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

Answered by
Dr. Utkarsh Sharma
and medically reviewed by Dr. Infanteena Marily
This is a premium question & answer published on Dec 03, 2021

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?

Previous history of current medical complaint:

Small basal cell tumor five years ago.

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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.


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