Patients with a history of cutaneous squamous cell carcinoma (cSCC) face a significantly increased risk of recurrence and the development of other skin cancers. Regular follow-up and long-term surveillance are crucial, alongside educating patients about sun protection and self-examination.1
The risk of recurrence is substantial, with 13-50% developing another SCC within five years, a 10-fold increase compared to the general population.2–4 Therefore, long-term follow-up and patient education are essential, especially since 70-80% of cutaneous SCC recurrences occur within two years of initial therapy.3,4 After a cSCC diagnosis, regular in-office screenings become essential. Patients are advised to have these screenings at least once yearly to detect any new primary skin cancers, including cSCC, BCC, and melanoma. In a prospective cohort study, Wehner et al. discovered that the likelihood of developing another non-melanoma skin cancer (NMSC) within 5 years after being diagnosed with the first one was 40.7%. The likelihood increased to 59.6% at 10 years. Additionally, after being diagnosed with more than one NMSC, the probability of developing another NMSC increased to 82% after 5 years and 91.2% after 10 years.5
Patient education is a critical component of follow-up care. It is important for patients to understand the necessity of sun protection, regular self-examination, and awareness of treatment options.
Symptom management aims to improve the quality of life for cSCC patients through a combination of treatments and supportive care.
The physical and psychological impact of cSCC and its treatment can be significant. Coping strategies and mental health support are vital for improving patients’ quality of life.
High-risk patients should treat actinic keratoses (AKs) promptly to prevent the development of subsequent invasive tumors.1
Preventive measures are essential for high-risk patients to reduce the incidence of new SCCs.
Healthcare providers can help cSCC patients manage their condition more effectively and improve their overall quality of life by understanding the importance of patient education, symptom management, and coping strategies. Regular education on sun protection, self-examination, and awareness of the risks associated with delayed treatment can significantly improve outcomes.
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