Shapera Emanuel A, Kim Paul D
Department of General Surgery, University of New Mexico (UNM) School of Medicine, MSC 10 5610, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Department of Head & Neck Surgery, Kaiser Fontana/Ontario, 9961 Sierra Avenue, Fontana, CA 92335, USA.
Case Rep Surg. 2016;2016:9170424. doi: 10.1155/2016/9170424. Epub 2016 Aug 17.
A 50-year-old African American male with Discoid Lupus Erythematosus (DLE) presented to the dermatology clinic for a rapidly enlarging left cheek mass. The mass failed to resolve with conservative measures. A biopsy revealed poorly differentiated Squamous Cell Carcinoma (SCC). He was referred to Head and Neck Surgery and successfully underwent a resection with free flap reconstruction. Postoperatively he did well. Squamous cell skin carcinomas arising from lesions of Discoid Lupus are rare and aggressive tumors with greater likelihood of metastases. Cases have been reported among patients with different clinical characteristics; we present a rare case arising in an African American male on the face and involving the ear.
一名患有盘状红斑狼疮（DLE）的50岁非裔美国男性因左脸颊肿物迅速增大就诊于皮肤科诊所。该肿物经保守治疗后未消退。活检显示为低分化鳞状细胞癌（SCC）。他被转诊至头颈外科，并成功接受了游离皮瓣重建切除术。术后恢复良好。由盘状狼疮病变引发的皮肤鳞状细胞癌是罕见且侵袭性强的肿瘤，转移可能性更大。不同临床特征的患者中均有病例报道；我们在此呈现一例发生于一名非裔美国男性面部且累及耳部的罕见病例。
