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Most small, low-risk and superficial skin cancers, such as basal cell carcinoma and squamous cell carcinoma, could be treated by curettage and electrosurgery. [6] A clinical margin which includes areas around the lesion site is marked out, and local anesthesia or numbing medicine is applied.
The cure rate with Mohs surgery cited by most studies is between 97% and 99.8% for primary basal-cell carcinoma, the most common type of skin cancer. [2]: 13 Mohs procedure is also used for squamous cell carcinoma, but with a lower cure rate. Recurrent basal-cell cancer has a lower cure rate with Mohs surgery, more in the range of 94%.
Despite doing a large wedge incision, a pathologist might call the biopsy keratin debris with characteristics of actinic keratosis. But provided with an accurate clinical information, he/she might consider the diagnosis of a well differentiated squamous cell carcinoma or keratoacanthoma. It is not infrequent for two, three or more biopsies to ...
small-cell keratinizing squamous-cell carcinoma (code 8073/3) spindle-cell squamous-cell carcinoma (code 8074/3) It is also known as spindle-cell carcinoma, [23] and is a subtype characterized by spindle-shaped atypical cells. [24] adenoid/pseudoglandular squamous-cell carcinoma (code 8075/3) intraepidermal squamous-cell carcinoma (code 8081/3)
The size of the margin is an important issue in areas that are functionally important (i.e., large vessels like the aorta or vital organs) or in areas for which the extent of surgery is minimized due to aesthetic concerns (i.e., melanoma of the face or squamous cell carcinoma of the penis). [2] The desired size of margin around the tumour can vary.
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All squamous cell carcinoma lesions are thought to begin via the repeated, uncontrolled division of cancer stem cells of epithelial lineage or characteristics. Accumulation of these cancer cells causes a microscopic focus of abnormal cells that are, at least initially, locally confined within the specific tissue in which the progenitor cell resided.