{"id":6646,"date":"2020-04-22T14:16:29","date_gmt":"2020-04-22T17:16:29","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/carcinoma-cutaneo-de-celulas-escamosas\/"},"modified":"2020-04-27T17:12:33","modified_gmt":"2020-04-27T20:12:33","slug":"cutaneous-squamous-cell-carcinoma","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/","title":{"rendered":"Squamous cell carcinoma of the skin"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Cancer-de-piel\" >Skin cancer<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Que-es-cutaneo-escamoso-celda-carcinoma\" >What is cutaneous squamous cell carcinoma?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFQuien-contrae-carcinoma-cutaneo-de-celulas-escamosas\" >Who gets cutaneous squamous cell carcinoma?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFQue-causa-el-carcinoma-cutaneo-de-celulas-escamosas\" >What Causes Cutaneous Squamous Cell Carcinoma?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFCuales-son-las-caracteristicas-clinicas-del-carcinoma-cutaneo-de-celulas-escamosas\" >What are the clinical features of cutaneous squamous cell carcinoma?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Carcinoma-cutaneo-de-celulas-escamosas\" >Squamous cell carcinoma of the skin<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Tipos-de-carcinoma-cutaneo-de-celulas-escamosas\" >Types of cutaneous squamous cell carcinoma<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Subtipos-de-carcinoma-cutaneo-de-celulas-escamosas\" >Subtypes of Cutaneous Squamous Cell Carcinoma<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Clasificacion-del-carcinoma-de-celulas-escamosas-por-riesgo\" >Classification of squamous cell carcinoma by risk<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Carcinoma-de-celulas-escamosas-cutaneas-de-alto-riesgo\" >High-risk cutaneous squamous cell carcinoma.<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Estadificacion-del-carcinoma-cutaneo-de-celulas-escamosas\" >Cutaneous squamous cell carcinoma staging<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Estadificacion-tumoral-para-SCC-cutaneo\" >Tumor staging for cutaneous SCC<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#Nodal-estadificacion-del-SCC-cutaneo\" >Nodal estadificaci\u00f3n del SCC cut\u00e1neo<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFComo-se-diagnostica-el-carcinoma-de-celulas-escamosas\" >How is squamous cell carcinoma diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFCual-es-el-tratamiento-para-el-carcinoma-cutaneo-de-celulas-escamosas\" >What is the treatment for cutaneous squamous cell carcinoma?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFCual-es-el-tratamiento-para-el-carcinoma-de-celulas-escamosas-avanzado-o-metastasico\" >What is the treatment for advanced or metastatic squamous cell carcinoma?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFComo-se-puede-prevenir-el-carcinoma-cutaneo-de-celulas-escamosas\" >How can cutaneous squamous cell carcinoma be prevented?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/carcinoma-cutaneo-de-celulas-escamosas\/#%C2%BFCual-es-el-pronostico-para-el-carcinoma-cutaneo-de-celulas-escamosas\" >What is the prognosis for cutaneous squamous cell carcinoma?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<div class=\"cmsBlock\">\n<div class=\"cmsBlock__shortcode\">\n<section class=\"textBlock\">\n<p><img alt='miiskin-3-2-133__scalewidthwzewmf0-8268734-6234750' class=\"right\" title=\"\" src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/miiskin-3-2-133__ScaleWidthWzEwMF0-8268734.jpg' width=\"100\" height=\"100\"><\/p>\n<blockquote>\n<p style=\"text-align: center;\"><em>Ad<\/em><\/p>\n<h4><span class=\"ez-toc-section\" id=\"Cancer-de-piel\"><\/span>Skin cancer<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong>Application to facilitate skin self-examination and early detection<\/strong>. <strong><span style=\"text-decoration: underline;\">read more<\/span>.<\/strong><\/p>\n<\/blockquote>\n<\/section>\n<div class=\"clearfix\"><\/div>\n<\/div>\n<div class=\"cmsBlock__title\">Text: Miiskin.<\/div>\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"Que-es-cutaneo-escamoso-celda-carcinoma\"><\/span>What is it <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> <span class=\"term\" data-term-id=\"270\">scaly<\/span> cell <span class=\"term\" data-term-id=\"32\">carcinoma<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cutaneous squamous cell carcinoma (SCC) is a common type of <span class=\"term\" data-term-id=\"917\">keratinocytes<\/span> <span class=\"term\" data-term-id=\"30\">Cancer<\/span>or not<span class=\"term\" data-term-id=\"1670\">melanoma<\/span> skin cancer. It is derived from cells within the <span class=\"term\" data-term-id=\"85\">epidermis<\/span> that does <span class=\"term\" data-term-id=\"155\">curb<\/span> \u2013 the horny protein that forms the skin, <span class=\"term\" data-term-id=\"122\">hair<\/span> and <span class=\"term\" data-term-id=\"193\">nail<\/span>.