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SCC Perineural Invasion — SCE Dermatology MCQ

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HardSkin CancerSCC Perineural InvasionSCE Dermatology

A temple cutaneous squamous cell carcinoma has histological perineural invasion and new facial paraesthesia. Which next step best addresses the adverse feature?

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Correct answer: C — MRI of the nerve pathway and specialist MDT review

Neurological symptoms imply clinically significant perineural spread. MRI should map the involved nerve towards the skull base, and a specialist multidisciplinary team should coordinate resection and consideration of radiotherapy.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines