, melanomas can and do occur at smaller sizes.
  • E — Evolving: The mole is changing in any way — growing, changing color, changing shape, or developing new symptoms like bleeding or itching.

Symptoms by Skin Cancer Type

Different types of skin cancer present differently, and knowing the distinctions can help you identify what you may be dealing with:

Basal Cell Carcinoma (BCC) most commonly appears as a pearly, translucent, or skin-colored bump with tiny blood vessels visible on the surface. It may also look like a flat, pale, scar-like lesion, or a pink patch with a slightly raised, rolled border. On the back and chest, it often presents as a flat, reddish, scaly area.

Squamous Cell Carcinoma (SCC) typically presents as a firm, red nodule or a rough, scaly, flat lesion that may crust or bleed. It can also develop as a wart-like growth, or as a new sore or raised area on top of an existing scar or chronic wound.

Melanoma can appear as a new dark spot on the skin, or as a change in an existing mole. It may be flat or raised, and can occur anywhere on the body — including areas that are rarely exposed to the sun, such as the soles of the feet, under the nails, or on the palms of the hands.

When to See a Skin Cancer Specialist in Toronto

You should book a consultation at our Toronto skin cancer clinic if:

  • You have a sore, mole, or lesion that has not healed within four weeks
  • You have noticed any of the ABCDE warning signs in a mole
  • You have a new growth that is bleeding, crusting, or changing
  • You have a personal or family history of skin cancer and want a professional screening
  • You have already received a skin cancer diagnosis and need a surgical opinion

You do not need a referral. Contact our clinic directly to book a consultation. The sooner a suspicious lesion is evaluated, the simpler and more effective the treatment.

What Causes Skin Cancer?

Skin cancer begins when the DNA inside skin cells is damaged, causing those cells to multiply uncontrollably and form a tumor. In the vast majority of cases, that DNA damage is caused by ultraviolet (UV) radiation — but it is not the only factor. Understanding the causes of skin cancer can help you assess your own risk and take meaningful steps to protect yourself.

Ultraviolet Radiation: The Primary Cause

UV radiation is the single biggest driver of skin cancer in Canada. Every time your skin is exposed to UV rays — whether from direct sunlight, reflected light off snow or water, or an artificial tanning bed — it causes microscopic damage to the DNA in your skin cells. Your body has natural repair mechanisms to fix this damage, but decades of cumulative exposure eventually overwhelm those defenses. The result is the kind of uncontrolled cell growth that leads to Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma.

It is important to understand that UV damage is cumulative and irreversible. The sunburns you had as a child, the summers spent without sunscreen, the tanning bed sessions in your twenties — all of that exposure adds up over your lifetime. This is why skin cancer rates increase with age, and why sun protection at every stage of life matters.

Tanning Beds

Tanning beds emit concentrated UV radiation at levels that can be significantly higher than natural sunlight. Using a tanning bed even once before the age of 35 increases your risk of developing melanoma by 59%. Despite this, tanning beds remain widely used and are a growing contributor to skin cancer diagnoses in younger adults.

Additional Risk Factors

While UV radiation is the primary cause, the following factors can significantly increase your personal risk of developing skin cancer:

  • Fair or light skin — People with less melanin in their skin have less natural protection against UV damage and are at substantially higher risk of all three types of skin cancer.
  • A history of sunburns — Particularly severe, blistering sunburns in childhood or adolescence are strongly associated with an increased lifetime risk of melanoma.
  • A personal history of skin cancer — Having had any form of skin cancer before significantly raises your risk of developing a second primary skin cancer, sometimes in a completely different location.
  • A family history of skin cancer — Certain genetic mutations that increase susceptibility to skin cancer can run in families, particularly in the case of melanoma.
  • A weakened or suppressed immune system — People who take immunosuppressant medications (such as organ transplant recipients) or who have conditions that weaken the immune system are at a dramatically elevated risk, particularly for Squamous Cell Carcinoma.
  • Exposure to radiation — A history of radiation therapy for other medical conditions can increase the risk of skin cancer developing in the treated area years or even decades later.
  • Chronic skin inflammation or scarring — Long-standing wounds, burns, or areas of chronic skin inflammation can, over time, develop into Squamous Cell Carcinoma.
  • Exposure to certain chemicals — Prolonged occupational exposure to arsenic, coal tar, or certain industrial compounds is a recognized risk factor for skin cancer.

