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How to manage squamous cell skin cancer on the thumb?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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

Education:

MBBS

Professional Bio:

Dr. Utkarsh Sharma is an experienced General Pathologist specializing in the accurate diagnosis of diseases through laboratory testing and tissue analysis. He has expertise in clinical pathology, hematology, microbiology, and histopathology, ensuring precise and timely results to guide effective patient care. With a meticulous approach and strong analytical skills, Dr. Sharma plays a vital role in supporting physicians and enhancing patient outcomes through reliable diagnostic insights.    

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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.

Medically reviewed by Dr. Infanteena Marily F.
Published At December 4, 2021
Reviewed At June 21, 2024

Education:

MBBS

Professional Bio:

Dr. Utkarsh Sharma is an experienced General Pathologist specializing in the accurate diagnosis of diseases through laboratory testing and tissue analysis. He has expertise in clinical pathology, hematology, microbiology, and histopathology, ensuring precise and timely results to guide effective patient care. With a meticulous approach and strong analytical skills, Dr. Sharma plays a vital role in supporting physicians and enhancing patient outcomes through reliable diagnostic insights.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Infanteena Marily F. is a dedicated Dental Surgeon, having graduated with a BDS degree from J.K.K.N. Dental College and Hospital in 2018. With 5 years of clinical experience, she provides personalized treatment plans to patients by emphasizing effective communication. She serves as a Medical Quality Assurance Analyst at iCliniq.

This doctor is not available for online consultations on the platform anymore.

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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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Education:

MBBS

Professional Bio:

Dr. Utkarsh Sharma is an experienced General Pathologist specializing in the accurate diagnosis of diseases through laboratory testing and tissue analysis. He has expertise in clinical pathology, hematology, microbiology, and histopathology, ensuring precise and timely results to guide effective patient care. With a meticulous approach and strong analytical skills, Dr. Sharma plays a vital role in supporting physicians and enhancing patient outcomes through reliable diagnostic insights.    

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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