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May 8, 2009
The S.C.C Is a tumour arising from the prickle cells of the epidermis which lie above the basal layer. This form of cancer easily Invades the dermis, and may on occasions spread to local lymph glands or more widely through the blood stream.
Because the growth is visible, patients with a S.C.C. usually attend for treatment early, and a cure rate of over 95 per cent should now be the rule. The method of treatment will depend on where the lesion is and on whether it is focalized or has spread. The size and tissue type, as well as the experience of the physician, is also relevant. A good biopsy is usually essential before treatment is planned. The aim of treatment is always the complete eradication of the cancer, along with a good cosmetic and functional result.
1. Diathermy or electrodessication and curettage
This is a well-accepted method in experienced hands, particularly when the S.C.C. is less than 1 centimetre in diameter and on the hands or arm. The cosmetic results are frequently superior to those obtained by surgery or radiotherapy, and the five-year cure rate is better than 95 per cent.
Excision is often necessary for large tumours or for those in difficult sites. It is of course also necessary when lymph nodes or other areas are involved.
3. Radiotherapy
X-ray treatment is suitable for cancer on the head and neck, particularly in elderly people. The disadvantage of this therapy is that from 8-10 separate treatments are required, and the resultant scars are often cosmetically inferior, and certainly more fragile.
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