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Multiple cutaneous squamous cell carcinomas: primary carcinomas versus cutaneous metastasis
Jasleen Kaur1, Nidhi Sharma, Sanjeev Sharma
1Department of Skin and STD, SGRD Medical College, Amritsar, India.
Journal of Cancer Research and Therapeutics
|July 31, 2012
Summary
Multiple squamous cell carcinoma (SCC) is rare. This case presents a 55-year-old man with multiple skin SCCs, some linked to HPV, raising questions about origin and development.
Area of Science:
- Dermatology
- Oncology
- Pathology
Background:
- Multiple squamous cell carcinoma (SCC) of the skin is exceptionally rare.
- Previous reports link SCC to psoriasis treatments, immunodeficiency, and metastasis.
Observation:
- A 55-year-old man presented with a persistent, non-healing warty growth on his lower back.
- Histopathology confirmed squamous cell carcinoma (SCC) with human papillomavirus (HPV) changes.
- Four additional lesions on his upper back were identified, one showing significant dysplasia without HPV.
Findings:
- The case involves multiple SCC lesions, with some exhibiting HPV changes and others showing dysplasia.
- The origin of these multiple SCCs is unclear: potentially multicentric development due to HPV or cutaneous metastasis.
Implications:
- This case highlights the diagnostic challenges in multiple cutaneous SCC.
- It underscores the potential role of HPV in multicentric SCC development.
- It also raises awareness for cutaneous metastasis as a possibility in unknown primary cancers.
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