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! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 2
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 2
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 3
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical exam 3
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Presentation
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Areas affected
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Areas affected
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Unique features
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Unique features
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Cutaneous squamous cell carcinoma'''<ref name="pmid9610717">{{cite journal| author=English DR, Armstrong BK, Kricker A, Winter MG, Heenan PJ, Randell PL| title=Demographic characteristics, pigmentary and cutaneous risk factors for squamous cell carcinoma of the skin: a case-control study. | journal=Int J Cancer | year= 1998 | volume= 76 | issue= 5 | pages= 628-34 | pmid=9610717 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9610717  }}</ref>
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Cutaneous squamous cell carcinoma'''
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
* SCC in situ
* SCC in situ
* Bowen's disease
* Bowen's disease
| style="background: #F5F5F5; padding: 5px;" |Erythema
| style="background: #F5F5F5; padding: 5px;" |usually asymptomatic
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |well-demarcated, scaly patch or plaque
| style="background: #F5F5F5; padding: 5px;" |hyperkeratotic, or ulcerative lesions
| style="background: #F5F5F5; padding: 5px;" |Lesions are often erythematous but can also be skin colored or pigmented.
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |Indurated
| style="background: #F5F5F5; padding: 5px;" |Hyperkeratotic
| style="background: #F5F5F5; padding: 5px;" |Increased size
| style="background: #F5F5F5; padding: 5px;" |papules, plaques, or nodules, and smooth, hyperkeratotic, or ulcerative lesions
| style="background: #F5F5F5; padding: 5px;" |Any cutaneous surface, including the head, neck, trunk, extremities, oral mucosa, shoulders, chest and back
| style="background: #F5F5F5; padding: 5px;" |Any cutaneous surface, including the head, neck, trunk, extremities, oral mucosa, shoulders, chest and back
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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* The keratinocytes are pleomorphic with hyperchromatic nuclei, and numerous mitoses are present.
* The keratinocytes are pleomorphic with hyperchromatic nuclei, and numerous mitoses are present.
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |SCC in situ lesions tend to grow slowly, enlarging over the course of years
* 60 percent of squamous cell carcinomas occur at the site of a previous actinic keratosis
|-
|Invasive squamous cell carcinoma
|
|Lesions of invasive SCC are often asymptomatic but may be painful or pruritic.
|Local neurologic symptoms (eg, numbness, stinging, burning, paresthesias, paralysis, or visual changes) occur in approximately one-third of patients with histologic perineural invasion by the tumor<ref name="pmid19681994">{{cite journal| author=Reule RB, Golda NJ, Wheeland RG| title=Treatment of cutaneous squamous cell carcinoma with perineural invasion using Mohs micrographic surgery: report of two cases and review of the literature. | journal=Dermatol Surg | year= 2009 | volume= 35 | issue= 10 | pages= 1559-66 | pmid=19681994 | doi=10.1111/j.1524-4725.2009.01276.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19681994  }}</ref>
|Well-differentiated lesions usually appear as indurated or firm, hyperkeratotic papules, plaques, or nodules
|Poorly differentiated lesions are usually fleshy, soft, granulomatous papules or nodules that lack the hyperkeratosis that is often seen in well-differentiated lesions
|Poorly differentiated tumors may have ulceration, hemorrhage, or areas of necrosis.
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Merkel cell carcinoma'''
| style="background: #DCDCDC; padding: 5px; text-align: center;" |'''Merkel cell carcinoma'''

