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Case Reports
. 2015 Nov 24;1(6):S5-7.
doi: 10.1016/j.jdcr.2015.09.016. eCollection 2015 Nov.

Adjuvant radiotherapy in high-risk cutaneous squamous cell cancer of the head and neck in immunosuppressed patients

Shlomo A Koyfman  1 , Nikhil Joshi  1 , Allison Vidimos  1
Affiliations
Case Reports

Adjuvant radiotherapy in high-risk cutaneous squamous cell cancer of the head and neck in immunosuppressed patients

Shlomo A Koyfman et al. JAAD Case Rep. .
No abstract available

Keywords: CT, computed tomography; HNCSCC, head and neck cutaneous squamous cell carcinoma; IMRT, intensity-modulated radiation therapy; MMS, Mohs micrographic surgery; PNI, perineural invasion; RT, radiation therapy; SCC, squamous cell carcinoma; adjuvant therapy; cutaneous squamous cell carcinoma; iatrogenic immunosuppression; organ transplantation; radiation therapy; skin cancer.

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Figures

Fig 1
Fig 1
A, Pre-auricular mass with overlying erythema. B, Axial section on contrast CT scan shows a 3.2- × 0.9- × 1.9-cm plaquelike soft tissue density of heterogeneous attenuation within the cutaneous and subcutaneous fat overlying and contiguous with the underlying right parotid gland and masseter muscle without distinct invasion. No lymphadenopathy was seen. C, Photomicrograph shows several peripheral nerve trunks with perineural carcinoma. An associated lymphocytic inflammatory infiltrate surrounding the perineurium is present. D, Axial (left panel) and coronal (right panel) sections on radiation planning CT scan show the high-dose planning target volume (in red) and low-dose planning target volume in blue. Isodose lines are depicted with 6000 cGy prescription line covering the high-dose target and the 5400 cGy line covering the elective nodal target. The high-dose target includes branches of the facial nerve as they track back toward the stylomastoid foramen. There is excellent sparing of intracranial and midline organs at risk. (C, Hematoxylin-eosin stain; original magnification: ×12.)
See this image and copyright information in PMC

References

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