Appearance Of Squamous Cell Carcinoma Research Articles

Squamous Cell Carcinoma: a Comprehensive Review on Causes, Clinical Presentation, Diagnosis, Prognosis, and Prevention

Squamous cell carcinoma (SCC) is a prevalent form of skin cancer with significant implications for public health. This paper provides a comprehensive review of SCC, covering various aspects such as its definition, prevalence, causes, clinical presentation, diagnosis, prognosis, and prevention. The introduction offers an overview of SCC, highlighting its importance as a type of skin cancer. It explains that SCC is primarily caused by exposure to ultraviolet (UV) radiation from the sun or tanning beds. Additionally, it explores the risk factors associated with SCC, including fair skin, a history of sunburns, and certain genetic conditions. The clinical presentation section describes the typical appearance of SCC, emphasizing raised, scaly, or crusty skin lesions that may be accompanied by redness, inflammation, ulceration, or tenderness. Furthermore, it highlights the importance of early diagnosis through diagnostic methods such as biopsy, dermatoscopy, and imaging techniques like ultrasound or CT scans. Prognosis plays a crucial role in SCC management, and this review considers factors that impact prognosis, including tumor stage, metastasis, and the patient's overall health. SCC diagnosed at an early stage generally has a better prognosis, while the presence of metastasis and compromised immune status can negatively affect outcomes. Lastly, the importance of prevention is emphasized. Effective prevention strategies include sun protection measures such as seeking shade, wearing protective clothing, and applying sunscreen, as well as regular skin screenings performed by dermatologists and self-examination techniques. By adopting these preventive measures, individuals can reduce their risk of developing SCC and facilitate early detection for improved prognosis.

Squamous Cell Carcinoma Arising in a Parotid Warthin's Tumor: A Case Report and Literature Review.

Warthin's tumor is the second most common benign neoplasm of the parotid gland. Epithelial malignant transformation of Warthin's tumor, especially to squamous cell carcinoma, is a rare event. The authors present a case report of a 57-year-old male patient with a mass in the left parotid gland. This paper documents the appearance of squamous cell carcinoma within Warthin's tumor of the left parotid gland and reviews the other similar features of 12 cases.

Diagnosis and Management of Nonmelanoma Skin Cancer

Nonmelanoma skin cancer (NMSC) is the most common cancer in the world. Basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) are the most common types. SCC lesions are more likely to metastasize when compared to BCC, but due to low risk for metastasis, prognosis for NMSC is excellent. Ultraviolet radiation exposure is the main risk factor for developing NMSC. Merkel cell carcinoma and dermatofibrosarcoma protuberans are rare forms of NMSC. The most common BCC lesions types are nodular, superficial, and sclerosing. Nodular BCC typically consists of papular lesions with a pearly border. Superficial BCC lesions are flat or slightly raised, often red to brown. Sclerosing BCC lesions usually have nondiscrete margins. The gross appearance of SCC is that of an erythematous plaque with scale and/or ulceration. The diagnosis of NMSC starts with gross examination, followed by biopsy. Recommended biopsy techniques include punch, shave, and excisional biopsy. Dermatoscopy should also be used to aid in the evaluation of suspected NMSC and other skin cancers, as it greatly enhances the point-of-care diagnosis of skin malignancies. For low-risk lesions, surgical excision is the cornerstone of treatment, although depending on the clinical situation, curettage and electrodessication or non-surgical modalities may be used. Cryotherapy, topical treatments, photodynamic therapy, or radiation treatment can be used to treat BCC and SCC, but cure rates are lower than with surgical excision. High-risk lesions require specialist referral. All patients treated for NMSC should undergo regular complete skin exams, and counseling on the use of sun protection and avoidance.

