Squamous Cell Carcinoma Surgery

What is Squamous Cell Carcinoma?

Picture of Squamous Cell Carcinoma

Squamous cell carcinoma (SCC)—also referred to as squamous cell cancer or epidermoid carcinoma—is a form of skin cancer that originates in the squamous cells located in the middle and outer layers of the skin. Often, it appears as a red, scaly patch or bump in areas frequently exposed to the sun (like the face, ears, neck, or hands). While SCC can be aggressive, it typically isn’t life-threatening if treated early. However, leaving it untreated can allow it to grow larger, spread to other areas of the body, and potentially lead to serious complications.

When it appears on the skin, SCC is often called cutaneous squamous cell carcinoma. Keep in mind, however, that squamous cells exist in other parts of the body too, so SCC can arise in different regions.

Why Early Detection Matters

Identifying and addressing SCC early is crucial. Prompt removal or treatment greatly reduces the risk of complications and disfigurement. At TMSC, we take a meticulous approach:

  • We excise the lesion with adequate margins to ensure all cancerous cells are removed.
  • We then send the specimen for pathology analysis to confirm clear margins and rule out deeper spread.

Early intervention often translates to simpler treatments, faster recoveries, and better overall outcomes.

Symptoms of Squamous Cell Carcinoma

While SCC can technically develop anywhere on the body’s skin surface, it appears most often on sun-exposed areas such as the face, ears, neck, lips, and backs of hands. That said, it can also show up in other locations, including areas less exposed to sunlight. Key symptoms include:

  1. Firm, red nodules
  2. Flat sores with a scaly crust
  3. New sores or raised areas that develop on old scars or skin sores
  4. Rough or scaly red patches
  5. Open sores that may ooze, crust, or fail to heal properly
  6. Red sores or rough patches inside the mouth
  7. Rough, scaly patches on the lip that may turn into open sores
  8. Wart-like growths

If you notice any new growths or persistent changes in existing moles or spots, it’s best to seek medical advice as soon as possible.

Picture of causes of Squamous Cell Carcinoma

Causes of Squamous Cell Carcinoma

The primary culprit behind SCC is long-term exposure to ultraviolet (UV) rays from the sun or tanning beds. Nevertheless, SCC can also develop in regions not exposed to UV rays, which means there are additional factors to consider. Common risk factors include:

  • Radiation Therapy: Previous radiation treatments can damage skin cells, increasing cancer risk.
  • Fair Skin: People with fair complexions who burn easily are more susceptible.
  • History of Sunburns: Multiple or severe sunburns heighten the risk.
  • Previous Precancerous Lesions: If you’ve had precancerous growths (like actinic keratoses), you’re at higher risk.
  • Weakened Immune System: Certain medications or health conditions can lower immunity, making skin cancers more likely.
  • Genetic Disorders: Conditions such as xeroderma pigmentosum can predispose you to SCC.

SCC arises when DNA mutations within squamous cells disrupt normal cell behavior—causing uncontrolled growth and increased survival of abnormal cells.

What Happens if Squamous Cell Carcinoma is Left Untreated?

Ignoring or postponing treatment for SCC can lead to serious consequences:

  1. Disfigurement: The tumor can expand, potentially causing noticeable cosmetic changes or functional impairment.
  2. Destruction of Nearby Healthy Tissue: As SCC grows, it can invade surrounding tissues, making surgical removal more extensive and complex.
  3. Spread to Lymph Nodes or Other Organs: If the cancer travels (metastasizes), it can become life-threatening.
  4. Fatality: While uncommon, untreated SCC can occasionally be fatal.

Early diagnosis and prompt action are the best defenses against these more severe outcomes.

Squamous Cell Carcinoma Removal and Surgery In Toronto and Oakville

Picture of Squamous Cell Carcinoma Removal Treatment

At TMSC, we customize each patient’s treatment to their specific needs. Our range of treatments includes:

  1. Surgical Excision
    • The cancerous lesion is removed along with a margin of healthy tissue to ensure no cancer cells remain.
    • The excised tissue is sent for pathology to confirm clear margins.
  2. Cryotherapy
    • Freezing the cancer cells with liquid nitrogen can effectively destroy them.
    • Suitable for superficial or small lesions.
  3. Topical Treatments
    • Medicated creams (such as 5-fluorouracil or imiquimod) may be used for superficial SCC.
    • Typically used for small, early-stage lesions.
  4. Radiation Therapy
    • High-energy rays target and kill cancer cells.
    • An option for cases where surgery isn’t viable or in addition to surgery for more advanced SCC.

Our board-certified surgeons and medical team work with you to choose the most appropriate and effective treatment approach.

What is the Best Treatment for Squamous Cell Carcinoma?

The “best” treatment hinges on factors like:

  • Size and location of the cancer
  • Stage of SCC (how deep or advanced it is)
  • Overall health and medical history
  • Patient preferences

Often, surgical excision is considered the gold standard due to its high success rate. Pathology can confirm whether all cancer cells are removed, which significantly lowers the chance of recurrence. However, for some patients, radiation therapy or topical treatments may be more suitable—especially if surgery poses a higher risk or the lesion is superficial.

How Long Can You Wait to Treat Squamous Cell Carcinoma?

It’s best not to wait at all. Early intervention is key. Delaying treatment allows the cancer time to grow larger, invade deeper tissues, and potentially spread. This not only makes treatment more challenging but also can affect your ultimate outcome and cosmetic results. If you suspect SCC, schedule an evaluation immediately.

Squamous Cell Carcinoma Treatment and Prognosis

When detected early and treated promptly, the prognosis for SCC is generally good. Most patients respond well to treatment and experience no further issues. However, the risk of recurrence or complications increases if the cancer is advanced when diagnosed. This makes regular skin checks and early detection essential parts of long-term skin health.

What’s the Cost of Squamous Cell Carcinoma Surgery?

Treatment for SCC (including surgical excision) is covered by OHIP. During your consultation, we’ll discuss any additional fees or out-of-pocket costs you may need to consider. We’ll provide a transparent, detailed cost estimate and address any financial questions.

Why Choose TMSC?

  1. Expert Surgeons
    Our surgeons are highly trained, with years of experience treating various skin lesions, including SCC. They maintain a keen focus on precision, patient safety, and optimal cosmetic outcomes.
  2. Comprehensive Care
    From your initial consultation through post-operative follow-ups, our team is committed to guiding you every step of the way.
  3. OHIP Coverage
    We understand that cost can be a concern. SCC surgery is covered by OHIP, helping ensure you receive the best possible care without added financial strain.
  4. Safe, State-of-the-Art Environment
    All procedures are performed in our well-equipped clinics in Toronto, Oakville, or Vaughan.

Book Your Free Consultation

If you suspect you have squamous cell carcinoma or have been recently diagnosed, don’t wait to seek treatment. The sooner you address it, the better your chances for a successful outcome.

Contact TMSC to schedule a consultation at one of our locations:

Toronto

Oakville

Vaughan

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