Squamous cell carcinoma

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Sections available in full article Introduction, Presenting signs, Geographic incidence, Age predisposition, Breed predisposition, Cost considerations, Pathogenesis, Etiology, Predisposing factors, Pathophysiology, Timecourse (incubation, duration), Diagnosis, Presenting problems, Client history, Clinical signs, Diagnostic investigation, Confirmation of diagnosis, Gross autopsy findings, Differential diagnosis, Treatment, Standard treatment, Monitoring, Prevention, Control, Sequelae, Prognosis, Reasons for treatment failure, Sources, Publications, Vetstream contributor(s),
Contributors Dr William Brewer Jr DVM DiplACVIM Oncology and Internal Medicine
Dr Irene Rochlitz BVSc MSc PhD
Mr David Scarff BVetMed CertSAD MRCVS
Synonyms Epidermoid carcinoma

Introduction

  • A common, malignant neoplastic disorder.
  • Often on the ears, nose or lower eyelid of white cats  Squamous cell carcinoma: pinna 04 - recurrence  .
  • Cause : actinic keratosis may precede.
  • Signs : erosive or ulcerative lesions typically of nasal planum or ear tips but may affect other sites and can manifest as a proliferative mass.
  • Diagnosis : histopathology.
  • Treatment : surgical resection or radiotherapy are most effective treatments. Preliminary studies utilizing photodynamic therapy on intralesional chemotherapy are promising.
  • Prognosis : fair- locally invasive but slow to metastasize.

Diagnosis

Clinical signs

  • 45% of lesions are multiple.
  • Digital squamous cell carcinoma  Neoplasia: squamous giant cell on paw  affects multiple digits and is one of the differentials for paronychia.

Diagnosis

Differential diagnosis

  • Immune-mediated disease  Immunological skin disease: overview  .
  • Any neoplastic  Skin: neoplasia  or granulomatous disorder.
  • Paronychia.

Sequelae

Prognosis

  • Good if radical resection performed prior to metastasis.

Reasons for treatment failure

  • Radical resection may be impossible to achieve due to site and extent of tumor, eg difficult to resect tumor of nasal planum with adequate margins.
  • Development of further tumors due to continued exposure to sunlight  Squamous cell carcinoma: pinna 02 - recurrent   Squamous cell carcinoma: pinna 04 - recurrence  . May progress even without continued exposure due to progression of previously induced cells.
  • Metastasis to lymph node.

Sources

Publications

Refereed papers

  • Rees C Aet al(1998)Cutaneous horn and squamous cell carcinoma in situ (Bowen's disease) in a cat.JAAHA34(6) 485-486.
  • Lana S Eet al(1997)Feline cutaneous squamous cell carcinoma of the nasal planum and the pinnae - 61 cases.JAAHA33(4) 329-332.

Other sources of information

  • Fox L E (1995)Feline Cutaneous and Subcutaneous NeoplasmsVeterinary Clinics North America: Small Animal Practice. pp 961-979.

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