Penile Papillomatosis Associated with Persistent Paraphimosis in a Horse

Background: Papillomas are cutaneous neoplasms, also known as warts. They are usually benign and are caused by a papillomavirus. The development of papillomas in certain locations on the body may cause irreparable consequences. Paraphimosis is a urological emergency characterized by the inability of the penis to retract or the impossibility of retention inside the foreskin, causing local circulatory disorders and severe pain. However, the association between genital papillomas and the development of paraphimosis in horses has not been previously documented. The objective here is to describe the clinical and histopathological aspects of a case of penile papilloma associated with persistent paraphimosis in a horse.Case: A 15-year-old mixed-breed, 350 kg, horse presented nodular and crusted lesions, similar to warts, on the penis and foreskin, which progressed over at least six months. An incisional biopsy of one of the nodular lesions of the horse's penis was performed. Tissue fragments were collected, packed in 10% buffered formaldehyde, and sent for histopathological evaluation to the Animal Pathology Laboratory of the University Veterinary Hospital of the Federal University of Campina Grande (UFCG), Campus de Patos, Paraíba. The biopsy resulted in a histopathological diagnosis of papilloma, and the horse was reevaluated. Due to the severity of the clinical case, it was referred to the HVU/UFCG Large Animal Medical and Surgical Clinic for surgical removal of the penis. The penectomy product was sent to the Animal Pathology Laboratory. Macroscopically, the penis fragment measured 18.0×10.5×6.0 cm in size, had an irregular surface, and presented with numerous multilobulated, reddish nodules on a sessile base, which were exophytic with projections having the appearance of a "cauliflower." The nodules extended from the foreskin and compromised from the base of the penis to the glans. When cut, the nodules were soft, yellowish-white, and had an uneven surface. In the histological evaluation, diffuse and marked hyperplasia of the keratinocytes in both the basal cell layer and spinous layer (acanthosis) was observed, often with formations of digitiform projections. The keratinocytes had multifocal areas of intercellular (spongiosis) and intracellular (balloon degeneration) edema. In the upper layers of the spinous stratum, cells with small, hyperchromatic and eccentric nuclei were seen, which were surrounded by a clear perinuclear halo (koilocytes). In the supra-adjacent stratum corneum, diffuse and moderate parakeratotic hyperkeratosis was observed. Immunohistochemistry showed strong brown immunostaining of the cytoplasm and keratinocyte nuclei by anti-papillomavirus antibodies.Discussion: The clinical manifestation of papillomas varies according to multiple factors, including the immune and nutritional status of the animal. Generally, papillomavirus infections are subclinical, unlike the present case. Due to the severity of the proliferation of papillomas, surgical amputation of the penis was necessary as a therapeutic measure. This type of intervention is considered uncommon or rare in cases of papillomatosis, as well as in the development of secondary paraphimosis. The permanent exposure of the penis resulted in discomfort, pain, inflammation, local infection, and self-mutilation, due to intense itching. Eventually, papillomas may be associated with the appearance of squamous cell carcinoma, a malignant tumor. In this case, the papilloma in the foreskin and penis triggered paraphimosis, with subsequent traumatic injuries to the glans and opportunistic infections that led to amputation of the organ.

Early and Late Onset Side Effects of Photodynamic Therapy.

Photodynamic Therapy (PDT) is a non-invasive treatment successfully used for neoplastic, inflammatory and infectious skin diseases. One of its strengths is represented by the high safety profile, even in elderly and/or immuno-depressed subjects. PDT, however, may induce early and late onset side effects. Erythema, pain, burns, edema, itching, desquamation, and pustular formation, often in association with each other, are frequently observed in course of exposure to the light source and in the hours/days immediately after the therapy. In particular, pain is a clinically relevant short-term complication that also reduces long-term patient satisfaction. Rare complications are urticaria, contact dermatitis at the site of application of the photosensitizer, and erosive pustular dermatosis. Debated is the relationship between PDT and carcinogenesis: the eruptive appearance of squamous cell carcinoma (SCC) in previously treated areas has been correlated to a condition of local and/or systemic immunosuppression or to the selection of PDT-resistant SCC. Here we review the literature, with particular emphasis to the pathogenic hypotheses underlying these observations.

Učestalost balanitis xerotica obliterans-a kod dječaka sa fimozom

Introduction: Balanitis xerotica obliterans (BXO) is an inflammatory disease of unknown etiology and pathogenesis, that represents genital form of lichen sclerosus. Disease is located on foreskin, glans of penis and on urethra. It was discovered that BXO is common cause of phimosis. There is evidence of connections between balanitis xerotica obliterans and appearance of squamous cell carcinoma. The diagnosis of the disease can be clinical and pathohistological. Therapy can be conservative and surgical. The Aim: Determining the frequency of BXO among the boys with phimosis in the light of increasing number of evidence about importance of this clinical entity in development of many complications of urogenital system. Material and methods: Our research contained 470 male patients aged from 1 to 18 years. All the patients who were included in the study were surgically treated in period from 1. January 2014. till 1. January 2017. in University Children's Hospital and all of them had diagnosed phimosis. All the patients underwent circumcision. Foreskins that were suspicious of BXO diagnosis, but could not be diagnosed clinically, were sent to pathohistological analysis. Statistical methods used for measuring central tendency and for determining frequency of BXO were methods of descriptive statistics, or frequency analysis in IBM SPSS Statistics 22 program. Results: Patients with phimosis were in average age of 9.12 ± 4.46 (1-18) years. After data analysis, it was established that in the group of 470 patients there are 48 with BXO diagnosis (10.21%). Patients with BXO were in average age of 10.33 ± 3.14 (6-18) years. Conclusion: Our research has shown that the frequency of BXO among boys with phimosis population is coherent with results of other studies. We concluded that pathohistological analysis of the foreskin is necessary to avoid false negative results after clinical examination.

