The skin

The skin is the largest organ of the body. It covers the body, protecting it from injury, regulating its temperature and controlling fluid loss. Skin, like all other body tissues, is made up of cells. Its two main layers are the epidermis and dermis.

Epidermis

This is the outer layer of the skin. It contains three types of cells:

  • squamous cells – flat cells that are packed tightly to make up the top layer
  • basal cells – tall cells that make up the lower layer
  • melanocytes – cells that produce a dark pigment called melanin, the substance that gives skin its colour.

Basal cells multiply constantly and the older cells move upwards in the epidermis. When they flatten out and form a layer they become squamous cells. The top layer of your skin is made up of dead skin cells which eventually fall off. The three main types of skin cancer begin in the cells of the epidermis.

When skin is exposed to the sun, melanocytes make extra melanin to protect the skin from getting burnt. This is what causes skin to tan. Melanocytes are also in non-cancerous (benign) spots on the skin called moles or naevi. Most moles are brown, tan or pink in colour and round in shape.

Dermis

This is the layer underneath the epidermis. It contains the roots of hairs, sweat glands, blood and lymph vessels, and nerves. Before a skin cancer can spread, it must first move into the dermis.

The skin
This information was last reviewed in March 2014

This information has been reviewed by: Dr Richard Lewandowski, Plastic and Reconstructive Surgeon, Director of Surgery, Mater Adults Hospital, Brisbane; Prof H Peter Soyer, Chair, Dermatology Research Centre, The University of Queensland, School of Medicine, Acting Head, South-West Cluster & PA-Southside Clinical School, Deputy Head, School of Medicine, Director, Dermatology Department, Princess Alexandra Hospital; Dr Matheen Mohamed, Consultant Dermatologist, St Vincent’s Hospital Melbourne; Margaret Whitton, Clinical Nurse Consultant, Department of Dermatology, Royal Prince Alfred Hospital; Irena Brozek, Research and Development Officer, Health Strategies, Cancer Council NSW; Julie Fraser, Consumer; Jenny Lawrence, Consumer; Carole Arbuckle, Helpline Consultant, Cancer Council Victoria.

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