SCCs are high yield.
Features on examination of Squamous Cell Carcinoma
- Firm thickening of skin
- Hard nodules
- Ulcers with everted edge
Features on History of Squamous cell Carcinoma
- Slowly enlarging
- Sharply demarcated
- thickened
- Red
- Plaque
- Crusty
- Ulcerate
- Bleed
Management of Squamous cell carcinoma
- Excision and Biopsy with <x> mm margins.
- Cryotherapy by double freeze thaw
- Imiquamod – superficial
- 90% cure rate if depth < 0.75mm
- Cure 30% if 4mm or more
What are the contraindications for imiquamod?
- Not on face
- Not on head
- Not for infiltrating BCC
- Not for cystic BCC
- Not for micronodular BCC
- Not for morphoeic BCCs
What is on the PBS listing for Imiquamod?
Biopsy confirmed primary superficial BCC in patients with normal immune function
What is the application mode of imiquamod?
Five nights a week for 6 weeks
