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Dermatology Practice Today

Visual Dermatology Clinic: Squamous Cell Carcinoma

Published July 24, 2014 9:43 AM by Amy Gouley

These photos belong to an 80-year-old female who presented to our clinic for a total body skin screening. She has a history of Basal Cell Carcinoma on her forehead that was treated with MOHS in 2011.

All of these photos shown are positive for Squamous Cell Carcinoma. Additionally, this patient has two more SCC's not shown. (Hover your mouse over each photo to find out where the carcinoma is located on the body.)

WristAnkleLeft forearmFinger

A patient, who demonstrates numerous pathologies, requires teamwork and communication to construct a plan that is comfortable for the patient in the treatment of her cancers. 

This case was reviewed by my supervising attending and our MOHS surgeon. 

We decided to prioritize according to the pathology report and the size of lesion. 

The first priority was the digit because it was an invasive SCC. 

Next, we scheduled a second MOHS appointment for the forearm, also invasive.  

After two MOHS appointments back to back for this 80-year-old patient, we will attempt to shrink the SCC on her foot and wrist with Efudex and then possibly treat with MOHS. The Efudex is a wonderful adjunct therapy and also allows her to rest without overwhelming her with all these surgeries.

1 comments

Hi,

Interesting case. I have been looking at imaging skin conditions for a little while and have developed some calibration strips for the analytical work I am doing. I was wondering if anyone else uses calibration during imaging making it possible to measure and compare images over time (or across patient cohorts). I am not sure why it is not used more widely, for our imaging applications I must be able to measure lesion size and colour changes hence the reason for designing the single use strips. I would be pleased to collaborate with anyone sharing an interest in quantitative dermatology.

Thanks

Gerry Skews

Cambridge, England

Gerry Skews, Digital Imaging - R & D, Private July 24, 2014 12:18 PM
Cambridge

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    Occupation: Physician assistant and nurse practitioners
    Setting: Various dermatology settings
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