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Cutaneous Squamous Cell Carcinoma of the Head and Neck

TLDR
The diagnosis, pathology, clinical course, and treatment options for cutaneous squamous cell carcinoma of the head and neck are examined.
Abstract
Cutaneous squamous cell carcinoma of the head and neck is an epidemic that reaches all parts of the world. Making the diagnosis relies on the acumen of the clinician and pathologist. Various pathologic subtypes exist and differ in histology and prognosis. High-risk tumors need aggressive treatment and vigilant surveillance to monitor for recurrence. Large tumors, deep tissue invasion, perineural involvement, recurrence, location in high-risk areas, and immunosuppression are implicated in worsening prognosis. Surgery is the mainstay of treatment with adjuvant radiation therapy as needed for aggressive tumors; however, other modalities are potentially useful for low-risk lesions. The use of Mohs surgery has become increasingly useful and has shown high success rates. Involvement of parotid and neck lymph nodes significantly affects outcomes and the physician should be comfortable with management of this complex disease. This paper examines the diagnosis, pathology, clinical course, and treatment options for cutaneous squamous cell carcinoma of the head and neck.

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Journal ArticleDOI

Overview of the 8th Edition TNM Classification for Head and Neck Cancer

TL;DR: The recently published 8th edition TNM classification institutes the following changes to the staging of head and neck: new stage classifications [HPV-related oropharyngeal cancer (HPV+ OPC) and soft tissue sarcoma of theHead and neck (HN-STS)] and modification of T and N categories.
Journal ArticleDOI

Update on Keratinocyte Carcinomas

TL;DR: Keratinocyte Carcinomas Squamous-cell and basal-cell carcinomas of the skin are increasing in frequency and are responsive to inhibition of the hedgehog pathway.
Journal ArticleDOI

Cutaneous squamous cell carcinoma: Management of advanced and high-stage tumors

TL;DR: The second article in this continuing medical education series addresses in question and answer format the most common questions related to advanced and high-stage cutaneous squamous cell carcinomas, with a simplified flowchart as mentioned in this paper.
Journal ArticleDOI

Autophagy Inhibitor Chloroquine Enhanced the Cell Death Inducing Effect of the Flavonoid Luteolin in Metastatic Squamous Cell Carcinoma Cells

TL;DR: In vitro treatment with the flavonoid Luteolin induced caspase-dependent cell death in a model of human cutaneous squamous cell carcinoma (SCC) derived cells, representing a matched pair of primary tumor and its metastasis, suggesting that Lutesin has the capacity to induce selectively apoptotic cell death both in primary cutaneous S CC cells and in metastatic SCC cells in combination with chloroquine, an inhibitor of autophagosomal degradation.
References
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Journal ArticleDOI

The epidemiology of skin cancer.

TL;DR: Melanoma and non‐melanoma (basal and squamous cell carcinoma) skin cancer (NMSC) are now the most common types of cancer in the white populations and the incidence of skin cancer has reached epidemic proportions.
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Sunburn and p53 in the onset of skin cancer

TL;DR: Skin appears to possess a p53-dependent 'guardian-of-the-tissue' response to DNA damage which aborts precancerous cells, and if this response is reduced in a single cell by a prior p53 mutation, sunburn can select for clonal expansion of the p 53-mutated cell into the AK.
Journal ArticleDOI

Prognostic factors for local recurrence, metastasis, and survival rates in squamous cell carcinoma of the skin, ear, and lip : implications for treatment modality selection

TL;DR: All studies since 1940 on the prognosis of squamous cell carcinoma of the skin and lip are reviewed, finding local recurrences occur less frequently when SCC is treated by Mohs micrographic surgery.
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