Trichoscopic Patterns in Squamous Cell Carcinoma: : A Case Report

Area of Science:

• Dermatology
• Oncology
• Dermoscopy

Background:

• Squamous cell carcinoma (SCC) is the second most frequent cutaneous malignancy, with rising incidence.
• Nodular SCC can be misdiagnosed as basal cell carcinoma (BCC), atypical fibroxanthoma, sclerosing liposarcoma, or desmoplastic melanoma.
• Accurate differentiation is crucial due to differing prognostic and therapeutic implications.

Observation:

• Trichoscopy, a non-invasive method, reveals morphological features of skin lesions.
• The technique enhances diagnostic accuracy for both melanocytic and non-melanocytic pigmented lesions.
• This report details a case of scalp SCC where trichoscopic patterns were instrumental in diagnosis.

Findings:

• Specific trichoscopic patterns were identified in squamous cell carcinoma.
• These patterns aided in distinguishing SCC from clinically similar conditions.
• This case represents the first report of trichoscopic patterns in SCC from India.

Implications:

• Trichoscopy offers a valuable, non-invasive tool for diagnosing cutaneous squamous cell carcinoma.
• Early and accurate diagnosis of SCC can lead to improved patient outcomes.
• This technique may be particularly useful for differentiating challenging nodular skin lesions.