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Basal cell carcinoma with squamous differentiation could mean several things and this has been the subject of some debate. It could mean separate tumors, one basal cell carcinoma and the other, squamous lying so close that the elements of each collide. This is called a collision tumor. The alternative is that it is a baso-squamous carcinoma, a separate entity that has elements of both basal and squamous cell carcinomas, but has potential of being more aggressive than either. Basal cell carcinoma rarely metastasizes (goes to internal organs). I've had seven such patients over my career. Squamous cell carcinoma, on the other hand, metastasizes in approximately 0.9% patients. Baso-squamous carcinoma has a 10% metastatic rate. In all cases, if there is metastasis, the lung is usually the target. This rate is high enough to warrant a chest x-ray be done to determine if there is lung involvement. While baso-squamous carcinoma is relatively rare, I've had 2 patients with this diagnosis this year. Happily, chest x-rays of both revealed no sign of lung involvement.
This just means that you have a combination skin cancer. Basal Cell Carcinoma is most common malignancy of skin, followed by Squamous Cell. Neither cancer is life threatening and Mohs surgery is the best solution for you. Best, Alex Khadavi M.D.
For lower lip wounds like yours, I have my patients clean the wound twice daily with sterile normal saline to prevent buildup and solidifying of all yellowish exude. They are then directed to apply just Vaseline to the wound to keep it moist . Topical antibiotics should be avoided. A non-stick...
Hello,Thank you for your question! Some burning and tingling is to be expected following Mohs surgery. Sometimes it can be the result of irritation due to antibiotic ointment or adhesive from the bandage. If the burning and tingling is associated with severe pain, redness, or swelling, it could ...
Hard to say what type of closure was performed without a photograph. There are a number of reconstructive options in this area to minimize pull on the eyelid/eyebrow. If it's a straight or slightly curved line, then it's likely a linear closure. If there's a horizontal and vertical line, then...
