Squamous Cell Carcinoma Flashcards

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1
Q

Types of SCC

A
Superficial 
- Grows quickly 
- Tender and bleeds easily 
Keratoacanthoma
- has a central keratin plug 
Bowen's Disease 
- slowly expanding red scaly plaque on the bdy
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2
Q

What is the follow up period after SCC excision?

A

3-6monthly for the first two years

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3
Q

What’s the surgical margin?

A

3-5mm

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4
Q

Risk factors for bowen’s disease?

A
Sun exposure
HPV
Ionising radiation 
Arsenic 
immune suppression 

(ref dermnet nz)

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5
Q

Ddx for a scaly plaque?

A

SCC - s/ficial
BCC - s/ficial
Amelanocytic melanoma
Solar keratosis

Psoriasis
Eczema

Ulcer
Infection

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6
Q

What proportion of skin cancer does SCC contribute?

BCC?

A
  1. SCC = 1/3rd
    BCC = 2/3rd

3% melanoma
1% rare skin tumour

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