Procedures
SCC Removal Surgery
When facing a diagnosis of Squamous Cell Carcinoma (SCC), understanding the treatment options available to you is essential. SCC is a form of skin cancer that, while generally not life-threatening, requires prompt and effective treatment to prevent it from becoming more serious. Among the various treatments available, SCC removal surgery is often recommended due to its effectiveness in removing cancerous cells and preventing further spread.
SCC tends to develop in areas frequently exposed to sunlight, such as the scalp, back of the hands, and ears, but it can appear anywhere on the body. The appearance of SCC can vary widely; it may look like a red scaly patch, a lump with a rough surface, or an open sore. It can grow slowly or rapidly and sometimes causes discomfort.
At a glance
Depends on the type of procedure perfomed
Local anaesthesia
Varies based on the type of procedure
Table of Contents
What is SCC Removal Surgery?
SCC removal surgery is a targeted medical procedure designed to excise Squamous Cell Carcinoma, the second most common type of skin cancer. This cancer originates from the squamous cells, which are part of the epidermis, the outermost layer of the skin. When these cells mutate and grow uncontrollably, they form SCC, which can be invasive and damaging if not treated promptly.
The primary aim of SCC removal surgery is to completely eradicate the cancerous tissue from the affected area. This is done by excising the tumour along with a margin of healthy skin around it to ensure that no malignant cells remain. The success of this procedure lies in its ability to not only remove the cancer but also to achieve clear margins, which minimises the risk of recurrence.
SCC removal surgery can vary in complexity, depending on the size and location of the tumour. For smaller, less complicated cases, the procedure might be straightforward and performed under local anaesthesia in an outpatient setting. However, larger or more complex cases may require more extensive surgery under general anaesthesia, possibly involving skin grafts or reconstructive techniques to restore the appearance and function of the affected area.
Who Needs SCC Removal Surgery?
SCC removal surgery is not necessary for every case of Squamous Cell Carcinoma, but it is often recommended for situations where the cancer is large, located in sensitive areas, or has penetrated deeper into the skin. You might be a candidate for this surgery if:
- Diagnosis of SCC: You have been diagnosed with SCC after a biopsy of a suspicious skin lesion.
- Ineffectiveness of Other Treatments: Previous treatments such as topical medications or less invasive procedures have not successfully eradicated the cancer.
- Location and Size of Cancer: The SCC is located in an area where other treatments might not be advisable or effective, or it is large or deep enough to require excision.
- Health and Age Considerations: You are in good general health, which would allow you to undergo surgery and recover without significant risk of complications.
Your suitability for SCC removal surgery will be assessed by Anca, who will review your medical history, the nature of your SCC, and other relevant factors. This assessment ensures that the proposed treatment aligns with your specific health needs and personal circumstances, providing the best chance for a successful outcome.
Benefits of the SCC Removal Surgery Procedure
Here are some of the advantages of opting for this surgical method to treat Squamous Cell Carcinoma:
- Effective Cancer Removal: The primary benefit of SCC removal surgery is its effectiveness in removing all cancerous cells from the affected area. By excising the tumour along with a margin of healthy tissue, Anca can significantly reduce the risk of the cancer recurring at the same site. This thorough approach provides a higher likelihood of complete cure compared to some other treatments that may leave residual cancer cells.
- Prevention of Further Spread: SCC has the potential to spread to other parts of the body if not treated properly. By physically removing the tumour, surgery prevents the cancer from metastasising, which is the process of cancer spreading to distant organs. This is especially important for aggressive or rapidly growing types of SCC.
- Immediate Results: Unlike some treatments that require multiple sessions or a long period to evaluate effectiveness, surgery offers immediate results. Once the cancerous tissue is removed, it is sent to a pathology lab to confirm that all cancer cells have been excised, giving you immediate reassurance about the status of your treatment.
- Cosmetic Outcomes: Modern surgical techniques focus not only on removing the cancer but also on achieving the best possible cosmetic result. This is particularly vital when SCC is located in visible areas such as the face, neck, or arms. Anca use techniques that minimise scarring and preserve normal skin appearance as much as possible.
- Psychological Relief: Being diagnosed with any form of cancer can be extremely stressful. Undergoing surgery and achieving clear margins can provide significant psychological relief, knowing that the cancer has been effectively addressed. This peace of mind is an essential component of your overall recovery and return to everyday life.
- Tailored Treatments: SCC removal surgery can be customised according to the size, location, and depth of the tumour as well as your personal health and preferences. This personalised approach ensures that the treatment is as effective as possible while also considering your specific situation and cosmetic concerns.
