Knecht-Gurwin Klaudia, Stefaniak Aleksandra A, Chlebicka Iwona, Matusiak Lukasz, Woźniak Zdzisław, Szepietowski Jacek C
University Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Division of Dermatology, Venereology and Clinical Immunology, Faculty of Medicine, Wroclaw University of Science and Technology, 51-377 Wroclaw, Poland.
Cancers (Basel). 2025 Apr 3;17(7):1217. doi: 10.3390/cancers17071217.
Squamous cell carcinoma (SCC) presents a significant challenge in dermatological pathology, necessitating comprehensive insights for effective management. This review highlights SCC's broad aspects and focuses particularly on carcinoma cuniculatum (CC), a rare variant that warrants special attention due to its unique diagnostic and therapeutic challenges.
We conducted a narrative review of current literature on SCC and CC, supplemented by illustrative clinical case presentations. The analysis emphasized epidemiology, pathogenesis, clinical presentation, diagnostic pitfalls, and treatment modalities.
The key findings from our analysis indicate that CC, although locally aggressive, exhibits a lower metastatic potential and requires distinct management strategies, primarily surgical, due to its poor responsiveness to radiotherapy.
The review also includes illustrative clinical cases to highlight the diverse presentations and underscore the necessity for multidisciplinary approaches and heightened clinical vigilance in diagnosing and managing CC. By consolidating current knowledge and clinical experiences, this review aims to enhance awareness, facilitate early recognition, and optimize therapeutic strategies for SCC, particularly CC, thereby improving patient outcomes and prognosis.
鳞状细胞癌(SCC)在皮肤病理学中是一项重大挑战,需要全面深入了解以便进行有效管理。本综述着重介绍SCC的广泛内容,并特别关注漏斗状癌(CC),这是一种罕见的变体,因其独特的诊断和治疗挑战而值得特别关注。
我们对有关SCC和CC的当前文献进行了叙述性综述,并辅以说明性临床病例介绍。分析重点在于流行病学、发病机制、临床表现、诊断陷阱和治疗方式。
我们分析的主要发现表明,CC虽然具有局部侵袭性,但其转移潜能较低,并且由于对放疗反应不佳,主要需要采用手术等不同的管理策略。
该综述还包括说明性临床病例,以突出其多样的表现形式,并强调在诊断和管理CC时采用多学科方法和提高临床警惕性的必要性。通过整合当前知识和临床经验,本综述旨在提高对SCC尤其是CC的认识,促进早期识别,并优化治疗策略,从而改善患者的治疗效果和预后。