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Leal Z, Hobbs M, Gill R, Banfield M, Akhdar M, Casadesus D. Rapidly Growing Giant Squamous Cell Carcinoma of the Head: A Case Report. Cureus 2024; 16:e59630. [PMID: 38832174 PMCID: PMC11146447 DOI: 10.7759/cureus.59630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2024] [Indexed: 06/05/2024] Open
Abstract
Giant squamous cell carcinoma (GSCC) of the skin arising on the head presents a distinctive clinical challenge due to its rarity, aggressive behavior, and potential for disfigurement. A male in his 70s with a history of tobacco cigarette use presented to the emergency department with a painful, bleeding mass on the right parietal scalp. On admission, a brain CT revealed a fungating mass with no cortical breakthrough or osseous erosion, measuring 7.9 x 5.7 x 2.5 cm. An ultrasound-guided tissue biopsy was performed and revealed poorly differentiated squamous cell carcinoma. The patient was discharged home with instructions from oncology to continue with outpatient treatment. At this time, the prognosis is good if treatment is received.
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Affiliation(s)
- Zachary Leal
- Internal Medicine, Jackson Memorial Hospital, Miami, USA
| | - Mikayla Hobbs
- Internal Medicine, Jackson Memorial Hospital, Miami, USA
| | - Razia Gill
- Internal Medicine, Jackson Memorial Hospital, Miami, USA
| | - Megan Banfield
- Medicine and Surgery, Jackson Memorial Hospital, Miami, USA
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Brambullo T, Azzena GP, Toninello P, Masciopinto G, De Lazzari A, Biffoli B, Vindigni V, Bassetto F. Current Surgical Therapy of Locally Advanced cSCC: From Patient Selection to Microsurgical Tissue Transplant. Review. Front Oncol 2021; 11:783257. [PMID: 34950589 PMCID: PMC8690035 DOI: 10.3389/fonc.2021.783257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Accepted: 11/17/2021] [Indexed: 11/29/2022] Open
Abstract
Among the non-melanoma skin cancers (NMSC) the squamous cell carcinoma (SCC) is one of the most challenging for the surgeon. Local aggressiveness and a tendency to metastasize to regional lymph nodes characterize the biologic behavior. The variants locally advanced and metastatic require wide excision and node dissection. Such procedures can be extremely detrimental for patients. The limit of the surgery can be safely pushed forward with a multidisciplinary approach. The concept of skin oncoplastic surgery, the ablative procedures and the reconstructive options (skin graft, pedicled flap, microsurgical free flap) are discussed together with a literature review.
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Affiliation(s)
- Tito Brambullo
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
| | - Gian Paolo Azzena
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
| | - Paolo Toninello
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
| | - Giuseppe Masciopinto
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
| | - Alberto De Lazzari
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
| | - Bernardo Biffoli
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
| | - Vincenzo Vindigni
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
| | - Franco Bassetto
- Clinic of Plastic Surgery, Department of Neurosciences, Padua University Hospital, Padua, Italy
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van Dam V, Trinh XB, An B, Julien L. Extra-anogenital giant cutaneous squamous cell carcinomas require multidisciplinary management. Cancer Treat Res Commun 2021; 28:100413. [PMID: 34126577 DOI: 10.1016/j.ctarc.2021.100413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 05/03/2021] [Accepted: 05/26/2021] [Indexed: 06/12/2023]
Abstract
Cutaneous squamous cell carcinoma (cSCC) is a highly prevalent cancer and the majority of cSCC have a good prognosis. However, a subset of cSCC can progress to advanced disease. We present the first reported case of a giant cSCC located on the breast. In addition, a systematic literature search on extra-anogenital giant (EAG) cSCC was performed using Pubmed and MEDLINE databases. Thirty-one articles could be retained which were relevant for this review. A total of 42 well-described cases were identified. Median age at presentation was 70 years (range 9-100 years). Twenty-four (57%) patients were male, eighteen were female (43%). The estimated median delay of treatment was 12 months (range 1 to >240 months). In 27 patients (64%) the giant cSCC was localized on the neck, face or scalp, 6 on the thoracic wall or back (14%), 4 on the lower limb (10%), 2 on the hip or buttock (5%), 2 on the upper limb (5%), one (2%) on the breast. Tumor stage at presentation was T2, T3 and T4 in respectively 26 (62%), 11 (26%) and 5 (12%) cases. Lymph node metastases were identified in 1 patient (2%) and distant metastases in another patient (2%). In 34 out of 42 cases (81%) primary radical surgical excision was performed, 3 received radiotherapy, 2 chemotherapy and 3 palliative care. In the cases with reported follow-up, four patients (4/30: 13%) died of disease. The treatment of EAG cSCC poses many problems, making a multidisciplinary approach of paramount importance.
