Squamous Cell Carcinoma

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- Discussion:
    - squamous cell carcinoma: this tumor in the hand requires aggressive
          treatment (usually amputation);
    - is the most frequent primary malignancy of the hand;
    - recurrence rates are high (22%), and therefore radical surgical
          resection is recommended;
    - most cases of recurrence (67%) are associated w/ metastatic spread;
    - therefore lymphadenectomy is recommended, eventhough lymph nodes may
        or may not be palpated;