Clinical, dermatoscopic, and ultrasonographic correlation of squamous cell carcinoma. Lucía Íñiguez Hospital, February 2023–November 2024
Keywords:
squamous cell carcinoma; dermoscopy; cutaneous ultrasonographyAbstract
Introduction: Cutaneous squamous cell carcinoma is the second most common skin cancer; although histopathology remains the gold standard, noninvasive techniques such as dermoscopy and ultrasonography are emerging as complementary tools.
Objective: To describe the clinical, dermatoscopic, and ultrasonographic correlation of squamous cell carcinoma at Lucia Iñiguez Hospital during the period from February 2023 to November 2024.
Method: A descriptive, observational, cross-sectional study was conducted on 32 patients in the Dermatology Department of the “Lucía Íñiguez Landín” Clinical Surgical Hospital. The study population consisted of all patients in the institution’s Dermatology Department—including both outpatients and inpatients—with a presumptive diagnosis of squamous cell carcinoma at admission, totaling 72 patients. The sample consisted of 32 patients, selected through non-probabilistic sampling based on the inclusion and exclusion criteria.
Results: The study showed a predominance of male patients (65.6 %), a concentration in the 60–74 age group (50 %), phototype II (56.2 %), and head-and-neck localization (59.4 %). Dermoscopy was positive in 84.4 % of cases, and ultrasonography was positive in 87.5 %.
Conclusions: Dermatoscopy (84.4 %) and ultrasound (87.5 %) showed high positive rates, with an overall agreement of 90.6 % and a statistically significant association. These findings validate the complementary use of both noninvasive methods in the presumptive diagnosis of cutaneous squamous cell carcinoma.
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1. Gangan R. Carcinoma basocelular: Epidemiología. J Skin Sex Transm Dis. 2022 [citado 23/06/2023];4(2);157-163. Disponible en: https://jsstd-org.translate.goog/basal-cell-carcinoma-epidemiology/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=es&_x_tr_pto=tc
2. Narayanan DL, Saladi RN,Fox JL. Ultraviolet radiation and skin cancer. Int J Dermatol. 2010 [citado 23/06/2023];49(9):978-986. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1365-4632.2010.04474.x
3. Cuba. Ministerio de Salud Pública. Anuario estadístico de Salud 2021. La Habana: MINSAP; 2022. Disponible en: https://files.sld.cu/dne/files/2022/10/Anuario-Estadistico-de-Salud-2021.-Ed-2022.pdf
4. Perera Cadavieco E, Valdés González M, Darias Domínguez C, Pérez Pagés PA. Avances en el tratamiento del cáncer de piel no melanoma: revisión de la literatura actual. Med Est. 2025 [citado 06/10/2025];5:e393. Disponible en: https://revmedest.sld.cu/index.php/medest/article/view/393
5. Tschandl P, Rosendahl C, Kittler H. The HAM10000 dataset, a large collection of multi-source dermatoscopic images of common pigmented skin lesions. Sci Data. 2018[citado 23/06/2023];5: 180161. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6091241/
6. Hernández Ibáñez C, Aguilar Bernier M, de Troya Martín M. Ecografía aplicada al manejo del cáncer cutáneo no melanoma. Actas Dermosifiliogr. 2023 [citado 23/06/2023];106():1-102.Disponible en: https://www.actasdermo.org/es-ecografia-aplicada-al-manejo-del-articulo-S0001731016300047
7. Stang A, Hauschild A. Descriptive epidemiology of cutaneous melanoma – A treasure for generating hypotheses. J Am Acad Dermatol. 2023 [citado 23/06/2023].88(2):320-328. https://pmc.ncbi.nlm.nih.gov/articles/PMC8454814/
8. Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, Abdelalim A, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study .JAMA Oncol.2019[citado 23/06/2023];5(12):1749-1768.Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6777271/
9. Tokez S, Hollestein L, Louwman MW , Nijsten T,Wakkee M. Incidence of Multiple vs First Cutaneous Squamous Cell Carcinoma on a Nationwide Scale and Estimation of Future Incidences of Cutaneous Squamous Cell Carcinoma.JAMA Dermatol. 2020 [citado 23/06/2023];156(12):1300-1306.Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC7593880/
10. Apalla Z, Lallas A, Sotiriou E, Lazaridou E, Ioannides D. Epidemiological trends in skin cancer. Dermatol Pract Concept. 2017 [citado 23/06/2023];7(2):1-6. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC5424654/
11. Que SKT, Zwald FO, Schmults CD. Cutaneous squamous cell carcinoma: Incidence, risk factors, diagnosis, and staging. J Am Acad Dermatol. 2018[citado 23/06/2023];78(2):237-247.Disponible en: https://www.jaad.org/article/S0190-9622(17)32325-3/abstract
12. Roscher I, Falk RS, Vos L, Clausen OPF, Helsing P, Gjersvik P, et al. Validating 4 Staging Systems for Cutaneous Squamous Cell Carcinoma Using Population-Based Data: A Nested Case-Control Study. JAMA Dermatol. 2018 [citado 23/06/2023];154(4):428-434.Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC5876840/
13. Nassiri Kashani M, Sadr B, Fanian F, Kamyab K, Noormohammadpour P, Mirshams Shahshahani M, et al. Pre-operative assessment of basal cell carcinoma dimensions using high frequency ultrasonography and its correlation with histopathology. Skin Res Technol
.2013 [citado 23/06/2023];19(1):132-138. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/j.1600-0846.2012.00619.x
14. Deinlein T, Richtig G, Schwab C, Scarfi F, Arzberger E, Wolf I. The use of dermatoscopy in diagnosis and therapy of nonmelanocytic skin cancer. J Dtsch Dermatol Ges. 2016 [citado 23/06/2023];14(2):144-151. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/ddg.12903
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