Types of SCC Removal Procedures
Excisional Surgery
This is the most straightforward type of SCC removal, involving the surgical cutting out of the cancerous lesion along with a margin of healthy tissue around it. The size of the margin depends on the aggressiveness and size of the cancer. This procedure is performed under local anaesthesia and can vary in duration and complexity based on the tumour’s characteristics.
Curettage and Electrodessication
This method involves scraping off the cancerous growth with a curette (a sharp, ring-shaped instrument) followed by the application of an electric current to the area to destroy any remaining cancer cells. This technique is generally reserved for smaller or less aggressive cancers and is appreciated for its simplicity and effectiveness.
Laser Surgery
In some cases, laser technology may be used to vaporise the cancerous tissue. This method is less invasive and can be particularly useful for superficial cancers. Laser surgery minimises bleeding and can reduce the need for stitches, which leads to quicker recovery times.
Cryosurgery
This technique uses extreme cold (liquid nitrogen) to freeze and destroy abnormal cells. It is often used for small, superficial SCCs and is noted for its minimal pain and quick recovery.
How is the SCC Removal Procedure Performed?
The specifics of SCC removal surgery vary depending on the chosen method, but the overall goal remains consistent: to remove all cancerous cells while preserving as much healthy tissue as possible. Here’s a general overview of what you can expect when undergoing SCC removal surgery:
Consultation and Planning
Before the procedure, you’ll meet with Anca to discuss the details of the surgery, including the technique used, potential risks, and what to expect during recovery. This is a good time to address any concerns or questions you might have.
Preparation
On the day of the surgery, the affected area will be thoroughly cleaned and marked. Depending on the type of procedure and its extent, you may receive local or general anaesthesia. Local anaesthesia numbs the area around the cancer, allowing you to stay awake but pain-free during the procedure. General anaesthesia is used for more extensive surgeries and will cause you to sleep through the procedure.
The Surgery
- Excisional Surgery: Anca uses a scalpel to remove the SCC along with a margin of healthy tissue. The size of the margin is typically determined by the size and depth of the cancer.
- Mohs Surgery: Anca removes the cancer layer by layer, examining each layer under a microscope until no cancer cells remain. This method helps conserve as much healthy tissue as possible.
- Curettage and Electrodessication: Anca scrapes away the cancerous growth and then uses an electric needle to destroy any remaining cancer cells.
- Laser Surgery and Cryosurgery: These methods are less commonly used but involve either burning away or freezing the cancerous cells, respectively.
Closure and Dressing
After the cancer is removed, Anca will close the incision if necessary. Smaller surgeries may only require a small bandage, while larger removals might need stitches or even a skin graft. A dressing will be applied to protect the wound and promote healing.
Recovery
Depending on the extent of the surgery and your overall health, you might go home the same day or you might need to stay in the hospital. The medical team will monitor your initial recovery and manage any immediate postoperative pain or complications.
Pathological Examination
The removed tissue is sent to a lab where a pathologist examines it to ensure all cancerous cells have been removed, providing confirmation that the margins are clear.
Several surgical techniques are available for removing Squamous Cell Carcinoma, each suited to different situations based on the characteristics of the cancer and the patient’s overall health.
Recovery after SCC Removal Surgery
Recovery from SCC removal surgery generally involves manageable pain and a relatively quick healing process, though it can vary based on the size and location of the surgery and your overall health. Here are the aspects of the recovery phase:
- Wound Care: Proper care of the surgical site is essential to prevent infection and promote healing. You’ll receive instructions on how to care for your wound, which may include keeping the area clean and dry, changing dressings regularly, and applying prescribed topical medications.
- Pain Management: Some discomfort is normal after surgery, but it can usually be managed with over-the-counter pain relievers or prescription medication. It’s important to follow Anca advice regarding pain management.
- Follow-Up Visits: You will likely need to return to Anca for a follow-up visit to check on the healing process, remove any stitches, and discuss the results of the pathological report. These visits are also a good opportunity to address any concerns you might have about your recovery or the risk of recurrence.
- Activity Restrictions: Depending on the extent of your surgery, you may need to avoid certain activities that could strain the surgical site. Sun protection is particularly important as UV exposure can not only cause new cancers but also affect the healing process and the appearance of scars.
- Observation for Recurrence: Regular check-ups are important after surgery to monitor for any signs of cancer recurrence. Keeping these appointments is essential for your long-term health.
Reviews
Patient satisfaction is the top priority for Anca. You can find how patients feel about her work below.
