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Development of SSC Light Skin (4)
UV OR Carcinogens, Chronic ulcers, Burn scar, Ionizing radiation →
Loss of function mutation in TP53 →
Activating mutation in HRAS →
Invasive SCC (invades the dermis)
Development of SSC Dark Skin (3)
Keratinocytes →
Carcinogens, Chronic ulcers, Burn scar, Ionizing radiation →
Invasive SCC (invades the dermis)
Histological Changes of SSC (2)
Keratin pearls
Carcinoma invaded the dermis
Clinical features of SSC Light Skin
Nodule
Prominent keratinization (Scales)Â
Central ulceration
Metastasis to lymph node
Clinical features of SSC Dark Skin
Flat, scaly, dark plaque
Clinical features of SSC oral
Ulcer, nodule or plaque