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Slow growing
Type 1 skin
Develop a depression in
the centre
Rolled edge
Overlying telangiectasia
TYPES OF BCC (2)
SUPERFICIAL
Usually found on the trunk
May be multiple
Always on face
Presents as a spontaneous
scar
Poorly differentiated
DIFFERENTIAL DIAGNOSIS
Cyst Bowens disease
Photodynamic therapy
Radiation therapy
Therapeutic radiation
Immunosuppression
Viral infection
Premalignant lesions
Genetic syndromes
CLINICAL FEATURES
May be seen at any body
site
Disorganised keratin
Failure to respond to
nursing care
Heaped up margin
METASTASES
SCC may spread in several ways:
Local invasion
Along tissue plains, between muscles, over
periosteum
Along nerves and blood vessels
Distant mets
RISK FACTORS FOR
METASTASES
Most SCCs behave in a relatively benign fashion
Bowens disease
Viral warts
Cutaneous horn
Keratoacanthoma
Leg ulcers
MANAGEMENT
Intention to cure primary lesion and prevent recurrences
Cryotherapy
Laser
Photodynamic therapy
Retinoids
Radiation therapy
FOLLOW UP POLICIES
75% SCCs recur within 2 years