squamous cell carcinoma – fighting skin cancer?
My father was dropped a bombshell just the other day with something that makes no sense to me:
– squamous cell carcinoma with perineural invasion -
It’s bad and he’s been given a short time limit. Is there anything we can do to fight this or at least stall it for a while longer? Does anyone know of anyone who has survived this form of cancer?
We don’t plan to take this lightly and will pursue every chance.
Any advice and info would be greatly appreciated by those with knowledge and experience.
Thank you!
What you are saying doesn’t make a lot of sense to me either and I do not think accurate information is being relayed to you. I think you need to be present during your father’s doctor appointments to be sure you are getting correct information. Simply having a diagnosis of SCC with perineural invasion or not, does not indicate a short time to live. What stage is your father’s cancer? This makes all the difference in the world. Metastases including to the regional lymph nodes, occurs in less than 35% of all SCC cases.
Surgical resection is the primary treatment for any skin cancer. It is fine to have a biopsy done by a dermatologist, but surgery is only done by a surgeon, not a dermatologist or a GP. There are several surgical techniques used with skin cancer and several factors are used to determine which technique is best for a particular case.
You are not giving much information to steer you in the right direction. However, perineural invasion is one of several indicators of recurrence and/or a more aggressive disease.
I suggest you discuss with your father’s doctors the possibility of using a Mohs surgery, especially if the cancer is on his face. With this method the tumor is microscopically mapped after it is excised and has a very high success rate of about 95%. You should be sure the surgeon is experienced in this procedure. If your father lives in a less populated area he may have to go to a larger city or a teaching facility to find an experienced surgeon.
Radiation therapy can actually be contradicted in some skin cancer cases as it may induce tumors in the area being treated, your father’s doctors would know if this is possible in your father’s case. However, radiation is often reserved for unusually aggressive SCC. X-rays are never used to treat any type of cancer. Hope this gives you a staring point. Best wishes to you and your dad.
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