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Microinvasive SCC
Microinvasive SCC
Rosettes: 4 bright white dots arranged in a square (not specific to SCC's - can be seen in AK's, chronic sun damaged skin etc.)
Squamous cell carcinoma in situ
Squamous cell carcinoma in situ
SCC with clear cell change
SCC with clear cell change
SCC
SCC
SCC
SCC
Yellow Scale: White to yellow and flaky. Correlates histologically to hyperkeratosis and parakeratosis
vs crust which is yellow/orange, dried serum or blood
White Circles: White circles are an important dermoscopic clue for SCC and keratoacanthoma.
Bright white circles surrounding follicular openings
Highly specific for SCC and keratoacanthoma
May contain a central yellow-orange keratin plug
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