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Case Reports
. 2019 Aug 30;12(8):e229940.
doi: 10.1136/bcr-2019-229940.

High-risk squamous cell carcinoma and its impact on a 62-year-old male surgeon

Jubran Jubran  1 , Roberta D Sengelmann  1   2
Affiliations
Case Reports

High-risk squamous cell carcinoma and its impact on a 62-year-old male surgeon

Jubran Jubran et al. BMJ Case Rep. .

Abstract

Cutaneous squamous cell carcinoma (cSCC) is a form of non-melanoma skin cancer responsible for more deaths in the USA than all other skin cancers combined. Some features, including anatomic site, are considered high risk in nature and pose a challenge for complete tumour removal. We present a case of a 62-year-old male surgeon with a multiply recurrent cSCC of the right conchal bowl. The tumour described herein was doubly recurrent to excision with a standard margin and could ultimately not be cleared with Mohs micrographic surgery. Ultimately, it necessitated auriculectomy and parotidectomy. This case exemplifies the pitfalls of traditional wide local excision with standard pathologic processing for high-risk cSCC.

Keywords: dermatology; healthcare improvement and patient safety; skin cancer; surgical oncology.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Initial presentation of a 2.5×1.5 cm eroded, hyperkeratotic papule.
Figure 2
Figure 2
Histopathology slide showing cord-like nests of moderately differentiated atypical squamous epithelial cells exhibiting eosinophilic cytoplasm adjacent to a small diameter nerve.
Figure 3
Figure 3
Post-MMS defect. MMS, Mohs micrographic surgery.
Figure 4
Figure 4
The patient s/p right auriculectomy and parotidectomy.
See this image and copyright information in PMC

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