Skin
Cancer Surgery of the Head & Neck
The two
most common kinds of skin cancer are basal
cell carcinoma and squamous
cell carcinoma. Basal
cell carcinoma accounts for more than 90 percent of all skin
cancers in the United States. It is a slow-growing cancer that
seldom spreads to other parts of the body. Squamous cell
carcinoma also rarely spreads, but it does so more often than
basal cell carcinoma. However, it is important that skin cancers
be found and treated early because they can invade and destroy
nearby tissue.
Basal
cell carcinoma and squamous cell carcinoma are sometimes called nonmelanoma
skin cancer. Another type of cancer that occurs in the skin is melanoma,
which begins in the melanocytes.
Most
head and neck cancers begin in the squamous
cells
that line the structures found in the head and neck. Because of
this, head and neck cancers are often referred to as squamous
cell carcinomas. Some head and neck cancers begin in other types
of cells. For example, cancers that begin in glandular cells are
called adenocarcinomas.
Cancers
of the head and neck are further identified by the area in which
they begin:
Oral
cavity—The oral
cavity includes the lips, the front two-thirds of the tongue,
the gums (gingiva), the lining inside the cheeks and lips (buccal
mucosa), the bottom (floor) of the mouth under the tongue, the
bony top of the mouth (hard palate), and the small area behind
the wisdom teeth.
Salivary
glands—The salivary
glands are in several places: under the tongue, in front of the
ears, and under the jawbone, as well as in other parts of the
upper digestive tract.
Paranasal
sinuses and nasal cavity—The
paranasal sinuses are small hollow spaces in the bones of the
head surrounding the nose. The nasal cavity is the hollow space
inside the nose.
Pharynx—The
pharynx is a hollow tube about 5 inches long that starts behind
the nose and leads to the esophagus (the tube that goes to the
stomach) and the trachea (the tube that goes to the lungs).
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