The Oncogene ATF3 Is Potentiated by Cyclosporine A and Ultraviolet Light A

Cutaneous squamous cell carcinoma (SCC) represents the most important cutaneous complication following organ transplantation. It develops mostly on sun-exposed areas. A recent study showed the role of activating transcription factor 3 (ATF3) in SCC development following treatment with calcineurin inhibitors. It has been reported that ATF3, which may act as an oncogene, is under negative calcineurin/nuclear factor of activated T cells (NFAT) control and is upregulated by calcineurin inhibitors. Still, these findings do not fully explain the preferential appearance of SCC on chronically sun-damaged skin. We analyzed the influence of UV radiation on ATF3 expression and its potential role in SCC development. We found that ATF3 is a specifically induced AP1 member in SCC of transplanted patients. Its expression was strongly potentiated by combination of cyclosporine A and UVA treatment. UVA induced ATF3 expression through reactive oxygen species-mediated nuclear factor erythroid 2-related factor 2 (NRF2) activation independently of calcineurin/NFAT inhibition. Activated NRF2 directly binds to ATF3 promoter, thus inducing its expression. These results demonstrate two mechanisms that independently induce and, when combined together, potentiate the expression of ATF3, which may then force SCC development. Taking into account the previously defined role of ATF3 in the SCC development, these findings may provide an explanation and a mechanism for the frequently observed burden on SCCs on sun-exposed areas of the skin in organ transplant recipients treated by calcineurin inhibitors.

Urothelial carcinoma with prominent squamous differentiation in the setting of neurogenic bladder: role of human papillomavirus infection

Squamous cell carcinomas of the urinary bladder are rare in the Western world; the majority of cases are reported in countries endemic to Schistosoma parasitic infections. Unlike squamous tumors of the uterine cervix or oropharynx, the human papillomavirus (HPV) is not commonly associated with bladder squamous cell carcinomas. We report on two cases of HPV-positive urothelial carcinomas of the urinary bladder with extensive squamous differentiation showing the typical basaloid, poorly differentiated morphology of HPV-associated tumors. These occurred in patients with neurogenic bladders who had long-standing histories of self-catheterization with tumors that tested positive for HPV by in situ hybridization. A retrospective review of our institutional database revealed four additional patients with bladder tumors showing squamous differentiation arising in the setting of neurogenic bladder. Review of these cases showed the more common well-differentiated keratinizing appearance of squamous cell carcinomas of the bladder. These tumors showed only patchy positivity for p16 immunohistochemical stain (not the diffuse strong staining seen in HPV-positive tumors), and the one tested case was negative for HPV by in situ hybridization. HPV infection and neurogenic bladder have been independently associated with increased risk of developing carcinoma in the urinary bladder; however, this is the first report of squamous tumors arising in the setting of concurrent neurogenic bladder and HPV infection. The morphology of these tumors is similar to that of other high-risk HPV-associated squamous carcinomas with a basaloid, poorly differentiated appearance and little to no keratin formation.

Late skip lymph node metastasis of oral squamous cell carcinoma or metastasis of unknown second primary tumor? Answer by mitochondrial DNA analysis

Patients with head and neck squamous cell carcinoma (SCC) are at risk of developing additional tumors in the head and neck. The detection of a late lymph node metastasis poses a problem to the clinician: it could be a delayed regional metastasis or a new metastasis from a yet unknown second primary tumor. Differentiation between metastasis and recurrence of primary tumors versus second primary tumor may be difficult because all lesions have the histologic appearance of SCC. Differentiation between these possibilities, however, carries important differences in therapeutic and prognostic consequences. In the following case report we present an unusually late regional lymph node metastasis in a patient who was treated 4 years earlier for an SCC in the inferior alveolar ridge. The purpose of the present study was to apply mitochondrial DNA D-loop analysis to assess the clonal relationship between oral tumor and node metastasis.

