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Squamous cell carcinoma in situ refers to changes in skin cells that could become cancerous. The changes are on the surface layer of the skin only.
Squamous cell carcinoma is a common type of skin cancer. Squamous cell carcinoma of the skin is usually not life-threatening. But if it's not treated, squamous cell carcinoma of the skin can grow large or spread to other parts of the body. The growth of the cancer can cause serious complications.
Squamous cell carcinoma in situ is a superficial squamous cell neoplasm. Diagnosis is by biopsy. Treatment depends on the tumor’s characteristics and may involve curettage and electrodesiccation, surgical excision, topical chemotherapeutics, electrocautery, or cryosurgery.
There are five stages of squamous cell carcinoma: Stage 0: Cancer is only in the top layer of your skin (epidermis). This is also called squamous cell carcinoma in situ. Stage I (1): Cancer is in the top and middle layers of your skin (epidermis and dermis).
Tests and procedures used to diagnose squamous cell carcinoma of the skin include: Physical exam. A member of your health care team asks about your health history and looks at your skin for signs of squamous cell carcinoma of the skin. Removing a sample of tissue for testing, called a biopsy.
Squamous cell carcinoma in situ is an early form of squamous cell carcinoma that is confined to the outer layer of the skin (epidermis) and has not yet invaded the deeper layers. Squamous cell carcinoma in situ (formerly called Bowen disease) most commonly occurs on sun-exposed areas of the skin but may occur anywhere.
Bowen’s disease (also called squamous cell carcinoma in situ) is a non-invasive early form of skin cancer, characterized by slow-growing patches of red, scaly skin. It affects the squamous cells in the outermost layer of the skin.
The majority of head and neck squamous cell carcinomas are found due to a painless lump in the neck. Sometimes, patients notice these swollen lymph nodes on their own and have them examined. Other times, medical personnel find them.
If you’ve been diagnosed with an SCC that has not spread (in situ), there are several effective treatments that can usually be performed on an outpatient basis. The choices available to you depend on the tumor type, size, location and depth, as well as your age and overall health. Options include:
Squamous cell carcinoma in situ, also called Bowen disease, is the earliest form of squamous cell skin cancer. “In situ” means that the cells of these cancers are still only in the epidermis (the upper layer of the skin) and have not invaded deeper layers.