Why doesn't SCC get the respect it should?
Clinical Professor of Dermatology
Director, Melanoma Surveillance Clinic
Mount Sinai Icahn School of Medicine, New York, NY
Adjunct Professor, UT Southwestern Medical School
Consultant Dermatologist, Cooper Clinic, Dallas, TX
Well I think of SCC as being almost like the Rodney Dangerfield of skin cancer, where it doesn't get any respect. And part of that is because it's in the middle, it's like the middle child. The basal cell, not as much risk, melanoma a lot more risk. But you have to realize, when you look at the data, almost as many people die in the United States from cutaneous squamous cell carcinoma as due for melanoma. Now the percentage is lower because there's so many more contagious squamous cells. But the reality is people do die from cutaneous squamous cell, and that's one of the reasons we need to better assess prognosis.
Summary
In the video "Why doesn't SCC get the respect it should?" Dr. Darrell Rigel discusses the lack of recognition that cutaneous squamous cell carcinoma (SCC) receives in comparison to other types of skin cancer. He likens SCC to the "Rodney Dangerfield" of skin cancer, meaning it doesn't receive the respect it deserves. The reason for this lack of recognition is that SCC falls in the middle between basal cell carcinoma (which has lower risk) and melanoma (which has a much higher risk). However, Dr. Rigel points out that the data shows almost as many people die from cutaneous squamous cell carcinoma in the United States as from melanoma. Although the percentage of SCC-related deaths may be lower due to the higher prevalence of SCC cases, the actual number of deaths is significant. This underscores the importance of better assessing the prognosis of cutaneous squamous cell carcinoma to raise awareness about its severity and address its impact on public health effectively.
Key Points
- SCC (Squamous Cell Carcinoma) is often overlooked and does not receive the respect it deserves.
- One of the reasons for SCC's lack of attention is because it falls in the middle when comparing it to other skin cancers. Basal cell carcinoma is considered less risky, while melanoma is regarded as a higher-risk skin cancer.
- However, Dr. Rigel emphasizes the importance of recognizing that SCC is still a significant concern. In the United States, the number of deaths from cutaneous squamous cell carcinoma is almost as high as that of melanoma.
- The lower percentage of SCC-related deaths compared to melanoma can be attributed to the higher number of SCC cases overall (more contagious squamous cells).
- Dr. Rigel stresses the need to improve the assessment of prognosis for SCC to better understand and address its impact on public health.