Parizad N, Faraji N, Goli R, Salmanzadeh H, Mostafaei B, Bisafar MH. Extensive excisional surgery; the last hope for a patient with human papillomavirus-associated severe head and neck squamous cell carcinoma: A case report.
Int J Surg Case Rep 2022;
94:107049. [PMID:
35413673 PMCID:
PMC9010730 DOI:
10.1016/j.ijscr.2022.107049]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 04/03/2022] [Accepted: 04/05/2022] [Indexed: 11/17/2022] Open
Abstract
Introduction and importance
Cutaneous squamous cell carcinoma (CSCC) is one of the most common malignant tumors of skin cancer. Most of these cancers occur on the head and neck. CSCC makes up the seventh most common type of cancer worldwide. The incidence of human papillomavirus (HPV)-associated head and neck squamous cell carcinoma became more prevalent, and HPV infection is mainly linked to head and neck squamous cell carcinoma (HNSCC).
Case presentation
A 57-year-old non-smoking man was admitted to Omid Hospital in Urmia, West Azerbaijan, Iran; there were extensive bleeding masses on his head and neck due to squamous cell carcinoma (SCC), and he has been diagnosed with HPV infection so accidentally. The operation room had prepared for excisional treatment and the masses had been removed as much as possible. Patient was referred to the wound care team to receive advanced treatment interventions.
Clinical discussion
Incidence of HPV-associated HNSCC has been more noticeable recently, and HPV infection alone can be a distinct risk factor for metastatic HNSCC. Most patients with HPV positive have peripheral lymph node involvement. Radiation therapy and surgery can offer equally good long-term results in small initial head and neck tumors. Traditionally, advanced head and neck tumors managed surgically more advantageous.
Conclusion
This case illustrates that history of HPV positive can be associated with a more severe and resistant type of HNSCC with poor treatment outcomes. Patients with HPV should be monitored regularly for HNSCC, and treatment should be started as soon as possible for a better result.
Cutaneous squamous cell carcinoma (CSCC) is one of the most common malignant tumors of skin cancer.
Approximately 80% of cutaneous squamous cell carcinoma (CSCC) occur on the head and neck.
The human papillomavirus (HPV) is a third risk factor for head and neck carcinogenesis.
Advanced head and neck tumors are managed surgically is more advantageous.
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