Yahyaoui Mounir, Abbassi Najib, Derfoufi Abdelhafid, Daoudi Abdelkarim, Agoumi Omar, Yacoubi Hicham, Najib Abdeljaouad, Serji Badr, Elharroudi Tijjani, Mouzouri Nabil, Dikhaye Siham, Zizi Nada, Hadjkacem Hanane
Trauma-Orthopedics Service, University Hospital Mohammed VI, Oujda, Morocco.
Oncology Surgery Service, University Hospital, Mohammed VI, Oujda, Morocco.
Pan Afr Med J. 2020 Jul 27;36:215. doi: 10.11604/pamj.2020.36.215.11644. eCollection 2020.
Giant squamous cell carcinomas (SCC) larger than 5 cm in diameter are uncommon; there is no guideline on the size of an SCC that is considered giant. Treatment may be difficult with the need for large tissue resections and complex surgical reconstruction. We report a rare case of giant squamous cell carcinoma of the shoulder attached to deep anatomic planes. The entire mass was removed, resulting in a large defect that was repaired with myocutaneous flap rotation of the latissimus dorsi. Three courses of radiotherapy were performed after surgery. Fifteen months after the operation, the patient is well and working without any local recurrence and metastasis.
直径大于5厘米的巨大鳞状细胞癌（SCC）并不常见；目前对于被视为巨大的SCC的大小尚无指导标准。由于需要进行大面积组织切除和复杂的手术重建，治疗可能会很困难。我们报告了一例罕见的附着于深部解剖层面的肩部巨大鳞状细胞癌病例。整个肿物被切除，导致了一个大的缺损，通过背阔肌肌皮瓣旋转进行修复。术后进行了三个疗程的放疗。术后15个月，患者情况良好，能够正常工作，无任何局部复发和转移。
