HomeAnswersInternal Medicinesquamous cell carcinomaWhen are the chances of recurrence high in cancer?

I have squamous cell skin cancer on my thumb with bone exposure on the inside. How bad is this?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Infanteena Marily F.

Published At December 4, 2021
Reviewed AtSeptember 6, 2022

Patient's Query

Hi doctor,

I just found out I have squamous cell skin cancer on my thumb and nail that has moved to my thumb bone. Most skin on my thumb tip to nail bed is gone, and bone is exposed on the inside half of my thumb. How bad is this, and please do not hold back?

Answered by Dr. Utkarsh Sharma

Hello,

Welcome to icliniq.com.

I understand your concern and will help you with it.

Various factors like the stage, grade, location, any co-morbid conditions determine the overall prognosis of the squamous cell carcinoma.

Diameter of more than 2 cm doubles the risk of recurrence while tripling the rate of metastasis.

As cancer has reached the bone, chances of local recurrence are higher.

Poor differentiation (high grade) indicates a poor prognosis.

There are increased chances of recurrence and metastasis with immunosuppression.

Recurrent tumors have a worse prognosis compared to primary tumors.

Tumors arising from a burn scar, an ulcer, radiation dermatitis, and other chronic wounds possess an increased rate of metastasis and poorer prognosis.

Kindly share the original histopathology report so that I can have a better idea.

Is the treatment plan already decided?

Was the site of basal cell carcinoma the same?

I wish you all the best. Please take care and try carrying a positive approach.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Utkarsh Sharma
Dr. Utkarsh Sharma

Pathology

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