Q. How is skin cancer diagnosed?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Skin cancer is typically diagnosed through a combination of clinical examination, medical history review, and various diagnostic procedures. The process may involve the following steps:
1. Clinical Examination: A dermatologist or healthcare provider will perform a thorough visual examination of your skin, including a close inspection of any moles, lesions, or areas of concern. They will use the ABCDE rule and may take note of any unusual or changing features.
2. Medical History: Your healthcare provider will ask you about your medical history, including any family history of skin cancer, personal history of previous skin cancers, and information about your sun exposure and tanning habits.
3. Dermoscopy: Dermoscopy is a non-invasive technique that allows the healthcare provider to examine moles and lesions more closely with the aid of a special handheld device called a dermatoscope. This tool magnifies the skin, providing a more detailed view of the lesion's structure.
4. Skin Biopsy: If the healthcare provider suspects a skin lesion may be cancerous, a biopsy is typically performed to confirm the diagnosis. There are different types of skin biopsies, including:
- Shave Biopsy: A superficial layer of the skin is shaved off using a scalpel.
- Punch Biopsy: A small, cylindrical piece of skin is removed with a biopsy punch tool.
- Excisional Biopsy: The entire lesion is removed, as well as a small margin of normal skin around it. This method is often used for larger or suspicious lesions.
5. Sentinel Lymph Node Biopsy (for Melanoma): In cases of melanoma, if the cancer has a higher risk of spreading to nearby lymph nodes, a sentinel lymph node biopsy may be performed to determine if cancer cells have reached the lymph nodes.
6. Imaging Tests: In cases where skin cancer has a potential for spreading or if certain subtypes are suspected (e.g., Merkel cell carcinoma), imaging tests such as CT scans, MRI scans, or PET scans may be used to evaluate the extent of the cancer.
7. Laboratory Tests: Blood tests or other laboratory tests may be performed to assess overall health, screen for specific genetic mutations associated with skin cancer, or monitor the progress of the disease.
Once the diagnosis is confirmed through a biopsy, the type and stage of the skin cancer will be determined. Staging helps healthcare providers understand the extent of the cancer and guides treatment decisions. Treatment options may include surgical removal of the cancer, radiation therapy, chemotherapy, immunotherapy, targeted therapy, or a combination of these approaches, depending on the type and stage of skin cancer. Early detection and prompt treatment are crucial for achieving the best outcomes in skin cancer cases.