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Rhinophyma and coexisting occult skin cancers
Abstract
Background:
Although coexistent tumors have been reported in patients with rhinophyma, few reports have described the coexistence of rhinophyma and an occult infiltrating squamous cell carcinoma (SCC).
Objective:
Preoperatively and during rhinophymaplasty, recognition of subtle changes can suggest an underlying malignancy.
Methods:
A large infiltrating SCC was noted during electrosurgical rhinophymaplasty. Mohs micrographic surgery was performed to clear the tumor.
Results:
The patient was tumor-free with no evidence of recurrence at 1-year follow-up.
Conclusion:
In the evaluation of changing rhinophyma or subtle changes in tissue noted during rhinophymaplasty, physicians must consider the possibility of an underlying malignancy.