Miss Breahna removed a cancerous nodule from my forehead in March 2021. I was quite nervous when I arrived at the hospital, but when I was greeted by a member of her team I started to feel calmer as they were so professional and friendly.
Once inside the theatre Miss Breahna and her team helped me to feel relaxed and comfortable throughout, the team atmosphere was friendly and upbeat during my operation and I was looked after wonderfully. I would recommend Miss Breahna and her team to anyone requiring this type of surgery.
Kate Hodson
Ms Anca Breahna was most kind and empathetic during my recent procedure for skin cancer. She reassured me that I’m now completely clear, I have total confidence in her and would recommend her unreservedly. Thank you Anca.
Wish I’d Done It Sooner! I am so pleased with the results
After searching and deliberating for a long time, I consulted Anca regarding the removal of 3 lipomas. From start to finish, she was fantastic! One of the lipomas was on my forehead and I have to search for the scar! I am so pleased with the results of all and the one regret is that I didn’t find her sooner. I wouldn’t hesitate to recommend her
How Much is SCC Removal Surgery in the UK?
The cost of SCC removal surgery can vary widely based on several factors, including the type and size of the procedure, the surgeon’s experience, and the geographical location of the surgery. Other factors influencing the cost include the type of anaesthesia used, the need for pathology services, and whether the procedure requires hospitalisation.
In the UK, if you are eligible for NHS treatment, the cost of your surgery for SCC may be covered. However, if you opt for private treatment, costs can range significantly. Generally, prices might start from a few hundred pounds for minor procedures under local anaesthesia to several thousand for more extensive surgeries requiring general anaesthesia and hospital stays.
Cost of Surgery Guide
Further Reading
- Read Anca’s page on Skin Cancer
- Read Anca’s page on Skin Surgery
- Read Anca’s blog on What Does Skin Cancer Look Like?
- Read Anca’s blog on Looking for Skin Cancer Treatment near Chester?
Procedure
Frequently asked questions
What are the risks associated with SCC removal surgery?
While SCC removal surgery is generally safe, like all surgeries, it carries some risks. These may include complications from anaesthesia, bleeding, infection, and delayed healing, particularly if you have underlying health conditions such as diabetes or a suppressed immune system. There is also a risk of nerve damage, especially for surgeries performed near sensitive areas, which can result in temporary or permanent loss of sensation. Additionally, there is always a risk that the surgery might not completely remove all cancer cells, potentially requiring further treatment.
Can SCC removal surgery leave scars?
Yes, any form of surgery that involves cutting the skin can leave scars. The size and visibility of the scar depend on the extent of the surgery, the location of the removed tissue, your body’s healing capabilities, and how well you follow post-operative care instructions. Anca strives to make incisions along natural skin lines and folds to minimise the appearance of scars.
How long does it take to recover fully from SCC removal surgery?
Recovery times can vary significantly based on the size of the cancer removed, the type of surgery performed, and your overall health. Minor surgeries may heal within a few weeks, while more extensive procedures might take several weeks to months. You may also need additional time for cosmetic healing if the surgery was performed on a visible part of your body. Anca will provide a more specific timeline based on your particular situation.
What should I expect during the follow-up care for SCC removal surgery?
Follow-up care involves monitoring the surgery site for signs of infection or complications, assessing how well the wound is healing, and checking for signs of cancer recurrence. Anca might schedule regular visits initially weekly or monthly, gradually extending the interval as time progresses. These visits are important to ensure that the area heals properly and remains cancer-free. You may also discuss further preventative measures, such as regular skin checks and protection strategies against UV radiation.
Is there anything I can do to prevent the recurrence of SCC after surgery?
Yes, taking steps to protect your skin from UV radiation is the most effective way to prevent both the recurrence of SCC and new cancers. This includes using sunscreen with a high SPF, wearing protective clothing, and avoiding sun exposure during peak hours. Additionally, maintaining a healthy lifestyle, including a balanced diet and not smoking, can help support your body’s ability to fight off potential recurrences.
Medical References about SCC Removal Surgery
- Surgery for Cutaneous Squamous Cell Carcinoma – Pub Med
- Surgery for Basal and Squamous Cell Skin Cancers – American Cancer Society
- Cutaneous Squamous Cell Carcinoma Treatment & Management – Medscape
- Squamous cell carcinoma of the skin – Mayo Clinic
- What are the treatments for squamous cell carcinoma? – Medical News Today
Ms Anca Breahna, PhD, MSc, FEBOPRAS, FRCS (Plast) is a highly regarded Consultant Plastic Surgeon specialising in the field of Aesthetic and Reconstructive Plastic Surgery. Anca performs a range of 