<\/p>\n<p>Cutaneous SCC is a <span class=\"term\" data-term-id=\"612\">invader<\/span> disease, which refers to cancer cells that have grown beyond the epidermis. SCC can sometimes <span class=\"term\" data-term-id=\"1067\">metastasis<\/span> and it can be fatal<\/p>\n<p><span class=\"term\" data-term-id=\"1038\">Intraepidermal<\/span> carcinoma (SCC cutaneous <span class=\"term\" data-term-id=\"863\">in the place<\/span>) and <span class=\"term\" data-term-id=\"1018\">mucous membrane<\/span> SCC are considered elsewhere.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>Who gets cutaneous squamous cell carcinoma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Risk factors for cutaneous SCC include:<\/p>\n<ul>\n<li>age and <span class=\"term\" data-term-id=\"1167\">sex<\/span>: CECs are particularly <span class=\"term\" data-term-id=\"1676\">predominant<\/span> in older men. However, they also affect women and younger adults.<\/li>\n<li>Previous SCC or another form of skin cancer (<span class=\"term\" data-term-id=\"831\">basal<\/span> cell carcinoma, melanoma) are a strong predictor of future skin cancers.<\/li>\n<li><span class=\"term\" data-term-id=\"1144\">Actinic <span class=\"term\" data-term-id=\"1596\">keratosis<\/span><\/span><\/li>\n<li>Outdoor occupation or recreation<\/li>\n<li>Of smoking<\/li>\n<li>Fair skin, blue eyes, and blonde or red hair.<\/li>\n<li>Previous skin injury, thermal burn, disease (eg, cutaneous lupus, epidermolysis bullosa, leg <span class=\"term\" data-term-id=\"290\">ulcer<\/span>)<\/li>\n<li>Hereditary syndromes: SCC is a particular problem for families with xeroderma pigmentosum and albinism.\n<\/li>\n<li>Other risk factors include ionizing radiation, exposure to arsenic, and <span class=\"term\" data-term-id=\"1698\">immunosuppression<\/span> due to illness (eg. <span class=\"term\" data-term-id=\"319\">chronic<\/span> <span class=\"term\" data-term-id=\"422\">lymphocytic<\/span> <span class=\"term\" data-term-id=\"613\">leukemia<\/span>) or medications. Organ <span class=\"term\" data-term-id=\"1792\">transplant<\/span> Recipients are at massive risk of developing SCC.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>What Causes Cutaneous Squamous Cell Carcinoma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>More than 90% of SCC cases are associated with numerous <span class=\"term\" data-term-id=\"1296\">DNA<\/span> <span class=\"term\" data-term-id=\"871\">mutations<\/span> in multiple <span class=\"term\" data-term-id=\"1422\">somatic<\/span> <span class=\"term\" data-term-id=\"775\">genes<\/span>. Mutations in p53 <span class=\"term\" data-term-id=\"289\">tumor<\/span> suppressor <span class=\"term\" data-term-id=\"774\">gene<\/span> are caused by exposure to <span class=\"term\" data-term-id=\"1908\">Ultraviolet radiation<\/span> (<span class=\"term\" data-term-id=\"1910\">UV<\/span>), especially UVB (known as signature 7). Other characteristic mutations are related to smoking, aging, and immune suppression (for example, with drugs such as azathioprine). Mutations in signaling pathways affect <span class=\"term\" data-term-id=\"846\">epidermal<\/span> <span class=\"term\" data-term-id=\"523\">growth factor<\/span> <span class=\"term\" data-term-id=\"782\">receiver<\/span>, RAS, Fyn and p16INK4a signaling. <\/p>\n<p>Beta-genus human papillomaviruses (wart viruses) are thought to play a role in SCC arising in immunocompromised populations. \u03b2-HPV and HPV 5, 8, 17, 20, 24, and 38 subtypes have also been associated with an increased risk of cutaneous SCC in immunocompetent individuals. <\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-del-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>What are the clinical features of cutaneous squamous cell carcinoma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cutaneous SCC present as enlargement <span class=\"term\" data-term-id=\"385\">scaly<\/span> or crusty lumps. They usually arise within pre-existing <span class=\"term\" data-term-id=\"1143\">actinic <span class=\"term\" data-term-id=\"1595\">keratosis<\/span><\/span>  or intraepidermal carcinoma.<\/p>\n<ul>\n<li>They grow for weeks or months.<\/li>\n<li>They can ulcerate<\/li>\n<li>They are often tender or painful.<\/li>\n<li>Located on sun-exposed sites, particularly the face, lips, ears, hands, forearms, and legs<\/li>\n<li>The size varies from a few millimeters to several centimeters in diameter.