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Living with cSCC

Patients with non-melanoma skin cancer (NMSC) often experience a reduced quality of life due to various factors such as disease symptoms, treatment side effects, impact on daily activities, anxiety about future cancer risks, and concerns about appearance. Additionally, both general and skin cancer-specific distress, along with unmet supportive care needs, contribute to this reduced quality of life.1

The head and neck are the most common sites for NMSC, and the cosmetic outcomes of treatment in these areas can significantly affect a patient’s psychosocial well-being. This impact on confidence, distress, and body image can stem from both the tumor itself and its treatment.1

Treatment and Its Impact

Surgery

Surgery is a primary treatment for skin cancer but can greatly impact patients’ quality of life. This impact includes pain, restricted mobility, and disruption to normal activities. Advanced squamous cell skin cancer poses additional challenges, such as significant cosmetic concerns, including skin discoloration, suture marks, or extensive scarring. A comprehensive reconstruction plan and regular follow-up with the surgeon are crucial.2 Research indicates that patients often report reduced quality of life due to pain, functional difficulties, and cosmetic issues one month after surgery. However, these aspects typically improve within a year For those experiencing disfigurement, aggressive reconstruction and emotional support are vital.2

Systemic Therapy

Systemic therapy involves medications that travel through the bloodstream to reach cancer cells throughout the body. These treatments can affect both cancer and normal cells, leading to side effects such as tiredness, muscle fatigue, nausea/vomiting, loss of appetite, headaches, body aches, diarrhea, or constipation.4

Maintaining Health During and After Treatment

You can do several things to stay healthy during and after skin cancer treatment5:

Coping with Feelings

Having cancer can evoke feelings of fear, sadness, or anxiety. Here are ways to cope5:

Talk About Your Feelings

Share your emotions with someone you trust.

Seek Support

Consider friends, family, religious leaders, or support groups for help.

Stay Active

Engage in enjoyable activities and maintain healthy habits.

Professional Help

If you feel down for more than a few days, seek professional counseling.

Getting Help

Don’t hesitate to ask for help with daily tasks like cooking and cleaning. Support groups and one-on-one counseling can be beneficial. Communicate with your healthcare provider about your feelings; they can guide you to the appropriate support resources.5

References

  1. Starkings R, Shilling V, Jenkins V, Fallowfield L. A structured review of quality of life in advanced and high-risk cutaneous squamous cell carcinoma shows the need for more studies and better measures. Skin Health Dis. 2021;1:e39. doi:10.1002/ski2.39
  2. Skin Cancer Care. Living With Squamous Cell Skin Cancer: Dealing With The Side Effects Of Treatment. ( https://skincancerinfo.org/living-with-cscc-dealing-with-side-effects/).
  3. Răducu L, Avino A, Purnichescu Purtan R, et al. Quality of life in patients with surgically removed skin tumors. Medicina (Kaunas). 2020;56:66. doi:10.3390/medicina56020066
  4. NCCN Guidelines For Patients. Squamous Cell Skin Cancer. 2023. (https://www.nccn.org/patients/guidelines/content/PDF/squamous_cell-patient.pdf).
  5. American Cancer Society. Living With Skin Cancer. (https://www.cancer.org/content/dam/cancer-org/cancer-control/en/booklets-flyers/living-with-skin-cancer.pdf).

All URLs accessed June 26, 2024

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