Sandbox: Verrucous carcinoma: Difference between revisions

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==Historical Perspective==
==Historical Perspective==
*Verrucous carcinoma was first discovered by [scientist name], a [nationality + occupation], in [year] during/following [event].
*Verrucous carcinoma was first discovered by [scientist name], a [nationality + occupation], in [year] during/following [event].
*In [year], [gene] mutations were first identified in the pathogenesis of verrucous carcinoma.
 
*In [year], the first [discovery] was developed by [scientist] to treat/diagnose verrucous carcinoma.
   
   
==Classification==
==Classification==
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==Pathophysiology==
==Pathophysiology==
*The pathogenesis of verrucous carcinoma is characterized by [feature1], [feature2], and [feature3].
*The pathogenesis of verrucous carcinoma is characterized by  
*The [gene name] gene/Mutation in [gene name] has been associated with the development of verrucous carcinoma, involving the [molecular pathway] pathway.
*The [gene name] gene/Mutation in [gene name] has been associated with the development of verrucous carcinoma, involving the [molecular pathway] pathway.
*On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of verrucous carcinoma.
*On gross pathology, characteristic findings of verrucous carcinoma include:
*On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of verrucous carcinoma.
*On microscopic histopathological analysis, characteristic findings of verrucous carcinoma include:
   
   
==Causes==
==Causes==
* Verrucous carcinoma may be caused by either [cause1], [cause2], or [cause3].
* Common causes of verrucous carcinoma, include:
* Verrucous carcinoma is caused by a mutation in the [gene1], [gene2], or [gene3] gene[s].
 
* There are no established causes for verrucous carcinoma.
   
   
==Differentiating verrucous carcinoma from other Diseases==
==Differentiating Verrucous Carcinoma from Other Diseases==
*Verrucous carcinoma must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as:
*Verrucous carcinoma must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as:
:*[Differential dx1]
:*[Differential dx1]
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*Patients of all age groups may develop verrucous carcinoma.
*Patients of all age groups may develop verrucous carcinoma.
   
   
*Verrucous carcinoma is more commonly observed among patients aged [age range] years old.
*Verrucous carcinoma is more commonly observed among patients aged 50 to 80 years old.
*Verrucous carcinoma is more commonly observed among [elderly patients/young patients/children].
*Verrucous carcinoma is more commonly observed among [elderly patients/young patients/children].
   
   
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*[Gender 1] are more commonly affected with verrucous carcinoma than [gender 2].
*[Gender 1] are more commonly affected with verrucous carcinoma than [gender 2].
* The [gender 1] to [Gender 2] ratio is approximately [number > 1] to 1.
*The [gender 1] to [Gender 2] ratio is approximately [number > 1] to 1.
   
   
===Race===
===Race===
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==Risk Factors==
==Risk Factors==
*Common risk factors in the development of verrucous carcinoma are [risk factor 1], [risk factor 2], [risk factor 3], and [risk factor 4].
*Common risk factors in the development of verrucous carcinoma, include:
 
== Natural History, Complications and Prognosis==
== Natural History, Complications and Prognosis==
*The majority of patients with verrucous carcinoma remain asymptomatic for [duration/years].  
*The majority of patients with verrucous carcinoma remain asymptomatic for [duration/years].  
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== Diagnosis ==
== Diagnosis ==
===Diagnostic Criteria===
===Diagnostic Criteria===
*The diagnosis of verrucous carcinoma is made when at least [number] of the following [number] diagnostic criteria are met:
*The diagnosis of verrucous carcinoma is made with the following diagnostic criteria:  
:*[criterion 1]
:*[criterion 1]
:*[criterion 2]
:*[criterion 2]
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:*[symptom 2]
:*[symptom 2]
:*[symptom 3]
:*[symptom 3]
:*[symptom 4]
 
:*[symptom 5]
:*[symptom 6]
   
   
=== Physical Examination ===
=== Physical Examination ===
*Patients with verrucous carcinoma usually appear [general appearance].
*Patients with verrucous carcinoma usually appear malnourished.
*Physical examination may be remarkable for:
*Physical examination may be remarkable for:
:*[finding 1]
:*[finding 1]
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*There are no specific laboratory findings associated with verrucous carcinoma.
*There are no specific laboratory findings associated with verrucous carcinoma.


*A  [positive/negative] [test name] is diagnostic of verrucous carcinoma.
===Imaging Findings===  
*An [elevated/reduced] concentration of [serum/blood/urinary/CSF/other] [lab test] is diagnostic of verrucous carcinoma.
*Other laboratory findings consistent with the diagnosis of verrucous carcinoma include [abnormal test 1], [abnormal test 2], and [abnormal test 3].
===Imaging Findings===
*There are no [imaging study] findings associated with verrucous carcinoma.
*[Imaging study 1] is the imaging modality of choice for verrucous carcinoma.
*[Imaging study 1] is the imaging modality of choice for verrucous carcinoma.
*On [imaging study 1], verrucous carcinoma is characterized by [finding 1], [finding 2], and [finding 3].
*On [imaging study 1], verrucous carcinoma is characterized by [finding 1], [finding 2], and [finding 3].
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== Treatment ==
== Treatment ==
=== Medical Therapy ===
=== Medical Therapy ===
*There is no treatment for verrucous carcinoma; the mainstay of therapy is supportive care.
*The mainstay of therapy for verrucous carcinoma, includes:
 
*The mainstay of therapy for verrucous carcinoma is [medical therapy 1] and [medical therapy 2].
*[Medical therapy 1] acts by [mechanism of action1].
*Response to [medical therapy 1] can be monitored with [test/physical finding/imaging] every [frequency/duration].
   
