Treatment of Superficially Invasive Squamous Cell Carcinoma – Case Report from Village Dermatology in Katy & Houston, Texas
At Village Dermatology, we provide timely diagnosis and treatment of skin cancers to help patients achieve the best possible outcomes. This case involves a 69-year-old woman treated for superficially invasive squamous cell carcinoma (SCC) of the thigh using electrodesiccation and curettage (ED&C).
Patient Background
The patient was initially evaluated on July 30, 2025 for a suspicious skin lesion on her right anterior proximal thigh. A shave biopsy was performed, and pathology confirmed superficially invasive squamous cell carcinoma. At her follow-up visit, we discussed treatment options and recommended ED&C for removal of the tumor.
Clinical Examination
During the follow-up visit, the patient was healthy, alert, and in no distress. Examination revealed an erythematous, tender nodule with hyperkeratotic scale at the biopsy site.
Initial tumor size: 0.5 cm
Final size after curettage: 0.9 cm
Treatment – Electrodesiccation and Curettage (ED&C)
After obtaining informed consent and reviewing the biopsy photograph, the lesion site was prepped with alcohol, and local anesthesia with lidocaine and epinephrine was administered.
The tumor was removed in four cycles of curettage followed by electrodesiccation until no visible tumor remained. The wound was cleaned and dressed with a pressure bandage. The patient received detailed post-procedure care instructions.
We discussed risks such as infection, scarring, bleeding, delayed healing, nerve injury, incomplete removal, allergic reaction to anesthesia, and recurrence. Alternatives, including surgical excision and radiation therapy, were also reviewed.
Additional Diagnosis – Verruca Vulgaris
The patient also had a history of plantar warts, successfully treated in the past with compounded wart cream. For current lesions, we prescribed:
Salicylic acid 17% topical liquid – Apply once daily as directed.
Education included how warts are caused by HPV, are contagious via direct contact, and may require multiple treatments for resolution.
Follow-Up
The patient will continue topical wart treatment at home and return for routine skin checks to monitor for SCC recurrence or new lesions.
Key Takeaway for Patients in Katy & Houston, Texas
Squamous cell carcinoma is a common form of skin cancer that, when detected early, can often be treated effectively in-office with ED&C. Regular skin exams and prompt evaluation of new or changing lesions are critical for early detection.
At Village Dermatology, we provide expert skin cancer diagnosis, treatment, and prevention services for patients in Katy and Houston, Texas.
If you notice a persistent, scaly, or tender spot on your skin, schedule an appointment for a professional skin evaluation.