Genetic alteration of stemness factors and p53 in mouse forestomach by chemical carcinogen-induced carcinogenesis

The expression profiles of genes normally enriched in embryonic stem (ES) cells (stemness factors) are associated with poor clinical outcome in solid tumors. However, whether such gene expression is responsible for tumor initiation and progression remains to be determined. The tumor suppressor gene p53 is known to attenuate the expression of Nanog, which is essential for maintaining stem cells in response to DNA damage. On the basis of these findings, we hypothesized that stemness factors and p53 closely correlate with each other and form a network in response to genomic damage in the early phase of carcinogenesis and in the process of tumor progression. In this study, we applied the N-methylbenzylnitrosoamine (NMBA)-induced carcinogenesis model to the mouse forestomach to clarify the role of the stemness factors, c-Myc, Klf4, Sox2, Oct3/4 and Nanog, in cancer development using p53(+/+) (n=26) and p53(+/-) (n=11) C57BL/6J mice. Thirty weeks following NMBA administration, histologically evident squamous cell carcinoma was detected in the forestomachs of p53(+/+) mice, and the percentage of p53-positive nuclei in the forestomach epithelium gradually increased during carcinogenesis. Tumor development in p53(+/-) mice occurred significantly earlier than in p53(+/+) mice. Quantitative real-time PCR analyses revealed a reduced c-Myc and Klf4 expression before evident morphological changes were observed, and an increased expression with the development of squamous cell carcinoma. Sox2 expression remained unchanged until tumor development and increased with the appearance of squamous cell carcinomas. The expression of Oct3/4 and Nanog increased at the early stages following NMBA administration, and Nanog expression in situ was not positively affected by the deficiency of p53. Findings of the present study suggested that Oct3/4 may be involved in the progression of carcinogenesis from normal epithelial cells at early stages, suggesting the potential use of Oct3/4 as a biomarker in forestomach tumor formation at early stages of chemical carcinogenesis.

Primary Blastomycosis of Oral Cavity

Blastomycosis is an uncommon male-predominant disease caused by the fungus Blastomyces dermatitidis. The lungs are most commonly affected, and other organs are usually involved by dissemination. Clinical feature and pathohistologic findings are similar to the appearance of squamous cell carcinoma. A 52-year-old male patient who has lived as a farmer on the countryside in Argentina for 35 years presented with an initial histopathologic diagnosis of a squamous cell carcinoma of the right lower jaw. There was no history of pulmonary disease, in particular fever, coughing, or hemoptysis. Final pathohistologic evaluation after resection revealed B. dermatitidis infection. This article presents the first described case of oral manifestation of B. dermatitidis infection in Switzerland. Manifestation of blastomycosis in oral tissue can mimic the feature of a squamous cell carcinoma and can therefore be a diagnostic pitfall that head and neck surgeons and a pathologist should be aware of.

Equine Ocular Squamous Cell Carcinoma

Ocular squamous cell carcinoma (SCC) occurs commonly in the horse. Ultraviolet light exposure and lack of periocular pigment are thought to be the primary predisposing factors. Most tumors grow slowly and tend to be locally invasive; however, there is a 10% to 15% metastatic rate. The appearance of SCC varies greatly with its location. Corneal or limbal SCC is commonly raised, papillary, and light pink. The third eyelid may develop a scalloped appearance or become thickened. Eyelid SCC usually has a smooth mass effect and may be ulcerated. Treatment options include excision, cryotherapy, radiofrequency hyperthermia, radiotherapy, topical and intralesional chemotherapy with cisplatin or 5-fluorouracil, bacille Calmette-Guerin (BCG) cell wall extract, and carbon dioxide laser ablation. Generally, excision alone is not sufficient and ancillary therapy is recommended.

The appearance of squamous cell carcinoma in the oral cavity: Comparison of 1971–1980 and 1981–1990 in a retrospective study

The appearance of squamous cell carcinoma in the oral cavity: Comparison of 1971–1980 and 1981–1990 in a retrospective study

Sunscreens Protect from UV‐Promoted Squamous Cell Carcinoma in Mice Chronically Irradiated with Doses of UV Radiation Insufficient to Cause Edema

