Procedure: Excision
Tumor site: Skin (unspecified)
Histologic type: Squamous cell carcinoma, keratoacanthoma-type
Histologic grade: G1, well-differentiated
Tumor size: 1.8 × 1.7 cm
Tumor thickness: 3 mm
Anatomic level: Dermis
Peripheral margins: Negative (closest margin 0.8 cm)
Deep margin: Negative (2 mm)
Lymphovascular invasion: Not identified
Perineural invasion: Not identified
Pathologic Staging (AJCC 8th Edition):
pT1 NX MX
pT1: Tumor ≤ 2 cm with fewer than two high-risk features
pNX: Nodes not submitted
pMX: Distant metastasis not assessed
3-month history of a lesion on the right temple, clinically suspected to be Squamous Cell Carcinoma.
Skin ellipse measuring 4.5 x 3.8 x 1.5 cm, showing an ulcerated mass measuring 1.8 x 1.7 cm. The mass was 0.2 cm away from the deep margin, 0.8 cm away from the superior margin, 1.3 cm away from the inferior margin, 1.5 away from medial margin, and 1.2 cm away from the lateral margin.
Skin, wide excision: