Deep initial Mohs stage for scalp cutaneous squamous cell carcinoma to avoid occult tumor

Lederhandler, Margo; Stokar, Evan; Meehan, Shane A; Geronemus, Roy G.

doi:10.1016/j.jaad.2019.12.007

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…Studies reporting MMS for scalp cSCCs have reported cure rates and recurrence rates that are equivalent to those reported in other areas [57,58]. The first stage of MMS of scalp cSCCs should include the subcutaneous tissue and run into the subgaleal plane [59].…”

Section: Mohs Micrographic Surgery or Excision With Complete Circumfe...mentioning

confidence: 84%

Management of Cutaneous Squamous Cell Carcinoma of the Scalp: The Role of Imaging and Therapeutic Approaches

Verdaguer-Faja,

Toll,

Boada

et al. 2024

Cancers

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Cutaneous squamous cell carcinoma (cSCC) is the second most common subtype of skin cancer. The scalp is one of the most frequently affected locations and is associated with a higher rate of complications, compared to other locations. In addition, it has a characteristic thickness and anatomical structure that may influence both growth pattern and treatment of primary cSCC; while clinical peripheral margins may be easily achieved during the surgery, vertical excision of the tumor is limited by the skull. Despite having a unique anatomy, current guidelines do not contemplate specific recommendations for scalp cSCC, which leads to inconsistent decision-making in multidisciplinary committees when discussing tumors with high risk factors or with close margins. This article provides specific recommendations for the management of patients with scalp cSCC, based on current evidence, as well as those aspects in which evidence is lacking, pointing out possible future lines of research. Topics addressed include epidemiology, clinical presentation and diagnosis, imaging techniques, surgical and radiation treatments, systemic therapy for advanced cases, and follow-up. The primary focus of this review is on management of primary cSCC of the scalp with localized disease, although where relevant, some points about recurrent cSCCs or advanced disease cases are also discussed.

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Section: Mohs Micrographic Surgery or Excision With Complete Circumfe...mentioning

confidence: 84%

Management of Cutaneous Squamous Cell Carcinoma of the Scalp: The Role of Imaging and Therapeutic Approaches

Verdaguer-Faja,

Toll,

Boada

et al. 2024

Cancers

View full text Add to dashboard Cite

show abstract

Deep initial Mohs stage for scalp cutaneous squamous cell carcinoma to avoid occult tumor

Cited by 1 publication

References 3 publications

Management of Cutaneous Squamous Cell Carcinoma of the Scalp: The Role of Imaging and Therapeutic Approaches

Management of Cutaneous Squamous Cell Carcinoma of the Scalp: The Role of Imaging and Therapeutic Approaches

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