Previously we reported that the broad-spectrum sunscreen microfine titanium dioxide (MTD) could completely protect C3H/HeJ mice from UV radiation-induced immunosuppression to a contact sensitizer. In contrast, 2-ethylhexyl p-methoxycinnamate (2-EHMC), a UVB-absorbing sunscreen, only partially protected the skin immune system. In this study we investigated further this differential protection of the skin immune system by comparing the ability of 2-EHMC and MTD to protect these mice from the promotion phase of tumorigenesis. The mice were initiated using a single subcarcinogenic dose of 7,12-dimethylbenz(alpha)anthracene (DMBA) followed by promotion with chronic low-dose solar-simulated UV radiation for 32 weeks. We used doses of UV insufficient to cause edema in order to simulate daily human exposure to solar UV radiation. Mice were observed for the appearance of squamous cell carcinomas for 48 weeks. The DMBA-initiation alone and DMBA-initiated, sunscreen-treated groups did not develop tumors. Ultra-violet alone induced the appearance of tumors in 46% of mice at week 48 and therefore some tumors were initiated by UV. Initiation with DMBA prior to UV irradiation enhanced tumorigenesis such that 87% of mice at week 48 had tumors. Both 2-EHMC and MTD completely protected these mice from UV-induced promotion as well as from complete carcinogenesis despite the different UV-absorption spectra of the sunscreens and their differential abilities to protect from UV-induced immuno-suppression. Furthermore, we have shown that, if UV exposure is not increased to compensate for tolerance to edema, protection from tumorigenesis is afforded by sunscreens.

P53 EXPRESSION DURING MULTISTAGE HUMAN ORAL CARCINOGENESIS

This study examined the immunohistochemical expression of p53 in human oral premalignancies and squamous cell carcinomas (SCC), and analyzed the relationship between the expression of p53 and the degree of dysplasia. p53 staining was observed in 15 of the 27 oral premalignant lesions (56%), including mild dysplasia, and 7 of the 10 oral SCC (70%), but in none of the 10 hyperplastic oral lesions. With increasing degrees of dysplasia and the appearance of SCC, not only was there an increase in the percentage of cases demonstrating p53 staining, but also an increase in the staining intensity of the positive cells and expansion of these positive cells. The results suggest that mutation of p53 is an early event during oral cancer development and p53 protein may be used as an early adjunct marker for identification of those premalignant lesions with higher malignant potential.

Mucoepidermoid Carcinoma of Uterine Cervix Stage IB

Twelve women with mucoepidermoid carcinoma of the cervix uteri were followed for 2-15 years after diagnosis. Three patients died within 14 months. All had lymph node metastases and/or vascular involvement and exhibited tumor invasion to a depth of 1.2-3.2 cm. Mucoepidermoid carcinoma is defined as a tumor with the appearance of squamous cell carcinoma without any glandular pattern and with demonstrable intracellular mucin. The mucin is best demonstrated by alcian blue and periodic acid-Schiff-diastase. In 265 cases of squamous cell carcinoma, stage IB, lymph node metastases were present in 14%. In the cases of mucoepidermoid carcinoma, the prevalence of nodal metastases was 33%. Because mucoepidermoid carcinomas appear to be more aggressive lesions than squamous cell carcinomas are, it may be advisable to stain all cervical squamous carcinomas for mucin if they demonstrate finely vacuolated cytoplasm and lack peripheral palisading. Immunohistochemical studies for carcinoembryonic antigen (CEA), keratin, and epithelial membrane antigen were positive in all tumors to varying degrees. The detection of CEA may be of additional help in establishing a diagnosis.

Erythroplastic lesion on the mandibular marginal gingiva

Carcinoma of the gingiva is a significant risk to patients because the asymptomatic characteristics of erythroplastic lesions are not always readily identified. This case report shows the similarity in clinical appearance of squamous cell carcinoma of the gingiva to the common inflammatory changes associated with periodontal disease. A similar clinical presentation might be seen in any lesion with increased vascularity, including Kaposi's sarcoma associated with human immunodeficiency virus infection. Any erythroplastic change involving the oral mucosa should be viewed with suspicion and, if not resolved after removal of local sources of irritation, must be biopsied to establish a definitive diagnosis.

Selective promoting activity of phorbol myristate acetate in experimental skin carcinogenesis.

Experiments were undertaken to study the effect of promotion treatment on epidermal tumour induction pattern in precancerous mouse skin. Swiss albino mice were given a single s.c. injection of 0-5 mg 20-methylcholanthrene in the right scapular region. Six weeks later, 1-83 nmol of phorbol myristate acetate (PMA) was applied biweekly on the reactive skin. Histopathology of the induced tumours showed early appearance of squamous cell carcinomas and rhabdomyosarcomas. Fibrosarcoma, the most common tumour type induced on MCA injection alone, was absent. Trichoepithelioma, a benign tumour, was induced in PMA-treated mice. This gives new evidence of the selective action of PMA, enhancing the induction of epithelial and muscle tumours, with concurrent inhibition of fibroblastic tumours.