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CNCH is frequently misdiagnosed as a cutaneous malignancy, particularly BCC or SCC. Metzger and Goodman 165 noted a clinical diagnosis of either malignant or premalignant lesions in 80% of the cases they reviewed. Unfortunately, the same mistake may be perpetuated by microscopic examination, particularly if the epidermal hyperplastic changes are misinterpreted as representing either SCC or hypertrophic actinic keratosis. Careful attention to the extensive dermal changes, usually some degree of cartilaginous alteration, the well-demarcated nature of the epidermal proliferation, and the lack of cytologic atypia in the adjacent epidermis should help in excluding a squamous neoplasm in cases of CNCH.

Central Regions:

  • Central Canyon Cave 1
  • Central Canyon Cave 2
  • Central Canyon Cave 3
  • Central Canyon Cave 4
  • Glass Lake
  • Ice Lake
  • Ingrids Pass
  • Murdersnow
  • Snow
  • Snow Forest
  • Snow Peak
  • The Ancients Tears
  • The Burning Mists
  • The Tunnels
  • Waterwall of the Ancients

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