Skin Cancer Precursors: From Cancer Genomics to Early Diagnosis

Hematol Oncol Clin North Am. 2024 Aug;38(4):851-868. doi: 10.1016/j.hoc.2024.04.005. Epub 2024 May 22.

Abstract

Skin cancers, including melanoma and keratinocyte carcinomas, are responsible for increasing health care burden internationally. Risk stratification and early detection are paramount for prevention and less risky treatment to overall improve patient outcomes and disease morbidity. Here, the authors discuss the key concepts leading to skin cancer initiation and progression. The authors also outline precursor and progression models for melanoma and keratinocyte carcinomas, including discussion of genetic alterations associated with the various stages of progression. Finally, the authors discuss the significance of immunoediting and the drivers behind increased risk of cutaneous malignancy in the state of immune dysregulation.

Keywords: Basal cell carcinoma; Cutaneous squamous cell carcinoma; Initiation; Melanoma; Progression; Solid organ transplant recipients.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Disease Progression
  • Early Detection of Cancer*
  • Genomics* / methods
  • Humans
  • Melanoma / diagnosis
  • Melanoma / genetics
  • Precancerous Conditions / diagnosis
  • Precancerous Conditions / genetics
  • Skin Neoplasms* / diagnosis
  • Skin Neoplasms* / genetics
  • Skin Neoplasms* / therapy