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Squamous cell carcinoma arising in hypertrophic lichen planus
Caroline Cecile Pauline Haenen1, Aletta Atje Jacoba Buurma2, Roel Erik Genders1,3
1Department of Dermatology, LUMC, Leiden, The Netherlands.
BMJ Case Reports
|July 14, 2018
Summary
Hypertrophic lichen planus (HLP), a chronic skin condition, can rarely transform into squamous cell carcinoma (SCC). Early detection of suspicious changes in long-standing HLP is crucial for timely SCC diagnosis.
Area of Science:
- Dermatology
- Oncology
- Inflammatory Diseases
Background:
- Hypertrophic lichen planus (HLP) is a chronic, T-cell-mediated inflammatory skin condition.
- It typically presents as pruritic, hypertrophic, or verrucous plaques, predominantly on the lower limbs.
Observation:
- A case report details an 87-year-old woman with a 12-year history of HLP on her lower legs.
- One of the long-standing HLP lesions on her leg showed malignant transformation.
Findings:
- The malignant transformation resulted in the development of squamous cell carcinoma (SCC).
- Malignancy arising in cutaneous lichen planus is a rare event, with fewer than 50 cases documented globally.
Implications:
- This case underscores the importance of vigilance for suspicious changes in patients with chronic HLP.
- Prompt identification of potential SCC in HLP lesions is essential for effective patient management and improved outcomes.
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