Hello,

Thanks for posting your query.

I can understand your concern for these symptoms given your history of thyroid cancer and recurrent BCC (rash on scalp that has scabbed over can be due to :

1 ) Basal cell carcinoma. Since you already have a history of BCC and scalp is one of the commonest location after face and chest to be effected, so this possibility cannot be denied.

2)Actinic keratosis which appear as rough, red bumps on the scalp, face, ears etc and may invade deeper in the skin to become a fully-developed squamous cell carcinoma. Hence this lesion can be a squamous cell carcinoma. If biopsy confirms it as squamous cell carcinoma then it is generally treated by surgical excision or Mohs surgery.

3) Last possibility is of angiosarcoma which initially appears clinically innocent and may begin as ill-defined bruise like areas with an indurated border.

4)Appearance of ground glass spot in lung maybe due to :
•Pneumocystis pneumonia (PCP)
• Viral pneumonias
• Acute interstitial pneumonia
•Hypersensitivity pneumonitis
• Interstitial lung diseases (NSIP, DIP)
• Bronchoalveolar carcinoma

You will have to discuss this with your treating physician.

From these, diagnosis can only be confirmed after biopsy skin. Hence it is better to wait for the biopsy results and then decide the mode of treatment.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Hello,

Thanks for writing back.

The possibility of amelanotic melanoma is rare because it is one of the rare cancers that can occur on this site.

In women, common sites for a melanoma are the arms and legs and it is very rare for amelanotic melanoma to present on head.

An incisional biopsy technique is appropriate when the suspicion for melanoma is low, or when it is impractical to perform an excision.

However without examination and a biopsy result, it is very hard to say what type of growth this is.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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Hello,

Thanks for writing back. With the exception of cryotherapy, treatment options for SCC are similar to those for BCC. Moh's micrographic surgery is often used to treat high-risk tumors with poorly defined clinical borders and surgery is best suited to the management of tumors in cosmetically sensitive areas and scalp is one such area.


Radiation therapy is a logical treatment choice, particularly for patients with primary lesions requiring difficult or extensive surgery (e.g., nose, lip, or ears). Hence Moh's surgery may be preferred.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

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