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Published on: April 22, 2019
Cutaneous Squamous Cell Carcinoma in Immunocompromised Patients
Song Hon Hwang1, Maie St John1,2
1Department of Head & Neck Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA.
Cutaneous squamous cell carcinoma (cSCC) is a common skin cancer, especially in immunosuppressed (IS) patients. Standardized management for IS patients with cSCC is lacking, necessitating further research for improved outcomes.
Area of Science:
- Oncology
- Dermatology
- Immunology
Background:
- Cutaneous squamous cell carcinoma (cSCC) is the second most common skin cancer globally, accounting for 20% of all skin cancers.
- Immunosuppression is a significant risk factor for cSCC development, disease progression, and mortality.
- Current guidelines acknowledge immunosuppression as a risk factor, but standardized management protocols for these high-risk patients are limited.
Purpose of the Study:
- To review current knowledge on cSCC in immunosuppressed (IS) patients.
- To identify critical knowledge gaps in the evaluation and management of cSCC in IS individuals.
- To highlight recent clinical trials relevant to this patient population.
Main Methods:
- Literature review of existing research on cSCC in IS patients.
- Analysis of current guidelines from NCCN and AJCC.
- Summary of findings from recent clinical trials.
Main Results:
- cSCC is more aggressive and has higher mortality rates in IS patients.
- There is a lack of standardized treatment protocols for IS patients with cSCC.
- Recent trials show promise but require further investigation.
Conclusions:
- Management of cSCC in IS patients presents a significant clinical challenge.
- Dedicated research is crucial to improve outcomes for IS patients with cSCC.
- Further studies and clinical trials are needed to establish evidence-based guidelines.
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