Cases reported "Carcinoma, Squamous Cell"

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1/18. Bowen's diseases and basal cell carcinomas in a patient.

    bowen's disease is a well-known precancerous lesion, in which invasive squamous carcinoma may develop. However, it is rare that bowen's disease, basal cell carcinoma, and internal malignancy develop in a single patient. We report a case of a 54-year-old male patient with bowen's disease, basal cell carcinoma of the skin, and squamous cell carcinoma of the lung. Multiple scaly erythematous patches had developed several years earlier and were diagnosed as bowen's disease by skin biopsy. The number of lesions increased and, five months ago, a right lower lobectomy was done for squamous cell carcinoma which was detected on a chest X-ray. skin biopsies of two different sites revealed bowen's disease and basal cell carcinoma. The arsenic level was increased in his hair specimen. cryotherapy was applied.
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ranking = 1
keywords = precancerous
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2/18. Metastases in small thickness oral squamous-cell carcinoma arising in oral lichen planus.

    Oral lichen planus (OLP) is classified among precancerous conditions, as it is considered a generalized state associated with a significantly increased risk of cancer. The objective of this study was to discuss ultra-structural aspects of OLP that could play a role in enhancing metastatic potential, thus worsening the prognosis in oral squamous-cell carcinoma (OSCC). We report four cases of microinvasive OSCC which have occurred in OLP patients. All of them were stage I tumors, with a mean thickness of 1.75 mm. Recent studies indicate a tumor thickness over 4 mm as predictive of nodal metastases, but within 6 mo, our four patients with OSCC arising from OLP developed lymphnodal metastases. Our findings suggest that OLP-related OSCC may have a worse prognosis because of increased metastatic potential; obviously, further investigation is required, but this preliminary evidence emphasizes that extremely careful management of OLP patients is mandatory, and in cases of OSCC arising from OLP, a more radical treatment is probably required.
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ranking = 1
keywords = precancerous
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3/18. Oral precancerous and malignant lesions associated with graft-versus-host disease: report of 2 cases.

    The development of secondary malignancies has been recognized as a potential iatrogenic complication in patients who have graft-versus-host disease secondary to bone marrow transplantation. Lymphohematopoietic cancer is most frequent, although solid malignancies have also been reported. We describe 2 patients with graft-versus-host disease who developed oral precancerous and malignant lesions. The first patient, a 24-year-old white man, had erythroplakia of the buccal mucosa that proved to be carcinoma in situ histopathologically. The second patient, a 14-year-old Hispanic boy, developed synchronous cutaneous and lingual squamous cell carcinomas. The current cases and similar sporadic case reports found in the literature highlight the susceptibility of patients with graft-versus-host disease to the development of oral cancer. Therefore, it is recommended that thorough evaluation of the oral mucosa and close follow-up be offered to all patients treated with bone marrow transplantation and particularly to those who develop graft-versus-host disease.
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ranking = 5
keywords = precancerous
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4/18. Bowen disease associated with porokeratosis of Mibelli.

    A 73-year-old woman developed Bowen precancerous dermatosis in an area of porokeratosis of Mibelli on her leg. This is the fourth reported case of Bowen disease arising from porokeratosis of Mibelli. The recent literature indicates that porokeratosis of Mibelli may be due to an abnormal clone of cells, predisposing affected individuals to development of malignant neoplasms over the involved areas.
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ranking = 1
keywords = precancerous
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5/18. laser therapy of human benign and malignant neoplasms of the skin.

    radiation of a powerful neodymium-doped glass pulsed laser, Pulsar-1000 type, has been used for therapy of 235 patients with a total of 257 precancerous lesions and benign tumours, 76 basal and squamous cell carcinomas, 13 melanoblastomas and 59 metastatic melanoblastomas in the skin. Energy density used in the treatment of precancerous lesions and benign tumours was 200-450 J/cm2, in basal and squamous cell carcinomas 400-500 J/cm2, in melanoblastomas and their skin metastases 800-1 000 J/cm2. The results have been satisfactory.
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ranking = 2
keywords = precancerous
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6/18. Synchronous vulvar intraepithelial neoplasia (VIN) of warty type and cervical intraepithelial neoplasia (CIN): case report.

    Vulvar intraepithelial neoplasia is a precancerous lesion of the vulva, which has been referred to in the past with varied terminology. It can be associated with multicentricity of other neoplastic squamous lesions in the cervix and vagina. We report a case of vaginal intraepithelial neoplasia and concomitant cervical intraepithelial neoplasia in a 30 year old female. An attempt is made to put forth the recent terminology of vulvar intraepithelial neoplasia.
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ranking = 1
keywords = precancerous
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7/18. bowen's disease, Paget's disease, and malignant melanoma in situ.

    The histologic differential diagnosis of skin lesions characterized by large, atypical, clear cells in the epidermis includes bowen's disease, Paget's disease (mammary and extramammary), malignant melanoma in situ (pagetoid precancerous melanosis), mycosis fungoides, Spitz nevus, and artifact. Our experience with these lesions indicates that these diseases can be differentiated immunohistologically by the standard peroxidase-antiperoxidase technique, using antibodies directed against keratin (KER), carcinoembryonic antigen (CEA), and S-100 protein (S-100). Based on a study of 11 cases of bowen's disease, eight cases of Paget's disease, and nine cases of malignant melanoma in situ, we conclude that the atypical clear cells of bowen's disease stain only with antibodies to KER; those of Paget's disease, exclusively with antibodies to CEA; and those of malignant melanoma in situ, with antibodies to S-100. Additionally, we report a case in which clinical and histologic findings suggested bowen's disease, but immunohistologic findings supported the diagnosis of Paget's disease.
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ranking = 1
keywords = precancerous
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8/18. Double primary carcinoma of the lips.

    The case of a 40-year-old man who was a moderate smoker with two squamous-cell carcinomas on the lips has been presented. The importance of follow-up in such cases has been stressed. When oral cancer develops, all mucous membrane surfaces must be considered to be highly susceptible to future malignant change. Exfoliative cytology, biopsies, and histologic studies should be employed for the early detection of precancerous conditions and, if possible, to prevent the development of subsequent oral carcinomas. It is necessary to insist on frequent and regular follow-up examinations, so that any second primary lesion may be detected and treated in its early stages. It is also necessary to initiate appropriate prophylactic measures to eliminate any possible sources of carcinogenic irritation.
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ranking = 1
keywords = precancerous
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9/18. Clinical criteria in diagnosis of early squamous cell carcinoma of the lower lip.

    Squamous cell carcinoma of the lower lip may be unsuspected and undiagnosed in its early clinical stages and may appear in occult and noncharacteristic forms. Specific risk factors and characteristics of lesions were sought after clinical and histologic data were correlated in a survey of patients with precancerous and cancerous lesions of the lower lip.
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ranking = 1
keywords = precancerous
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10/18. A rare human model for oncogenesis.

    A rare female human model of oral carcinoma (OC) who refrained from any type of tobacco and/or betel nut habits, belonged to an younger age group, had no pre-existing precancerous lesions in the oral cavity and who was exposed chronically to cashew nut oil, is presented. The role of genetic inherited influences, occupational and endocrine disturbances with racial factors in the causation of oral carcinoma is discussed. The significance of further studies at the genetic level, to rule out protooncogenic activation in the causation of oral cancer is summed up. The literature on the concept of oncogenesis is reviewed briefly.
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ranking = 1
keywords = precancerous
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