Squamous Cell Carcinoma and Its Rare Variant, Carcinoma Cuniculatum: Insights and Case Studies

Author:

Knecht-Gurwin Klaudia1,Stefaniak Aleksandra A.1ORCID,Chlebicka Iwona23,Matusiak Lukasz23ORCID,Woźniak Zdzisław4,Szepietowski Jacek C.23ORCID

Affiliation:

1. University Centre of General Dermatology and Oncodermatology, Wroclaw Medical University, 50-556 Wroclaw, Poland

2. Division of Dermatology, Venereology and Clinical Immunology, Faculty of Medicine, Wroclaw University of Science and Technology, 51-377 Wroclaw, Poland

3. Department of Dermato-Venereology, 4th Military Hospital, 50-981 Wroclaw, Poland

4. Department of General and Experimental Pathology, Wroclaw Medical University, 50-556 Wroclaw, Poland

Abstract

Background: Squamous cell carcinoma (SCC) presents a significant challenge in dermatological pathology, necessitating comprehensive insights for effective management. This review highlights SCC’s broad aspects and focuses particularly on carcinoma cuniculatum (CC), a rare variant that warrants special attention due to its unique diagnostic and therapeutic challenges. Methods:
We conducted a narrative review of current literature on SCC and CC, supplemented by illustrative clinical case presentations. The analysis emphasized epidemiology, pathogenesis, clinical presentation, diagnostic pitfalls, and treatment modalities. Results:
The key findings from our analysis indicate that CC, although locally aggressive, exhibits a lower metastatic potential and requires distinct management strategies, primarily surgical, due to its poor responsiveness to radiotherapy. Conclusions:
The review also includes illustrative clinical cases to highlight the diverse presentations and underscore the necessity for multidisciplinary approaches and heightened clinical vigilance in diagnosing and managing CC. By consolidating current knowledge and clinical experiences, this review aims to enhance awareness, facilitate early recognition, and optimize therapeutic strategies for SCC, particularly CC, thereby improving patient outcomes and prognosis.

Funder

Wrocław University of Science and Technology

Publisher

MDPI AG

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