Revision as of 20:38, 17 February 2019

Diseases Clinical manifestations Para-clinical findings Additional findings
Symptoms Physical examination
Lab Findings Histopathology
Names Symptom 2 Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Areas affected Unique features
Cutaneous squamous cell carcinoma
  • SCC in situ
  • Bowen's disease
usually asymptomatic well-demarcated, scaly patch or plaque hyperkeratotic, or ulcerative lesions Lesions are often erythematous but can also be skin colored or pigmented. Any cutaneous surface, including the head, neck, trunk, extremities, oral mucosa, shoulders, chest and back
  • In fair-skinned individuals, SCCs most commonly arise in sites frequently exposed to the sun
  • In black individuals, common sites for SCC include the legs, anus, and areas of chronic inflammation or scarring
  • Keratinocytic dysplasia involving the full thickness of the epidermis without infiltration of atypical cells into the dermis
  • The keratinocytes are pleomorphic with hyperchromatic nuclei, and numerous mitoses are present.
SCC in situ lesions tend to grow slowly, enlarging over the course of years
Invasive squamous cell carcinoma Lesions of invasive SCC are often asymptomatic but may be painful or pruritic. Local neurologic symptoms (eg, numbness, stinging, burning, paresthesias, paralysis, or visual changes) occur in approximately one-third of patients with histologic perineural invasion by the tumor[1] Well-differentiated lesions usually appear as indurated or firm, hyperkeratotic papules, plaques, or nodules Poorly differentiated lesions are usually fleshy, soft, granulomatous papules or nodules that lack the hyperkeratosis that is often seen in well-differentiated lesions Poorly differentiated tumors may have ulceration, hemorrhage, or areas of necrosis.
Merkel cell carcinoma Starts on areas of skin exposed to the sun Single pink, red, or purple shiny bump Painless Blue-red, dome-shaped nodule
Nodular malignant melanoma Lump that has been rapidly growing over the past weeks Cells proliferate downwards through the skin (vertical growth)
  • Two-thirds arise in normal skin, the rest in existing moles
  • Genetic component in some cases with a positive family history
Amelanotic melanoma Color usually pink, purple or normal skin color Usually have an asymmetrical shape with an irregular border Red, nonspecific lesion with slightly elevated borders
  • Do not make melanin, so lesions are not pigmented
Basal cell carcinoma Coarse scale lesion
Superficial basal cell carcinoma Scaly patch Erythematous lesion
  • large, hyperchromatic, oval nuclei and little cytoplasm
  • well differentiated and cells appear histologically similar to basal cells of the epidermis
Nodular basal cell carcinoma Pearly papule with telangiectasias
Cutaneous metastases of internal malignancy Other sites lungs, liver, brain, skin, or bone. The most frequent site of metastasis for cutaneous SCC is the regional lymph nodes;
Benign Skin Lesions
Sebaceous cell carcinoma Yellow-nodule Suspected due to evidence of eyelash loss
Rhabdomyosarcoma Bulging of the eye or a swollen eyelid Develops in skeletal muscles usually
Actinic keratoses Pain Hyperkeratosis Erythema less pigmentation, and tend to be somewhat smaller in size.
Prurigo nodules Hard lesion Itchy lumps
Paget disease Eczema-like rash of the skin Around the genital regions of males and females. Similar to mammary paget disease chronic
Inflamed seborrheic keratosis Waxy, "stuck on," often hyperkeratotic appearance
Viral warts Verrucous lesion Caused by HPV
Pyogenic granuloma Rapidly growing Red, dome-shaped Friable papule with a collarette of scale
Bowenoid papulosis multiple, red- to brown-colored, small papules that
  • primarily arise on genitals
  • induced by human papillomavirus (HPV) infection
Nummular eczema Itchy lesions Coin shaped spots Chronic condition
Psoriasis Flaking, inflammation Thick, white, silvery, or red patches of skin Chronic condition
Pyoderma gangrenosum Purulent ulcer Ragged and violaceous border
Venous stasis ulcers
Traumatic ulcers
Sebaceous Hyperplasia Lesions can be single or multiple lesions

Yellowish, soft, small papules on the face

Usually on the nose, cheeks, and forehead
Allergic Contact Dermatitis Itchy rash Red rash Not contagious
Atopic Dermatitis Itchy rash Fever Red rash Chronic and sometimes accompanied by asthma
Atypical Fibroxanthoma Erythematous, dome-shaped papule
Nevus
Chemical Burns
Limbal Dermoid Contains choristomatous tissue Benign congenital tumor
Benign hereditary intraepithelial dyskeratosis Rare autosomal-dominant disorder of the conjunctiva and oral mucosa
primary acquired melanosis
Fibrous xanthoma Containing fibromatous elements Arises due to disturbed systemic lipid metabolism
Inflamed seborrheic keratosis Inflamed and hyperpigmented On dermatoscopic evaluation, presence of horned cysts and hairpin-shaped blood vessels
Juvenile xanthogranuloma Reddened, yellowish-tan color of lesions Slightly raised bumps Typically
Cutaneous fungal infections
Desmoplastic trichoepithelioma
Adnexal carcinoma Very rare
Keratoacanthoma
Darier disease Keratosis follicularis
Cutaneous T-cell lymphoma Mycosis fungoides
Marjolin's ulcer Lesions in sites of chronic wounds and scars Excessive granulation tissue, Rolled or everted wound margins Bleeding on touch
  • rare type of SCC
  • Very slow malignant transformation
Epithelioma cuniculatum Increased size Verrucous carcinoma on the plantar foot
Anogenital also known as giant condyloma acuminatum of Buschke-Loewenstein
Keratoacanthoma Found on actinically damaged skin Rapid initial growth Dome-shaped or crateriform nodules with a central keratotic core Increased size keratocytic epithelial tumors

SCC in situ: Frequently, there is associated thickening of the epidermis (acanthosis), as well as hyperkeratosis and parakeratosis of the stratum corneum. In contrast to SCC in situ, actinic keratoses demonstrate only partial-thickness epidermal dysplasia.

  1. Reule RB, Golda NJ, Wheeland RG (2009). "Treatment of cutaneous squamous cell carcinoma with perineural invasion using Mohs micrographic surgery: report of two cases and review of the literature". Dermatol Surg. 35 (10): 1559–66. doi:10.1111/j.1524-4725.2009.01276.x. PMID 19681994.