Name of the Condition

• Squamous Cell Carcinoma of Skin of Right Upper Limb, Including Shoulder
• Also known as non-melanoma skin cancer.

Summary

Squamous cell carcinoma (SCC) is a type of skin cancer that occurs in the squamous cells, which make up the middle and outer layers of the skin. Specifically, SCC of the skin on the right upper limb, including the shoulder, refers to cancer in these areas.

Causes

SCC typically results from prolonged exposure to ultraviolet (UV) radiation, either from sunlight or tanning beds. Other causes can include exposure to certain chemicals, history of skin injuries, or chronic inflammation.

Risk Factors

• Excessive exposure to UV light (sunlight or tanning beds).
• Light-colored skin, hair, and eyes.
• Older age.
• Male gender.
• Previous history of skin cancer.
• Chemical exposure (e.g., arsenic).
• Smoking.

Symptoms

• A firm, red nodule.
• A flat sore with a scaly crust.
• A new sore or raised area on an old scar or ulcer.
• Rough, scaly patches on the skin.

Diagnosis

• Physical examination by a healthcare provider.
• Skin biopsy to confirm cancer and determine its type and severity.

Treatment Options

• Surgical excision: Removing the cancerous tissue and some surrounding skin.
• Mohs surgery: Removing cancerous layers one at a time, carefully checking each layer for cancer cells.
• Radiation therapy: Using high-energy rays to destroy cancer cells.
• Cryotherapy: Freezing cancer cells with liquid nitrogen.

• Topical chemotherapy: Applying anti-cancer medications directly to the skin.

  Prognosis and Follow-Up

• SCC generally has a high cure rate when detected early.
• Regular skin checks and follow-ups are essential for early detection and prevention of recurrence.

Complications

• If left untreated, SCC can grow larger or metastasize to other parts of the body.
• Potential for significant disfigurement or scarring.

Lifestyle & Prevention

• Limit sun exposure, especially during peak hours.
• Apply broad-spectrum sunscreen with an SPF of 30 or higher.
• Wear protective clothing and hats.
• Avoid tanning beds.
• Check skin regularly for new growths or changes in existing lesions.

When to Seek Professional Help

• Appearance of new skin lesions.
• Changes in size, color, or texture of existing moles or skin patches.
• Any ulcers that do not heal.

Additional Resources

• American Academy of Dermatology
• Skin Cancer Foundation
• Local support groups for cancer patients and survivors.

Tips for Medical Coders

• Ensure specificity by noting 'right upper limb, including shoulder.'
• Keep up to date with ICD coding changes and updates.
• Verify documentation to avoid errors in laterality and site designation.