   
=== Surgery ===
=== Surgery ===
*Surgery is the mainstay of therapy for verrucous carcinoma.
*Surgery is the mainstay of therapy for verrucous carcinoma.
*[Surgical procedure] in conjunction with [chemotherapy/radiation] is the most common approach to the treatment of verrucous carcinoma.
*[Surgical procedure] in conjunction with [chemotherapy/radiation] is the most common approach to the treatment of verrucous carcinoma.
*[Surgical procedure] can only be performed for patients with [disease stage] verrucous carcinoma.
 
=== Prevention ===
=== Prevention ===
*There are no primary preventive measures available for verrucous carcinoma.
*There are no primary preventive measures available for verrucous carcinoma.

Revision as of 13:29, 11 May 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Synonyms and keywords: Synonym 1; Synonym 2; Synonym 3

Overview

Historical Perspective

  • Verrucous carcinoma was first discovered by [scientist name], a [nationality + occupation], in [year] during/following [event].


Classification

  • Verrucous carcinoma may be classified according to [classification method] into [number] subtypes/groups:
  • [group1]
  • [group2]
  • [group3]
  • Other variants of verrucous carcinoma include [disease subtype 1], [disease subtype 2], and [disease subtype 3].

Pathophysiology

  • The pathogenesis of verrucous carcinoma is characterized by
  • The [gene name] gene/Mutation in [gene name] has been associated with the development of verrucous carcinoma, involving the [molecular pathway] pathway.
  • On gross pathology, characteristic findings of verrucous carcinoma include:
  • On microscopic histopathological analysis, characteristic findings of verrucous carcinoma include:

Causes

  • Common causes of verrucous carcinoma, include:


Differentiating Verrucous Carcinoma from Other Diseases

  • Verrucous carcinoma must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as:
  • [Differential dx1]
  • [Differential dx2]
  • [Differential dx3]

Epidemiology and Demographics

  • The prevalence of verrucous carcinoma is approximately [number or range] per 100,000 individuals worldwide.
  • In [year], the incidence of verrucous carcinoma was estimated to be [number or range] cases per 100,000 individuals in [location].

Age

  • Patients of all age groups may develop verrucous carcinoma.
  • Verrucous carcinoma is more commonly observed among patients aged 50 to 80 years old.
  • Verrucous carcinoma is more commonly observed among [elderly patients/young patients/children].

Gender

  • Verrucous carcinoma affects men and women equally.
  • [Gender 1] are more commonly affected with verrucous carcinoma than [gender 2].
  • The [gender 1] to [Gender 2] ratio is approximately [number > 1] to 1.

Race

  • There is no racial predilection for verrucous carcinoma.
  • Verrucous carcinoma usually affects individuals of the [race 1] race.
  • [Race 2] individuals are less likely to develop verrucous carcinoma.

Risk Factors

  • Common risk factors in the development of verrucous carcinoma, include:

Natural History, Complications and Prognosis

  • The majority of patients with verrucous carcinoma remain asymptomatic for [duration/years].
  • Early clinical features include [manifestation 1], [manifestation 2], and [manifestation 3].
  • If left untreated, [#%] of patients with verrucous carcinoma may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
  • Common complications of verrucous carcinoma include [complication 1], [complication 2], and [complication 3].
  • Prognosis is generally [excellent/good/poor], and the [1/5/10­year mortality/survival rate] of patients with verrucous carcinoma is approximately [#%].

Diagnosis

Diagnostic Criteria

  • The diagnosis of verrucous carcinoma is made with the following diagnostic criteria:
  • [criterion 1]
  • [criterion 2]
  • [criterion 3]
  • [criterion 4]

Symptoms

  • Verrucous carcinoma is usually asymptomatic.
  • Symptoms of verrucous carcinoma may include the following:
  • [symptom 1]
  • [symptom 2]
  • [symptom 3]


Physical Examination

  • Patients with verrucous carcinoma usually appear malnourished.
  • Physical examination may be remarkable for:
  • [finding 1]
  • [finding 2]
  • [finding 3]
  • [finding 4]
  • [finding 5]
  • [finding 6]

Laboratory Findings

  • There are no specific laboratory findings associated with verrucous carcinoma.

Imaging Findings

  • [Imaging study 1] is the imaging modality of choice for verrucous carcinoma.
  • On [imaging study 1], verrucous carcinoma is characterized by [finding 1], [finding 2], and [finding 3].
  • [Imaging study 2] may demonstrate [finding 1], [finding 2], and [finding 3].

Other Diagnostic Studies

  • Verrucous carcinoma may also be diagnosed using [diagnostic study name].
  • Findings on [diagnostic study name] include [finding 1], [finding 2], and [finding 3].

Treatment

Medical Therapy

  • The mainstay of therapy for verrucous carcinoma, includes:


Surgery

  • Surgery is the mainstay of therapy for verrucous carcinoma.
  • [Surgical procedure] in conjunction with [chemotherapy/radiation] is the most common approach to the treatment of verrucous carcinoma.

Prevention

  • There are no primary preventive measures available for verrucous carcinoma.
  • Effective measures for the primary prevention of verrucous carcinoma include [measure1], [measure2], and [measure3].
  • Once diagnosed and successfully treated, patients with verrucous carcinoma are followed-up every [duration]. Follow-up testing includes [test 1], [test 2], and [test 3].

References