Re: Grading of Squamous Cell Carcinoma
Hello Oleander. I had vulvar VIN3 (in situ) which after 2 laser treatments, cryotherapy and numerous therapeutic biopsies I finally ended up with a vulvectomy. Have since dealt with invasive squamous cell of the anus from HPV in 1991 with resection, radiation therapy and chemo. Now some 18 years later am dealing with SCC Grade 3 same as you only mine is in the rectum. It is much easier to do a vulvectomy (my surgeon was the equivalent of a plastic surgeon and you never would have known). This totally removes any affected skin with what should be clear surrounding margins. I was scheduled to have surgery with my old surgeon in NYC this Monday to do local excision (all docs where I live want to do an APR, abdominoperitoneal resection and give me a colostomy) but insurance denies surgery due to out of network. Now I start all over again to find doctor at Duke which is where insurance is referring me. I wish you the best and please post what your anticipated treatment will be. Ask the doc about vulvectomy option that's the only thing that finally stopped the recurrent lesions after 4 years.
Last edited by Drafly; 03-26-2009 at 10:04 AM.
Reason: add'l info