AI Article Synopsis

  • There is substantial research on perineural invasion (PNI) in cutaneous squamous cell carcinoma (cSCC), but less is known about lymphovascular invasion (LVI) and how to manage it.
  • This article aims to review existing studies on LVI in cSCC and provide evidence-based management recommendations.
  • Findings indicate that LVI significantly increases the risk of poor outcomes, suggesting that tumors with LVI should be treated similarly to those with PNI due to their high-risk status.

Article Abstract

Background: Although there is a large body of literature regarding risk stratification and outcomes for perineural invasion (PNI) in cutaneous squamous cell carcinoma (cSCC), there is a relative paucity of studies exploring the role of lymphovascular invasion (LVI) in cSCC and a lack of clear evidence-based guidelines for how to manage patients with these tumors.

Objective: This article is intended to review the available literature regarding LVI in cSCC and formulate evidence-based recommendations for clinical management.

Methods And Materials: A literature review was conducted using PubMed to find relevant articles relating to outcomes and management of primary cSCC with LVI.

Results: The available literature suggests that LVI is a major risk factor for poor outcomes and increased morbidity and mortality in cSCC.

Conclusion: Lymphovascular invasion is a very high-risk feature that should place these tumors in the highest-risk category, and management of these tumors should be similar to that of squamous cell carcinoma with PNI.

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Source
http://dx.doi.org/10.1097/DSS.0000000000004187DOI Listing

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