López P A, Pedraza M, Moreno A, García O, Buitrago R, Mogollon G, Fory L, Conrado H
Department of General Surgery, Bosque University, Colombia; Bosque University, Colombia.
Department of General Surgery, Bosque University, Colombia; Bosque University, Colombia.
Int J Surg Case Rep. 2019;61:294-297. doi: 10.1016/j.ijscr.2019.07.068. Epub 2019 Aug 1.
Cutaneus squamous cell carcinoma (SCC) is the second most common type of nonmelanoma skin cancer. SCC is a malignant neoplasm of the skin characterized by aberrant proliferation of keratinocytes.
We report multidisciplinary surgical management of a 36-year-old male who presented with a huge cutaneous protruding tumor of the cervicothoracic wall. Clinically, he presented with a growing mass on the anterior cervicothoracic wall 3 years ago. Microscopic examination revealed SCC. He underwent complete excision of the lesion. The patient neglected attending our oncological department for receiving chemotherapy. Today, one year after surgery, he is alive without evidence of disease recurrence.
SCC treatment depends on location of the lesion, involvement of neighboring structures, functional level of the patient, and the patient's acceptance of the proposed management strategy.
We conclude that SCC can grow to a huge size if left untreated. Surgery by a multidisciplinary surgical team is the primary mode of treatment, followed by chemotherapy if necessary.
皮肤鳞状细胞癌（SCC）是第二常见的非黑色素瘤皮肤癌。SCC是一种皮肤恶性肿瘤，其特征为角质形成细胞异常增殖。
我们报告了一名36岁男性的多学科手术治疗情况，该患者出现了颈胸壁巨大的皮肤突出肿瘤。临床上，他3年前在前颈胸壁出现了一个不断增大的肿块。显微镜检查显示为SCC。他接受了病变的完整切除。该患者未到我们肿瘤科接受化疗。如今，术后一年，他存活且无疾病复发迹象。
SCC的治疗取决于病变位置、邻近结构的受累情况、患者的功能状态以及患者对所提议治疗策略的接受程度。
我们得出结论，如果不进行治疗，SCC可长得很大。多学科手术团队进行的手术是主要治疗方式，必要时随后进行化疗。
