Description

A staging system was developed at Brigham and Women's Hospital (BWH) for cutaneous squamous cell carcinoma.


 

Parameters:

(1) tumor diameter in cm

(2) histologic differentiated

(3) perineural invasion

(4) tumor invasion

Parameter

Findings

Points

tumor diameter

< 2 cm

0

 

>= 2 cm

1

histologic differentiation

well or moderately differentiated

0

 

poorly-differentiated

1

perineural invasion

none

0

 

< 0.1 mm

0

 

>= 0.1 mm

1

tumor invasion

skin or subcutaneous fat

0

 

beyond fat

1

 

number of risk factors =

= SUM(points for all 4 paraemters)

 

Number of Risk Factors

Bone Invasion

Stage

0

no

T1

1

no

T2a

2 or 3

no

T2b

4

no

T3

NA

yes

T3

 


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