Squamous cell carcinoma of the skin surgery: Difference between revisions
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* Excision With Postoperative Margin Assessment | * Excision With Postoperative Margin Assessment | ||
* Regional Lymph Node Dissection | * Regional Lymph Node Dissection | ||
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* [[Moh's micrographic surgery]] is particularly effective for high-risk localized cutaneous SCCs and SCCs located in cosmetically sensitive or critical areas because of its high cure rate and ability to spare normal tissue. 5 year cure rates for primary and recurrent tumors are 97% and 90% - 94% respectively. It is performed in the out patient setting and is well tolerated.<ref>{{cite journal |author=Drake LA, Dinehart SM, Goltz RW, ''et al.'' |title=Guidelines of care for Mohs micrographic surgery. American Academy of Dermatology |journal=J. Am. Acad. Dermatol. |volume=33 |issue=2 Pt 1 |pages=271–8 |year=1995 |month=August |pmid=7622656 |doi= |url=}}</ref> The procedure is performed in stages and the lesion is excised at an oblique angel along with a small rim of normal tissue. Histological assessment is then done and if the margins of the specimen test positive for tumor cells the locations are noted on Mohs map and a repeat procedure is done in the involved area itself and this process is repeated until the margins are clear of any tumor cells. This procedure is some what prolonged and take 2-4 hrs to complete. While [[Mohs surgery]] is frequently utilized and often considered the treatment of choice for squamous cell carcinoma of the skin, physicians have utilized the method for the treatment of squamous cell carcinoma of the mouth, throat, and neck.<ref>Gross, K.G., et al. Mohs Surgery, Fundamentals and Techniques. 1999, Mosby.</ref> | * [[Moh's micrographic surgery]] is particularly effective for high-risk localized cutaneous SCCs and SCCs located in cosmetically sensitive or critical areas because of its high cure rate and ability to spare normal tissue. 5 year cure rates for primary and recurrent tumors are 97% and 90% - 94% respectively. It is performed in the out patient setting and is well tolerated.<ref>{{cite journal |author=Drake LA, Dinehart SM, Goltz RW, ''et al.'' |title=Guidelines of care for Mohs micrographic surgery. American Academy of Dermatology |journal=J. Am. Acad. Dermatol. |volume=33 |issue=2 Pt 1 |pages=271–8 |year=1995 |month=August |pmid=7622656 |doi= |url=}}</ref> The procedure is performed in stages and the lesion is excised at an oblique angel along with a small rim of normal tissue. Histological assessment is then done and if the margins of the specimen test positive for tumor cells the locations are noted on Mohs map and a repeat procedure is done in the involved area itself and this process is repeated until the margins are clear of any tumor cells. This procedure is some what prolonged and take 2-4 hrs to complete. While [[Mohs surgery]] is frequently utilized and often considered the treatment of choice for squamous cell carcinoma of the skin, physicians have utilized the method for the treatment of squamous cell carcinoma of the mouth, throat, and neck.<ref>Gross, K.G., et al. Mohs Surgery, Fundamentals and Techniques. 1999, Mosby.</ref> | ||
Revision as of 19:43, 30 May 2019
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Squamous cell carcinoma of the skin Microchapters |
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Differentiating Squamous cell carcinoma of the skin from other Diseases |
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Treatment |
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Squamous cell carcinoma of the skin surgery On the Web |
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Risk calculators and risk factors for Squamous cell carcinoma of the skin surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2], Raviteja Guddeti, M.B.B.S. [3]
Overview
Surgery is the most widely used management of choice for high risk Squamous cell carcinomas (SCC). Two types of Surgical methods exist which are Surgical excision and Moh's micrographic surgery.
Surgery
- Squamous cell carcinoma are most commonly treated with surgery or radiation therapy
- However, consideration of function, cosmetic outcome, and patient preference may cause RT to be chosen as primary treatment to achieve optimal overall results. The algorithms list all of the therapies currently used to treat localized NMSC, including surgical techniques (i.e., curettage and electrodesiccation, excision with postoperative margin assessment [POMA], Mohs surgery or excision with “complete circumferential peripheral and deep-margin assessment” [CCPDMA]), RT, and superficial therapies.[1]
- urettage and Electrodesiccation
- Excision With Postoperative Margin Assessment
- Regional Lymph Node Dissection
- Moh's micrographic surgery is particularly effective for high-risk localized cutaneous SCCs and SCCs located in cosmetically sensitive or critical areas because of its high cure rate and ability to spare normal tissue. 5 year cure rates for primary and recurrent tumors are 97% and 90% - 94% respectively. It is performed in the out patient setting and is well tolerated.[2] The procedure is performed in stages and the lesion is excised at an oblique angel along with a small rim of normal tissue. Histological assessment is then done and if the margins of the specimen test positive for tumor cells the locations are noted on Mohs map and a repeat procedure is done in the involved area itself and this process is repeated until the margins are clear of any tumor cells. This procedure is some what prolonged and take 2-4 hrs to complete. While Mohs surgery is frequently utilized and often considered the treatment of choice for squamous cell carcinoma of the skin, physicians have utilized the method for the treatment of squamous cell carcinoma of the mouth, throat, and neck.[3]
References
- ↑ Stratigos A, Garbe C, Lebbe C, Malvehy J, del Marmol V, Pehamberger H; et al. (2015). "Diagnosis and treatment of invasive squamous cell carcinoma of the skin: European consensus-based interdisciplinary guideline". Eur J Cancer. 51 (14): 1989–2007. doi:10.1016/j.ejca.2015.06.110. PMID 26219687.
- ↑ Drake LA, Dinehart SM, Goltz RW; et al. (1995). "Guidelines of care for Mohs micrographic surgery. American Academy of Dermatology". J. Am. Acad. Dermatol. 33 (2 Pt 1): 271–8. PMID 7622656. Unknown parameter
|month=ignored (help) - ↑ Gross, K.G., et al. Mohs Surgery, Fundamentals and Techniques. 1999, Mosby.