Cutaneous Squamous Cell Carcinoma of the Head and Neck

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 a...

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Main Authors: Vivek V. Gurudutt, Eric M. Genden
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Journal of Skin Cancer
Online Access:http://dx.doi.org/10.1155/2011/502723
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author Vivek V. Gurudutt
Eric M. Genden
author_facet Vivek V. Gurudutt
Eric M. Genden
author_sort Vivek V. Gurudutt
collection DOAJ
description 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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spelling doaj-art-490ac2e89baa4673afe2c0cd02cb56e22025-02-03T06:00:57ZengWileyJournal of Skin Cancer2090-29052090-29132011-01-01201110.1155/2011/502723502723Cutaneous Squamous Cell Carcinoma of the Head and NeckVivek V. Gurudutt0Eric M. Genden1Department of Otolaryngology–Head and Neck Surgery, Mount Sinai School of Medicine, 5 East 98th Street, 8th Floor, New York, NY 10029, USADepartment of Otolaryngology–Head and Neck Surgery, Mount Sinai School of Medicine, 5 East 98th Street, 8th Floor, New York, NY 10029, USACutaneous 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.http://dx.doi.org/10.1155/2011/502723
spellingShingle Vivek V. Gurudutt
Eric M. Genden
Cutaneous Squamous Cell Carcinoma of the Head and Neck
Journal of Skin Cancer
title Cutaneous Squamous Cell Carcinoma of the Head and Neck
title_full Cutaneous Squamous Cell Carcinoma of the Head and Neck
title_fullStr Cutaneous Squamous Cell Carcinoma of the Head and Neck
title_full_unstemmed Cutaneous Squamous Cell Carcinoma of the Head and Neck
title_short Cutaneous Squamous Cell Carcinoma of the Head and Neck
title_sort cutaneous squamous cell carcinoma of the head and neck
url http://dx.doi.org/10.1155/2011/502723
work_keys_str_mv AT vivekvgurudutt cutaneoussquamouscellcarcinomaoftheheadandneck
AT ericmgenden cutaneoussquamouscellcarcinomaoftheheadandneck