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头皮基底样鳞状细胞癌源自先前存在的圆柱瘤并转移至脑:一例罕见病例报告

Basaloid Squamous Cell Carcinoma of Scalp From A Pre-Existing Cylindroma Metastasising To Brain: A Rare Case Report.

作者信息

Diwakar Impana Bellavara, Srinivas Teerthanath, Kolakebail Jayaram Shetty, Shetty Jayaprakash, Kukreja Prachi

机构信息

Postgraduate Student, Department of Pathology, KS Hegde Medical Academy , Mangalore, India .

Professor, Department of Pathology, KS Hegde Medical Academy , Mangalore, India .

出版信息

J Clin Diagn Res. 2016 May;10(5):ED16-7. doi: 10.7860/JCDR/2016/15691.7836. Epub 2016 May 1.

Abstract

Squamous cell carcinoma (SCC) is the second most common non-melanoma skin cancer and accounts for 90% of head and neck malignancies. Intracranial metastases of SCC are extremely rare. We are reporting a case of 55-year-old female with history of recurrent swelling over right side of forehead which was previously reported as cylindroma. CT scan of head revealed irregular lytic areas in right frontal bone suggestive of erosion. There were multiple small, rim enhancing lesions in bilateral parietal regions. Clinically it was diagnosed as malignant adnexal tumour. Wide excision of the lesion revealed features of invasive basaloid squamous cell carcinoma, probably a malignant transformation of the pre-existing cylindroma.

摘要

鳞状细胞癌(SCC)是第二常见的非黑色素瘤皮肤癌,占头颈部恶性肿瘤的90%。SCC的颅内转移极为罕见。我们报告一例55岁女性,有右侧前额反复肿胀病史,此前报告为圆柱瘤。头部CT扫描显示右侧额骨有不规则溶骨性区域,提示骨质侵蚀。双侧顶叶区域有多个小的环形强化病灶。临床上诊断为恶性附属器肿瘤。病变广泛切除后显示为浸润性基底样鳞状细胞癌特征,可能是先前存在的圆柱瘤发生了恶性转化。

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