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Skin Cancer: Symptoms, Causes, Types and PET-CT

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Dr. Nikunj Jain

Dr. Nikunj Jain

Co-Founder and HOD - Nuclear Medicine ,

MBBS, DRM, DNB, FEBNM, FANMB, Dip. CBNC

Skin Cancer: Symptoms, Causes, Types and PET-CT

Skin cancer develops when skin cells undergo abnormal proliferation due to uncontrolled growth. The growths can occur on sunny parts of the body such as the face, neck, and hands, but also elsewhere on the body even though the skin has not been exposed to the sun. The detection of skin cancer symptoms is vital to ensure that the physician develops an effective treatment plan. There are different types of skin cancer with varying levels of severity ranging from slowly growing cancer to highly aggressive cancer. At Molecular Diagnostics and Therapy, our diagnostic imaging services can assist the physician in detecting the presence of certain cancers and determining if they have spread to other parts of the body.

What Is Skin Cancer?

Skin cancer occurs when the DNA of the skin cells gets damaged, leading to uncontrolled proliferation of the cells. The malfunctioning of the skin cells that normally form the skin results in the formation of abnormal cells with cancerous properties. Skin cancer can be classified based on the type of cells they were formed from. For example, some cancers develop only on the skin surface, whereas others grow deeper into the skin tissues and metastasize to the lymph nodes and other organs. The prognosis of skin cancer depends on the type, size, location, and many other factors. Early and effective diagnosis of cancerous skin lesions can improve the patient’s outcome.

What Are the Causes of Skin Cancer?

There are multiple causes and skin cancer risk factors contributing to the disease, and some of them cannot be managed. The most common cause of skin cancer is the effect of UV radiation. UV rays can damage skin cells, and people who frequently got sunburned during their childhood or young adulthood and those who expose their skin to artificial UV radiation (tanning salons) have a higher risk of developing the disease.

 

The other risk factors for developing skin cancer include having fair skin, blue or green eye color, and sun sensitivity. At the same time, the disease can occur in people with all skin types. Having a family history of skin cancer, a suppressed immune system, a personal history of skin cancer, and exposure to toxins or radiation also increases the risk of developing skin cancer. Having one or more of the risk factors does not necessarily lead to having the disease, but in some cases, several risk factors together can raise the risk further.

What Are the Symptoms of Skin Cancer?

The symptoms of skin cancer can occur in a variety of forms based on cancer type. The first symptom of skin cancer is a change in a previous skin condition or the appearance of a new lesion or mole. Other symptoms of skin cancer may be seen as a sore that has failed to heal for an extended period, a skin sore that is easily irritated, a scaly or crusted patch, a sore that bleeds or itches, or any unusual growth on the skin surface that is changing in size, shape, or color. Finally, skin cancer symptoms can present themselves as a shiny bump on the skin surface, a hard patch or node, or a skin lesion that looks similar to a scar.

What Is the Role of PET-CT in Skin Cancer?

Positron Emission Tomography – Computed Tomography (PET-CT) is a type of imaging test that uses a radiotracer substance to highlight regions with abnormal metabolism in the body. Typically, the FDG radiotracer is used for cancer diagnosis. A PET-CT scan merges PET and CT scans to produce a single image that depicts anatomical and metabolic information. PET-CT scans for skin cancer can be helpful in specific circumstances, depending on the type, size, and stage of cancer, as well as the patient’s symptoms and previous test results. The main purpose of using PET-CT scans in skin cancer is to detect suspicious lesions, tumors, and abnormal masses in the body to help determine the cancer’s stage and plan the treatment.

 

A PET-CT scan is not recommended for all patients with skin cancer. A biopsy is used to diagnose a skin lesion, whereas PET-CT is used to look for spread. Secondly, a PET-CT scan is not useful for assessing small skin tumors, and some skin cancers do not retain radiotracers in their tissues, making them invisible for scanning. Moreover, inflammation and infection can also cause abnormal FDG uptake, which can be mistaken for cancer. Finally, a physician will determine whether a PET scan or another imaging test is more appropriate for a particular patient’s condition.

Conclusion

At Molecular Diagnostics and Therapy, we provide a number of diagnostic imaging services that may contribute to cancer staging. In cases when a PET-CT scan is required, our services can support physicians in staging cancer and planning treatment. In case you are concerned about a suspicious lesion on the skin, it is advisable to consult a dermatologist or other healthcare professionals rather than attempt to determine the nature of the lesion yourself. If a skin cancer diagnosis has already been made, it is vital to speak with a physician about recommended tests and their sequence.

Frequently Asked Questions

Early signs may include a new skin growth, a changing mole, a sore that does not heal, or a patch that repeatedly bleeds or becomes scaly. Any unusual or changing lesion should be checked.

Exposure to ultraviolet radiation from sunlight or tanning beds is a major risk factor. Family history, a weakened immune system, previous skin cancer, and certain other exposures can also increase the risk.

The three main types are basal cell carcinoma, squamous cell carcinoma, and melanoma. They differ in how they grow and how likely they are to spread.

A doctor examines the skin, and a biopsy is generally used to confirm the diagnosis. Additional tests may be recommended to assess the extent of the disease.

PET-CT may help evaluate selected skin cancers, especially when doctors need to assess possible spread or recurrence. It is not the routine first test for diagnosing a skin lesion.

No. The need for PET-CT depends on the cancer type, stage, and clinical findings. Many early skin cancers can be evaluated without this scan.

Yes. Melanoma can spread to lymph nodes and distant organs. Early diagnosis and appropriate treatment are important.

Limit excessive sun exposure, seek shade, wear protective clothing, use broad-spectrum sunscreen, and avoid tanning beds. Check your skin regularly and consult a doctor about any new or changing lesion.

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