Jubran Jubran, Sengelmann Roberta D
Santa Barbara Skin Institute, Santa Barbara, California, USA.
Dermatology, Irvine School of Medicine, University of California, Irvine, California, USA.
BMJ Case Rep. 2019 Aug 30;12(8):e229940. doi: 10.1136/bcr-2019-229940.
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.
皮肤鳞状细胞癌（cSCC）是一种非黑色素瘤皮肤癌，在美国导致的死亡人数超过其他所有皮肤癌的总和。包括解剖部位在内的一些特征本质上被认为是高风险的，给完整切除肿瘤带来了挑战。我们报告一例62岁男性外科医生，患有右耳甲腔多发性复发性cSCC。本文所述肿瘤经标准切缘切除后复发两次，最终无法通过莫氏显微外科手术清除。最终，需要进行耳廓切除术和腮腺切除术。该病例例证了对高风险cSCC采用传统广泛局部切除加标准病理处理的缺陷。
