Praxis Medica (Jan 2015)

Morphological and clinical characteristics of the head epidermal skin carcinomas

  • Mijović M.,
  • Mitić N.,
  • Đerković B.,
  • Filipović M.,
  • Savić S.,
  • Leštarević S.,
  • Ilić A.

DOI
https://doi.org/10.5937/pramed1501079M
Journal volume & issue
Vol. 44, no. 1
pp. 79 – 90

Abstract

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The most common skin malignant tumor of the epidermoid origin are basal cell (BCC) and squamous cell (SCC) carcinoma. They occur at the photoexposed parts of the body in 90% of cases and are directly associated with skin damage caused by long term exposure to UV rays, usually in older persons and light skin. Almost 65,000 people die annually in the world from their consequences. The most important link in preventing the occurrence of these tumors is prevention, but their early identification allows adequate surgical treatment with sparing surrounding tissue. The main objective of this paper is to examine the histopathological and clinical-morphological characteristics of BCC and SCC of the skin of the head. The analysis included 439 cancer (297 (67.7%) BCC, 126 (28.7%) SCK and 16 (3.6%) BCK + SCK), among which over 60% were diagnosed in men, usually in the seventh and eighth decade of life, with the highest incidence of BCC on the nose or on the skin of the upper half of the face and SCK on the lips or the skin of the lower half of face. All skin cancers of the head were more common on the right side. Clinical and morphological, most of the BCC were manifested by ulcerative form of average size 1.2cm and mixed histological type, and SCK by vegetative form of average size 1.55cm and histological grade I. The highest number of BCC and SCC was completly removed, in contrast to the combination of these two tumors among them in most cases the subsequent surgical intervention was necessary.

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