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Carcinoma-cutaneo-de-celulas-escamosas\"><\/span>Squamous cell carcinoma of the skin<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-5043333-5484404' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-5043333.jpg'>\n<\/div>\n<p class=\"p-small\">Squamous cell carcinoma<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc8__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8017326-2956896' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc8__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8017326.jpg'>\n<\/div>\n<p class=\"p-small\">Squamous cell carcinoma<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc9__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1957415-5019522' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc9__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1957415.jpg'>\n<\/div>\n<p class=\"p-small\">Squamous cell carcinoma<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>See more images of squamous cell carcinoma:<\/p>\n<ul>\n<li>SCC on the face<\/li>\n<li>SCC on the lip<\/li>\n<li>SCC in the ear<\/li>\n<li>\n<p>SCC in the extremities.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Tipos-de-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>Types of cutaneous squamous cell carcinoma<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The different clinical types of invasive cutaneous SCC include:<\/p>\n<ul>\n<li>\n<p>Cutaneous <span class=\"term\" data-term-id=\"130\">horn<\/span> \u2013 the horn is due to excessive production of keratin<\/li>\n<li>\n<p>Keratoacanthoma (KA): a rapidly growing keratinization <span class=\"term\" data-term-id=\"198\">nodule<\/span> that can be resolved without treatment<\/li>\n<li>\n<p>Carcinoma cuniculatum (&#039;<span class=\"term\" data-term-id=\"299\">warty<\/span> carcinoma\u201d), a slow growth, <span class=\"term\" data-term-id=\"301\">warty<\/span> tumor on the sole of the foot.<\/li>\n<li>Multiple SCC\/KA type eruptive lesions arising in syndromes such as multiple self-healing squamous <span class=\"term\" data-term-id=\"1321\">epitheliomas<\/span> by Ferguson-Smith and Grzybowski <span class=\"term\" data-term-id=\"350\">syndrome<\/span>\n<\/li>\n<\/ul>\n<p>the <span class=\"term\" data-term-id=\"808\">pathologist<\/span> can also classify a tumor <span class=\"term\" data-term-id=\"1308\">differentiated<\/span>, moderately well differentiated, poorly differentiated, or <span class=\"term\" data-term-id=\"1327\">anaplastic<\/span> Cutaneous SCC. There are other variants.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Subtipos-de-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>Subtypes of Cutaneous Squamous Cell Carcinoma<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc-101__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4466184-2556649' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc-101__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4466184.jpg'>\n<\/div>\n<p class=\"p-small\">Cutaneous horn<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc-100__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8405446-8433853' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc-100__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8405446.jpg'>\n<\/div>\n<p class=\"p-small\">Keratoacanthoma<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='verrucous-ca__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8672672-9213160' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/verrucous-ca__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8672672.jpg'>\n<\/div>\n<p class=\"p-small\">Cuniculatum carcinoma<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ferguson-smith-4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-6112583-4920448' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ferguson-smith-4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-6112583.jpg'>\n<\/div>\n<p class=\"p-small\">Ferguson-Smith squamous epithelioma<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='grzy4__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7231903-4617793' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/grzy4__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7231903.jpg'>\n<\/div>\n<p class=\"p-small\">Grzybowski syndrome<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Clasificacion-del-carcinoma-de-celulas-escamosas-por-riesgo\"><\/span>Classification of squamous cell carcinoma by risk<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cutaneous SCC is classified as low risk or high risk, depending on the possibility of tumor <span class=\"term\" data-term-id=\"1074\">reappearance<\/span> and <span class=\"term\" data-term-id=\"185\">metastasis<\/span>. Features of high-risk SCC include:<\/p>\n<p>High-risk cutaneous squamous cell carcinoma has the following characteristics:<\/p>\n<ul>\n<li>Diameter greater than or equal to 2 cm.