About Skin Cancer
There are three types of skin cancers: melanoma and the two non-melanoma skin cancers, basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). When the tumor forms from cells at the base of the epidermis, it is called a basal cell carcinoma, and when the tumor forms from cells at the upper layers of the epidermis, it is called a squamous cell carcinoma. Melanoma is known as the most aggressive form of skin cancer and presents itself as a black or brown mole. Tracy Evans, M.D. of Pacific Skin and Cosmetic Dermatology in Marin is a board-certified dermatologist, a fellowship-trained Mohs surgeon, and skin cancer specialist. She utilizes a multidisciplinary and diverse research approach for the treatment of skin cancers to provide the best care possible.
Skin Cancer Reviews
"From the first phone call to Dr. Evan's office to my recent visit to have a skin cancer removed from my face the professionalism and expertise along with kindness and understanding was shown by Dr. Evans and the entire staff.I can't imagine going anywhere else."- S.E. / Google / Dec 22, 2018
"I refer at least 1 person to Dr. Evans and her team on a weekly basis. This is why: People ask me who I go to because I look so young! Dr. Evans is extremely detail oriented in her skin cancer checks and does Mohs right in her office. My entire family sees her as we have a history of skin cancer. She has found cancers that other dermatologists have missed. She has also performed the Mohs procedure on me in office instead of making me go to another clinic. Dr. Evans streamlined my skincare routine from 8 creams and serums which another dermatologist prescribed, down to 5 when she determined that two of the products were exacerbating my Rosacea. She recommended Clear & Brilliant to help with adult acne and Rosacea. Since being on her protocol, I constantly get compliments on how good my skin looks. As a bonus, Dr. Evans and her team at Precision Dermatology also do cosmetic beauty procedures, fillers, botox, coolsculpting, etc. It's a 1 stop shop!!! The entire team is caring and professional. I always leave feeling good about my treatment or procedure and the care I received."- J.G. / Yelp / Mar 04, 2019
"I've been a patient for several years, and undergone several biopsies and skin cancer excisions. The level of care is excellent. The attention to detail is unsurpassed. Their work is always first rate, in a clean, friendly, caring environment. It is clear that Dr. Evans and her excellent staff truly cares about achieving the best possible result with every procedure."- S.E. / Google / Jul 20, 2019
"I have been going to Dr. Evens for a long time. She has treated my skin cancer. She is a very caring and competent doctor.I recommended her most highly"- J.H. / Google / Feb 04, 2020
"My husband has been going to this office for skin cancer treatment. Our dermatologist no longer takes our insurance, so we are new to this practice. We were very nervous about seeing a new doctor, especially during Covid. The staff here is amazing, so professional and caring, they put all our worries to rest from the first visit. When you call the office an actual person always answers the phone, a real plus. Appointments are easy to get, location is good (at a large shopping center) with good parking. Everyone from receptionist, PA, MD and entire office staff gets 5 stars from us. They even provide the option of getting your prescriptions in-office. So great to avoid a trip to the pharmacy. Thank you Dr Evans and your amazing staff!"- P.F. / Yelp / Apr 26, 2020
Skin cancers typically begin with the abnormal growth of skin cells in areas that are regularly exposed to direct ultraviolet radiation. This is because the UV rays from the sun or tanning beds can damage the DNA that regulates the cells' growth and turnover. Basically, there is no such thing as a "safe" tan, and exposing your skin to harsh UV rays can increase your risk of skin cancer. However, skin cancers can also develop on less-exposed areas due to heredity, age, fair skin, or having many moles or a weakened immune system. The best protection against skin cancer is to avoid tanning beds, minimize sun exposure, wear sun-protective clothing, use a broad-spectrum sunscreen, and get regular skin cancer screenings.
The signs and symptoms of each type of skin cancer will vary so it's important to educate yourself on the symptoms:
- Dry, scaly, or crusty patches on the hands, forearms, neck, or head
- Bumps that are pearl or flesh colored
- New scar-like lesions
- Bumps that are shiny, firm, and/or red
- Sores that never quite heal up, or heal up and then reopen
For melanomas, you can use the ABCDE list as a guide:
- A: Asymmetrical mole (one side is larger than the other)
- B: Borders on the mole (a malignant mole will not have a defined, smooth border)
- C: Color (a malignancy will be various colors throughout the mole)
- D: Diameter (benign moles usually stay small, but malignancies will start to spread out)
- E: Evolving (cancer cells in a malignant mole will keep evolving and changing the appearance of the skin)
Treatment for skin cancer depends on the type, size, depth, stage, and location of the lesion. At Pacific Skin and Cosmetic Dermatology, we use the most effective form of treatment — complete removal — as often as possible. We typically perform our removal procedures with local anesthetic in a comfortable procedure room in our office. Some of Dr. Evans's skin cancer treatments are listed below:
- Mohs Surgery has a very high success rate for treating many types of skin cancer. This procedure involves a layer-by-layer removal of the lesion or tumor, allowing for a more precise removal and less damage to surrounding tissue.
- Surgical excision can be performed on smaller, shallower skin cancers. The area surrounding the lesion will be numbed with a local anesthetic. Then Dr. Evans will carefully excise the skin cancer and a bit of surrounding tissue using a scalpel. In most cases, these excisions are easily stitched back up with a few sutures.
- Laser therapy can be an effective treatment for actinic keratoses. At Pacific Skin and Cosmetic Dermatology, Dr. Evans uses a Fraxel laser, which is commonly associated with cosmetic skin resurfacing. It is sometimes used in combination with other topical treatments to reduce cancerous and precancerous cells.
- Topical treatments may be used to reduce precancerous or cancerous lesions, depending on your diagnosis and the type and stage of the cancer. Topical treatments are typically creams or gels that may be prescribed by Dr. Evans after she has performed a full screening and possible biopsies to determine your diagnosis.
Protect your skin
Tracy Evans, M.D. is a skin cancer specialist and fellowship-trained Mohs surgeon who is dedicated to the education and treatment of her Corte Madera, CA patients. At Pacific Skin and Cosmetic Dermatology, she provides thorough skin cancer screenings and the most effective treatments available. If you or a family member has a history of skin cancer, or if you are concerned about the appearance of a mole or lesion, please schedule an appointment as soon as possible.