I discovered a pimple on my chin which in 4 short weeks had grown rapidly, was excised and diagnosed as SCC pT3. The tumour was removed with clear margins but only just in some areas. Histology said SCC, moderately differentiated, invading deep skeletal muscle, widespread perineural invasion with some lympovascular invasion. It had a margin in one area of < 0.1mm due to separate focus of tumour embolus with a vessel.
It was referred to a MDT who recommended 2nd op with wider excision which has since been done and it was felt clear margins achieved after that. after that the MDT recommendation is just to do regular skin checks.
I asked if they would check if it has spread (untrasound/ CT scan/MRI but they said NICE guidelines do not necessitate it and they do not recommend radiotherapy.
im so concerned about the perineural invasion and don’t understand the line about the rumour embololus.
I also don’t understand why it grew so aggressively and so quickly. I’m not a sunbather although am a fair skinned 57 year old.x
I am looking for some reassurance that the invasions they mentioned don’t require further investigation?
when I go for my follow up checks the consultant only checks the area around my original SCC as he says this is where it is most likely to reappear. I am concerned that I should have full body scan/ mapping to ensure there are no other areas of concern now but this doesn’t seem to be offered. Is this something I should be asking for?
