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High risk squamous cell carcinoma.

Anthony Dixon1

  • 1Skin Alert Skin Cancer Clinics and Skincanceronly, Belmont, Victoria, Australia. anthony@skincanceronly.com

Australian Family Physician
|January 26, 2007
PubMed
Summary
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A 70-year-old woman with long-standing scalp psoriasis developed squamous cell carcinoma (SCC). Surgical excision and skin grafting successfully treated the large scalp tumor.

Area of Science:

  • Dermatology
  • Oncology
  • Surgical Pathology

Background:

  • Psoriasis is a chronic inflammatory skin condition.
  • Squamous cell carcinoma (SCC) is a common skin cancer.
  • Long-standing inflammatory conditions can increase SCC risk.

Observation:

  • A 70-year-old female patient presented with a 10-year history of scalp psoriasis.
  • A nodule developed within a large scalp lesion, suspicious for squamous cell carcinoma (SCC).
  • Biopsies confirmed SCC within the psoriatic plaque.

Findings:

  • A large, confluent scalp tumor, confirmed as SCC, was excised with a 5 mm margin.
  • Surgical margins were clear, with no deep tissue or periosteal involvement.
  • A large defect was reconstructed using a partial-thickness skin graft.

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Implications:

  • This case highlights the importance of monitoring chronic skin conditions for malignant transformation.
  • Early detection and surgical management are crucial for successful SCC treatment.
  • Skin grafting is an effective reconstructive method for large scalp defects.