A Note on Skin Cancer in Toronto

Toronto's climate does not eliminate your skin cancer risk. UV radiation is present year-round, including on overcast days and during winter months when UV reflects off snow. Many Torontonians are surprised to learn that they can sustain UV damage in February. Wearing broad-spectrum SPF 30+ sunscreen daily — regardless of the season — is one of the most effective preventive measures you can take.

If you have one or more of the risk factors above, or if you have noticed a new or changing lesion on your skin, we encourage you to book a consultation at our Toronto skin cancer clinic. Early detection is the most powerful tool we have. No referral is needed.

Types of Skin Cancer We Treat

Skin cancer occurs when abnormal skin cells grow out of control, primarily due to cumulative ultraviolet (UV) radiation from the sun or tanning beds. At TMSC, we diagnose and treat the three primary forms of skin cancer:

Basal Cell Carcinoma (BCC)

Basal cell carcinoma is the most frequently diagnosed skin cancer in Canada. It typically develops on sun-exposed areas like the head and neck. While BCC grows slowly and very rarely spreads to other parts of the body, it can be highly destructive to surrounding tissue and bone if left untreated. It often appears as a pearly bump, a pink patch, or a sore that bleeds, heals, and then bleeds again.

Read more about Basal Cell Carcinoma Treatment →

Squamous Cell Carcinoma (SCC)

Squamous cell carcinoma is the second most common form of skin cancer. It is more aggressive than BCC and has a higher potential to spread (metastasize) to lymph nodes or other organs if not treated promptly. SCC often presents as a firm, red nodule, a scaly, crusted flat lesion, or a new growth on an existing scar.

Read more about Squamous Cell Carcinoma Treatment →

Melanoma

Melanoma is the most dangerous and aggressive type of skin cancer. It develops in the melanocytes (the cells that give skin its color) and can spread rapidly to other organs. Early detection is absolutely critical. Melanomas often resemble moles or develop from existing moles. We strongly advise patients to monitor their skin using the ABCDE rule: Asymmetry, irregular Borders, uneven Color, Diameter larger than 6mm, and Evolving appearance.

Read more about Melanoma Treatment →

Our Skin Cancer Treatment Process

1. Comprehensive Skin Cancer Screening & BiopsyDuring your initial consultation, our surgeons will conduct a thorough examination of the suspicious lesion. If the clinical appearance suggests skin cancer, we will perform a biopsy — removing a small sample of the tissue, which is sent to a specialized pathology laboratory for a definitive diagnosis.

2. Surgical ExcisionIf the biopsy confirms skin cancer, surgical excision is the gold standard for treatment. Under local anesthesia, your surgeon will carefully cut out the cancerous tumor along with a predetermined "safety margin" of healthy-looking skin. This margin is crucial to ensure that no microscopic cancer cells remain. The excised tissue is sent back to pathology to verify that the margins are completely clear.

3. Aesthetic ReconstructionBecause our surgeons are board-certified in plastic surgery, they are uniquely qualified to repair the surgical site immediately following the excision. Depending on the size and location of the defect, we may use direct closure, local skin flaps, or skin grafts. Our goal is always to restore the natural contours of your skin and minimize visible scarring.

Frequently Asked Questions About Skin Cancer Treatment

Do I need a referral for a skin cancer screening in Toronto?
No. At TMSC, you can book a consultation directly with our clinic without a referral from a family physician. If you have already had a biopsy performed elsewhere, please bring the pathology report to your appointment.

Is skin cancer surgery covered by OHIP?
Yes. The surgical removal of diagnosed skin cancers (BCC, SCC, and Melanoma), the associated pathology testing, and the necessary reconstructive surgery are fully covered by OHIP.

How quickly can I get an appointment?
We prioritize patients who have highly suspicious lesions or a confirmed skin cancer diagnosis. We strive to schedule your initial consultation within days of your inquiry.

Will the surgery leave a large scar?
Any surgical procedure will leave a scar, and the size depends on the extent of the cancer. However, our plastic surgeons utilize advanced reconstructive techniques specifically designed to minimize scarring and hide incisions within the natural folds of your skin.

Is the procedure performed in a hospital?
No. All of our skin cancer screenings, biopsies, and surgical excisions are performed in our fully equipped, state-of-the-art private clinics in Toronto, Oakville, Vaughan, and Mississauga. This allows you to avoid the hospital environment and return home the same day.

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