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Male patient, 71 years old, has hypertension under stable treatment, and his mother
has had facial skin lesions removed. The patient does not play outdoor sports, and
protects his skin well when exposed to the sun; no smoking; 2 glasses of wine per
day. 2 years ago, a skin lesion on the scalp was removed with diagnosis of Squamous
cell carcinoma in situ.

At last visit, the patient was concerned about a new skin lesion that appeared on the
scalp, lasted 3 months, and did not respond to topical antibiotics. The results show
that Invasive moderately-differentiated Squamous cell carcinoma.

Skin cancer develops primarily on areas of sun-exposed skin, including the scalp,
face, lips, ears, neck, chest, arms and hands, and on the legs in women. But it can also
form on areas that rarely see the light of day — your palms, beneath your fingernails
or toenails, and your genital area.

Skin cancer affects people of all skin tones, including those with darker complexions.
When melanoma occurs in people with dark skin tones, it's more likely to occur in
areas not normally exposed to the sun, such as the palms of the hands and soles of the

Squamous cell carcinoma may appear as:
– A firm, red nodule
– A flat lesion with a scaly, crusted surface.

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