Leal Zachary, Hobbs Mikayla, Gill Razia, Banfield Megan, Akhdar Mustapha, Casadesus Damian
Internal Medicine, Jackson Memorial Hospital, Miami, USA.
Medicine and Surgery, Jackson Memorial Hospital, Miami, USA.
Cureus. 2024 May 4;16(5):e59630. doi: 10.7759/cureus.59630. eCollection 2024 May.
Giant squamous cell carcinoma (GSCC) of the skin arising on the head presents a distinctive clinical challenge due to its rarity, aggressive behavior, and potential for disfigurement. A male in his 70s with a history of tobacco cigarette use presented to the emergency department with a painful, bleeding mass on the right parietal scalp. On admission, a brain CT revealed a fungating mass with no cortical breakthrough or osseous erosion, measuring 7.9 x 5.7 x 2.5 cm. An ultrasound-guided tissue biopsy was performed and revealed poorly differentiated squamous cell carcinoma. The patient was discharged home with instructions from oncology to continue with outpatient treatment. At this time, the prognosis is good if treatment is received.
头部皮肤的巨大鳞状细胞癌(GSCC)因其罕见性、侵袭性和毁容可能性而带来独特的临床挑战。一名70多岁有吸烟史的男性因右侧顶叶头皮出现疼痛、出血性肿块而就诊于急诊科。入院时,脑部CT显示一个蕈状肿块,无皮质突破或骨质侵蚀,大小为7.9×5.7×2.5厘米。进行了超声引导下组织活检,结果显示为低分化鳞状细胞癌。患者出院回家,肿瘤科指示其继续接受门诊治疗。此时,如果接受治疗,预后良好。