Etiopathogenesis: Investigation in

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.

1 Tumor type : Malignant Squamous Cell Carcinoma


2 . Cell
of Origin : Keratinocytes
.
1 Crusted or
scaly patch T red inflamed Base .

.
2 Nodular Lession Proliferative Growth
feature
.

Clinical
non-healing
5
. : .
3 A ulcer
.
M

Age - > 50
years
Presentation
-

Prediliction Exposed Sun Areas alw Long standing Inflamation .


-
,

Para
neoplasticSyndrome --

Risk factor :

.
4
Etiopathogenesis : 1) X-Ray
-> Loss
of P53 -X
Apoptosis d/t UU
Exposure 1) Arsenic vI) Marjolin Uker .

-> Mut
of BeLc and RAS (1) UV
~ alt .
Epidermal Growth factor .
4 (v) Actinic Keratosis

v) Immunosuppression
Investigation in ↓
: 4 HPV 5 and S

· Patho-
Biopsy ->

Histopathology
· radio-O Broder's
Classification
·
Micro- Y L &

.
6
Microscopic Examinat :
Diff
Well Mod .

diff Poorly Diff.


1 . Keratin pearl (Keratinpear1) (single cell) (few sq .

Cell)
.
2 Desmosomes
(high power) Keratinizat Nu atypia
Variants >
a) Acantholytic SCC I H 2
. .
- CK
, p63
b) Spindle all SCC
.

7
.

Gross : Crusted scaly patch ,


Nodular Lession , inflamed red Base
.

Ulceration (+/-)

.
8
Prognosticfactors : Well
Diff>NoMet > Better
Prognosis
.
9 Treatment : -

Interesting fact:
and Most
Malignancy
10
. Common Skin .

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