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SQUAMOUS CELL CARCINOMA
(RCC) is a type
of malignant tumor that develops
from atypical
cells of the squamous epithelium.
Since the epithelium in
the human body is found
in many
organs, the localization
of squamous cell carcinoma can
be different.
This type
of malignant tumors is characterized
by rapid progression and
a very aggressive course,
that is,
the cancer grows very
quickly, in a short
time sprouting
all layers
of skin or walls
of internal organs covered
with epithelium, and giving
metastases to the lymph
nodes, from where they
can spread with the flow
of lymph to other
organs and tissues.
Most often, squamous cell carcinoma of various localization
develops in people over
65 years
of age, and in men
it is somewhat more common than
in women.
Since
the epithelium in the human
body is very widespread,
squamous cell tumors can
form in almost any
organ. So, there
are two main types
of epithelium – it
is keratinized and non-keratinized. The non–keratinizing epithelium is
all the mucous membranes
of the human body (nose,
mouth, throat, esophagus,
stomach, intestines, vagina,
vaginal part of the cervix,
bronchi, etc.). The keratinizing
epithelium is a collection
of skin integuments. Accordingly, squamous cell carcinoma can
form on
any mucous
membrane or on
the skin. In addition, in
more rare
cases, squamous cell carcinoma can
form in
other organs
from cells
that have undergone metaplasia, that
is, they have first turned
into epithelial-like, and
then into
cancerous. Thus, it is obvious
that the term "squamous
cell carcinoma" refers most
to the histological characteristics of a malignant tumor.
Currently, there are several
classifications of squamous cell carcinoma, taking into account its
various characteristics. The classification, which takes into account the histological
type of tumor, distinguishes
the following types of squamous
cell carcinoma:
- Squamous
cell keratinizing (differentiated) cancer;
- Squamous
cell non-cancerous (undifferentiated) cancer;
- Low-grade cancer, similar
to sarcoma
in the appearance of the cells forming
it;
- Glandular squamous cell carcinoma.
Squamous
cell carcinoma most often develops
in the following organs
and tissues:
skin; lungs;
larynx; esophagus; cervix;
vagina; bladder. Moreover,
skin cancer
is most common, which
develops in 90%
of cases in open
areas of the skin, such
as the face, neck,
arms, etc.
Depending on the type
of growth, squamous cell carcinoma is divided into the following
forms:
- Exophytic form (papillary)
is characterized by the formation of a nodule clearly
delimited from the surrounding
tissues, which gradually
increases in size.
As a result,
a tumor
is formed that resembles the inflorescences of cauliflower and
is colored red-brown. The surface of the tumor has
a pronounced uneven bumpy
structure with a clearly
discernible depression in
the central part. Such
a tumor can be attached
to the surface of the mucous membrane or skin
by a thin leg or
a wide base. Gradually,
the entire surface of the exophytic form
of cancer can ulcerate,
which marks
its transition
to the endophytic variety.
- Endophytic
form (infiltrative
ulcerative) is characterized by rapid ulceration
of a small primary nodule,
in place
of which one large
ulcer forms.
Such an ulcer has
an irregular shape, dense
and raised
edges above
the center, a rough bottom
covered with a whitish coating
with a fetid odor.
The ulcer practically does not increase
in size,
as the tumor grows
deep into
the tissues,
affecting muscles, bones,
neighboring organs, etc.
- Mixed form.
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