<\/li>\n<li>Location in the ear, lip vermilion, central face, hands, feet, genitalia.<\/li>\n<li>In elderly or immunocompromised patients.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"474\">Histological<\/span> thickness greater than 2 mm, poorly differentiated <span class=\"term\" data-term-id=\"128\">histology<\/span>or with the invasion of <span class=\"term\" data-term-id=\"900\">subcutaneous<\/span> tissue, <span class=\"term\" data-term-id=\"952\">nerves<\/span> and <span class=\"term\" data-term-id=\"953\">blood vessels<\/span>\n<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"1000\">Metastatic<\/span> SCC is located in regional <span class=\"term\" data-term-id=\"1775\">lymph nodes<\/span> (80%), lungs, liver, brain, bones and skin.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Carcinoma-de-celulas-escamosas-cutaneas-de-alto-riesgo\"><\/span>High-risk cutaneous squamous cell carcinoma.<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc-104__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7314496-3486063' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc-104__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7314496.jpg'>\n<\/div>\n<p class=\"p-small\">High-risk cutaneous squamous cell carcinoma.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc-105__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4588694-2358660' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc-105__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4588694.jpg'>\n<\/div>\n<p class=\"p-small\">High-risk cutaneous squamous cell carcinoma.<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='scc-106__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8054255-4244850' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/scc-106__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8054255.jpg'>\n<\/div>\n<p class=\"p-small\">High-risk cutaneous squamous cell carcinoma.<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Estadificacion-del-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>Cutaneous squamous cell carcinoma staging<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In 2011, the American Joint Committee on Cancer (AJCC) published a new staging <span class=\"term\" data-term-id=\"380\">systemic<\/span> for Cutaneous SCC for the AJCC Manual 7th Edition. This evaluates the dimensions of the original. <span class=\"term\" data-term-id=\"949\">primary<\/span> tumor (T) and its <span class=\"term\" data-term-id=\"383\">metastasis<\/span> to the lymph nodes (N).<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Estadificacion-tumoral-para-SCC-cutaneo\"><\/span>Tumor staging for cutaneous SCC<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>TX: primary tumor cannot be assessed<\/p>\n<p>T0: no evidence of a primary tumor<\/p>\n<p>Tis: carcinoma in situ<\/p>\n<p>T1: Tumor \u2264 2 cm without high-risk features<\/p>\n<p>T2: tumor \u2265 2 cm; either; Tumor \u2264 2 cm with high-risk features<\/p>\n<p>T3: tumor with invasion of the maxilla, <span class=\"term\" data-term-id=\"1590\">mandible<\/span>, orbit or <span class=\"term\" data-term-id=\"1317\">temporary<\/span> bone<\/p>\n<p>T4: tumor with invasion of <span class=\"term\" data-term-id=\"1546\">axial<\/span> or appendicular skeleton or <span class=\"term\" data-term-id=\"1800\">perineural<\/span> skull base invasion<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Nodal-estadificacion-del-SCC-cutaneo\"><\/span>\n<span class=\"term\" data-term-id=\"1001\">Nodal<\/span> staging of cutaneous SCC<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>NX: regional lymph nodes cannot be assessed<\/p>\n<p>N0: non-regional <span class=\"term\" data-term-id=\"1774\">lymph node<\/span> metastasis<\/p>\n<p>N1: metastasis in a local lymph node \u2264 3 cm<\/p>\n<p>N2: metastasis in a local lymph node \u2265 3 cm; either; Metastasis in &gt; 1 local lymph node \u2264 6 cm<\/p>\n<p>N3: lymph node metastasis \u2265 6 cm<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-el-carcinoma-de-celulas-escamosas\"><\/span>How is squamous cell carcinoma diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The diagnosis of cutaneous SCC is based on clinical features. The diagnosis and histological subtype are confirmed pathologically by diagnosis. <span class=\"term\" data-term-id=\"24\">biopsy<\/span> or following <span class=\"term\" data-term-id=\"848\">excision<\/span>. See squamous cell carcinoma \u2013 <span class=\"term\" data-term-id=\"223\">pathology<\/span>.