Review Article

Histopathological Variants of Cutaneous Squamous Cell Carcinoma: A Review

Table 1

Histological differences between low-grade and high-grade SCC.

Low-Grade SCC
Well to moderately differentiated: intercellular bridges and keratin pearls
Tumor cells arranged in solid or sheet-like patterns
Association with solar damage and precursor actinic keratosis
Diameter less than 2 cm
Depth less than 2 mm

High-Grade SCC
Poorly differentiated: clear-cell, sarcomatoid, or single cell features
Presence of infiltrating individual tumor cells
Arising de novo or in site of prior injury (ulcer, burn scar, or osteomyleitis)
Perineural and/or perivascular invasion
Diameter greater than 2 cm
Depth greater than 2 mm