What is Pseudoepitheliomatous hyperplasia?

Pseudoepitheliomatous hyperplasia (PEH) is a reactive epithelial proliferation seen in response to wide variety of conditions including infections, neoplasia, inflammation and trauma. It is characterized by hyperplasia of epidermis and adnexal epithelium and it closely mimics squamous cell carcinoma (SCC).
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What causes Pseudoepitheliomatous hyperplasia?

Pseudoepitheliomatous hyperplasia (PEH) is an uncommon type of reactive epidermal proliferation that can occur from a variety of causes, including an underlying infection, inflammation, neoplastic condition, or trauma induced from tattooing.
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How is Pseudoepitheliomatous hyperplasia treated?

Topical photodynamic therapy (PDT) offers an effective and non-invasive treatment with good cosmetic outcome for intraepithelial neoplasia and inflammatory dermatosis, such as psoriasis and viral warts.
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What is Pseudocarcinomatous hyperplasia?

Pseudocarcinomatous hyperplasia (PCH) is a reactive proliferation of the epidermis that can be associated with many inflammatory and neoplastic conditions. Histologically, it is characterized by irregular strands of epidermis, usually at the level of the follicular infundibulum, projecting downward into the dermis.
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What mimics squamous cell carcinoma?

Benign mimics of SCC include pseudoepitheliomatous hyperplasia, eccrine squamous syringometaplasia, inverted follicular keratosis, and keratoacanthoma, while malignant mimics of SCC include basal cell carcinoma, melanoma, and metastatic carcinoma.
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Pseudoepitheliomatous hyperplasia (PEH): a reactive mimic of squamous cell carcinoma



Can squamous cell carcinoma appear suddenly?

It is a rapidly growing tumor which tends to appear suddenly and may reach a considerable size. This tumor is often dome-shaped with a central area resembling a crater which is filled with a keratin plug.
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Can squamous cell carcinoma be misdiagnosed?

Conclusion. SCC has a higher tendency to be clinically misdiagnosed as BCC than vice versa. Pigmentation and rolled border are factors causing misdiagnosis of SCC as BCC and BCC may be misdiagnosed as SCC in the presence of scaling.
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What causes a Keratoacanthoma?

Doctors don't know what causes keratoacanthoma, but some things make you more likely to get it: Sun exposure. HPV infection. Some cancer-causing chemicals.
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What is hyperplastic growth?

(HY-per-PLAY-zhuh) An increase in the number of cells in an organ or tissue. These cells appear normal under a microscope. They are not cancer, but may become cancer. Enlarge.
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What is Verrucous hyperplasia?

Verrucous hyperplasia (vh) is a premalignant exophytic oral mucosal lesion with a predominantly verrucous or papillary surface; this lesion can subsequently transform into verrucous carcinoma (VC), a well-established warty variant of squamous cell carcinoma (SCC).
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Are all cancers carcinomas?

Not all cancers are carcinoma. Other types of cancer that aren't carcinomas invade the body in different ways. Those cancers begin in other types of tissue, such as: Bone.
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What is an inverted follicular keratosis?

Inverted follicular keratosis is a rare benign tumor of the follicular infundibulum characterized by exo-endophytic growing. The lesion often appears as solitary nonpigmented verrucous papule on the face most often in elderly men.
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What is acanthosis histology?

Acanthosis is a thickening of the epidermis and elongation of the rete ridges due to thickening of the spinous layer +/- enlargement of rete pegs. Typical examples include chronic eczematous reactions.
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Is hyperplasia precancerous?

Atypical hyperplasia is a precancerous condition that affects cells in the breast. Atypical hyperplasia describes an accumulation of abnormal cells in the milk ducts and lobules of the breast. Atypical hyperplasia isn't cancer, but it increases the risk of breast cancer.
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What are the symptoms of hyperplasia?

Symptoms of endometrial hyperplasia
  • Menstrual bleeding that is heavier or longer lasting than usual.
  • Menstrual cycles (amount of time between periods) that are shorter than 21 days.
  • Menstrual bleeding between menstrual periods.
  • Not having a period (pre-menopause).
  • Post-menopause uterine bleeding.
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What is the treatment for endometrial hyperplasia?

Endometrial hyperplasia responds well to progestin treatments. Atypical endometrial hyperplasia can lead to endometrial or uterine cancer. Your healthcare provider may recommend more frequent direct (hysteroscopic) assessment or a hysterectomy to eliminate cancer risk.
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Can keratoacanthoma become cancerous?

Keratoacanthoma is generally considered to be a benign cutaneous lesion with initial rapid growth and spontaneous involution over several months. It is not generally appreciated that the keratoacanthoma may have a malignant potential or be associated with carcinoma.
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Is keratoacanthoma benign or malignant?

Keratoacanthoma (KA) is a self-limiting benign epithelial neoplasm. It occurs predominantly on sun-exposed areas of the body and is believed to arise from hair follicle. It shows a unique behavior in being clinically benign and microscopically malignant.
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Is keratoacanthoma precancerous?

Keratoacanthoma (KA) is a low-grade, or slow-growing, skin cancer tumor that looks like a tiny dome or crater. KA is benign despite its similarities to squamous cell carcinoma (SCC), or the abnormal growth of cancerous cells on the skin's most outer layer.
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What are the warning signs of squamous cell carcinoma?

What are the signs and symptoms of squamous cell carcinoma?
  • Rough, reddish scaly patch.
  • Open sore (often with a raised border)
  • Brown spot that looks like an age spot.
  • Firm, dome-shaped growth.
  • Wart-like growth.
  • Tiny, rhinoceros-shaped horn growing from your skin.
  • Sore developing in an old scar.
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Should I be worried about squamous cell carcinoma?

Squamous cell carcinoma of the skin is usually not life-threatening, though it can be aggressive. Untreated, squamous cell carcinoma of the skin can grow large or spread to other parts of your body, causing serious complications.
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What is the most common treatment for squamous cell carcinoma?

Surgery
  • Mohs Surgery. Mohs surgery has the highest cure rate of all therapies for squamous cell carcinomas. ...
  • Curettage and Electrodessication. This very common treatment for squamous cell carcinoma is most effective for low-risk tumors. ...
  • Cryosurgery. ...
  • Laser Surgery.
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How long can you live with squamous cell carcinoma?

Conclusions At our institution, patients with stage I, II, or III squamous cell carcinoma had a mean survival of approximately 3 years. Those with stage IV or recurrent squamous cell carcinoma could be stratified by either serum albumin concentration or by age into 2 groups with a median survival of 1 or 2 years.
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What is the survival rate for squamous cell carcinoma?

In general, the squamous cell carcinoma survival rate is very high—when detected early, the five-year survival rate is 99 percent. Even if squamous cell carcinoma has spread to nearby lymph nodes, the cancer may be effectively treated through a combination of surgery and radiation treatment.
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Is squamous cell carcinoma serious?

Squamous Cell Carcinoma Complications

If it's not treated, squamous cell carcinoma can spread and damage healthy tissue and organs. In rare cases, it can be life-threatening. That can be more likely if: The cancer is large or very deep.
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