<\/p>\n<p>High-risk SCC patients may also undergo staged investigations to determine if it has spread to the lymph nodes or elsewhere. These may include:<\/p>\n<ul>\n<li>images using <span class=\"term\" data-term-id=\"1378\">ultrasound<\/span> scan, x-ray, <span class=\"term\" data-term-id=\"799\">Connecticut<\/span> scans, <span class=\"term\" data-term-id=\"1116\">Magnetic resonance<\/span> scans<\/li>\n<li>lymph node or other tissue <span class=\"term\" data-term-id=\"1111\">biopsies<\/span>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>What is the treatment for cutaneous squamous cell carcinoma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Cutaneous SCC is almost always treated surgically. Most cases are removed with a 3- to 10-mm margin of normal tissue around a visible tumor. A flap or skin graft may be needed to repair the defect.<\/p>\n<p>Other removal methods include:<\/p>\n<ul>\n<li>Shaving, curettage and electrocautery for low-risk trunk and extremity tumors<\/li>\n<li>Aggressive <span class=\"term\" data-term-id=\"1145\">cryotherapy<\/span> for very small, thin, low-risk tumors<\/li>\n<li>\n<p>Mohs micrographic surgery for large facial lesions with indistinct margins or <span class=\"term\" data-term-id=\"805\">recurrent<\/span> tumors<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1325\">Radiotherapy<\/span> for an inoperable tumor, patients unfit for surgery, or as <span class=\"term\" data-term-id=\"1073\">assistant<\/span>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-carcinoma-de-celulas-escamosas-avanzado-o-metastasico\"><\/span>What is the treatment for advanced or metastatic squamous cell carcinoma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Locally advanced primary, recurrent, or metastatic SCC requires multidisciplinary consultation. A combination of treatments is often used.<\/p>\n<ul>\n<li>Surgery<\/li>\n<li>Radiotherapy<\/li>\n<li>Cemiplimab<\/li>\n<li>Experimental <span class=\"term\" data-term-id=\"592\">targeted therapy<\/span> using epidermal growth factor receptor inhibitors\n<\/li>\n<\/ul>\n<p>Many thousands of New Zealanders are treated for cutaneous SCC each year, and more than 100 die from their disease.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-puede-prevenir-el-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>How can cutaneous squamous cell carcinoma be prevented?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There is a large body of evidence showing that very careful sun protection at any time in life reduces the number of SCC. This is particularly important on aged, sun-damaged, fair skin; in immunocompromised patients; and in those who already have previous actinic keratoses or SCCs.<\/p>\n<ul>\n<li>Staying indoors or in the shade in the middle of the day.<\/li>\n<li>Wear clothing that covers<\/li>\n<li>Generously apply broad-spectrum sunscreens with protection factor SPF50+ to <span class=\"term\" data-term-id=\"311\">exposed skin<\/span> yes outside<\/li>\n<li>Avoid tanning indoors (hammocks, solaria)<\/li>\n<\/ul>\n<p>Oral nicotinamide (vitamin B3) at a dose of 500 mg twice daily may reduce the number and severity of SCCs in people at high risk.<\/p>\n<p>Patients with multiple squamous cell carcinomas may be prescribed an oral medication. <span class=\"term\" data-term-id=\"761\">retinoid<\/span> (acitretin or isotretinoin). These reduce the number of tumors but have some troublesome side effects.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-el-carcinoma-cutaneo-de-celulas-escamosas\"><\/span>What is the prognosis for cutaneous squamous cell carcinoma?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Most SCCs are cured by treatment. A cure is more likely if treatment is carried out when the <span class=\"term\" data-term-id=\"164\">injury<\/span> it is small. The risk of disease-associated recurrence or death is greater for tumors that are &gt;20 mm in diameter and\/or &gt;2 mm thick at the time of surgical excision.<\/p>\n<p>About 50% of people at high risk for SCC develop a second one within 5 years of the first. They are also at increased risk of other skin cancers, especially melanoma. Periodic skin exams and annual long-term skin checks by an experienced healthcare professional are recommended.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Anuncio C\u00e1ncer de piel Aplicaci\u00f3n para facilitar el autoexamen de la piel y la detecci\u00f3n temprana. Lee mas. Texto: Miiskin. Que es cut\u00e1neo escamoso celda carcinoma? El carcinoma cut\u00e1neo de&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6646","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6646","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6646"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6646\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6646"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6646"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}