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Affiliation(s)
- Valerie van Dam
- Department of Internal Medicine, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium.
| | - Xuan Bich Trinh
- Gynaecology Oncology, Antwerp University Hospital, Drie Eikenstraat 655, 2650, Edegem, Belgium
| | - Bervoets An
- Dermatology, Antwerp University Hospital, Drie Eikenstraat 655, 2650, Edegem, Belgium
| | - Lambert Julien
- Dermatology, Antwerp University Hospital, Drie Eikenstraat 655, 2650, Edegem, Belgium
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Wang Y, Liu M, Zheng Y, Feng Y. Eccrine poroma presented as spindle-shaped plaque: A case report. Medicine (Baltimore) 2021; 100:e25971. [PMID: 34011082 PMCID: PMC8137075 DOI: 10.1097/md.0000000000025971] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2021] [Accepted: 04/28/2021] [Indexed: 01/05/2023] Open
Abstract
RATIONALE Eccrine poroma, a benign cutaneous neoplasm originating from the intraepidermal portion of the eccrine sweat duct, is relatively common in clinical practice. Nevertheless, the 1 presenting as spindle-shaped plaque is extremely rare and easily misdiagnosed as seborrheic keratosis or other dermatoses. Thus, the current study demonstrates a case of eccrine poroma with unique clinical manifestation. PATIENTS CONCERNS A 47-year-old man presented with a spindle-shaped plaque on his left sole for 6 years. DIAGNOSES Based on the clinical and histopathological manifestations, diagnosis of eccrine poroma was established. INTERVENTIONS Surgical excision under local anesthesia was performed. OUTCOMES No recurrence or malignant transformation occurred within 6-month follow-up. LESSONS Eccrine poroma typically presents as a dome-shaped nodule on palm or sole. But this case reminded us the lesion presenting as a spindle-shaped plaque on sole can not rule out the possibility of eccrine poroma.
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Gonçalves Ferreira I, Boff AL, Luzzato L, Martins Souza PR, Bevilaqua M. Well-Differentiated Squamous Cell Carcinoma: Is Histological Differentiation a Relevant Prognostic Parameter? Dermatol Pract Concept 2021; 11:e2021034. [PMID: 33954017 DOI: 10.5826/dpc.1102a34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/21/2020] [Indexed: 10/31/2022] Open
Affiliation(s)
- Iago Gonçalves Ferreira
- Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Brazil.,Federal University of Health Sciences of Porto Alegre, Brazil
| | - Ana Letícia Boff
- Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Brazil
| | - Laura Luzzato
- Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Brazil
| | - Paulo R Martins Souza
- Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Brazil.,Federal University of Health Sciences of Porto Alegre, Brazil
| | - Mariele Bevilaqua
- Dermatology Service, Santa Casa de Misericórdia de Porto Alegre, Brazil
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Ferrigno P, Monaci N, Pangoni A, Comacchio G, Natale G, Faccioli E, Zuin A, Dell'Amore A, Rea F. Extensive abdominal and chest wall resection and reconstruction for invasive squamous cell carcinoma of the skin. J Thorac Dis 2020; 12:45-49. [PMID: 32055425 DOI: 10.21037/jtd.2019.08.08] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Pia Ferrigno
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Nicola Monaci
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Alessandro Pangoni
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Giovanni Comacchio
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Giuseppe Natale
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Eleonora Faccioli
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Andrea Zuin
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Andrea Dell'Amore
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
| | - Federico Rea
- Department of Cardiac-Thoracic Surgery, Vascular Sciences and Public Health, Division of Thoracic Surgery, University of Padua, Padua, Italy
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