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Reminder of important clinical lesson
CASE REPORT
High-risk squamous cell carcinoma and its impact on a 62-year-old male surgeon
  1. Jubran Jubran1 and
  2. Roberta D Sengelmann1,2
  1. 1 Santa Barbara Skin Institute, Santa Barbara, California, USA
  2. 2 Dermatology, Irvine School of Medicine, University of California, Irvine, California, USA
  1. Correspondence to Jubran Jubran, jubranhjubran{at}gmail.com

Abstract

Cutaneous squamous cell carcinoma (cSCC) is a form of non-melanoma skin cancer responsible for more deaths in the USA than all other skin cancers combined. Some features, including anatomic site, are considered high risk in nature and pose a challenge for complete tumour removal. We present a case of a 62-year-old male surgeon with a multiply recurrent cSCC of the right conchal bowl. The tumour described herein was doubly recurrent to excision with a standard margin and could ultimately not be cleared with Mohs micrographic surgery. Ultimately, it necessitated auriculectomy and parotidectomy. This case exemplifies the pitfalls of traditional wide local excision with standard pathologic processing for high-risk cSCC.

  • dermatology
  • skin cancer
  • surgical oncology
  • healthcare improvement and patient safety

https://doi.org/10.1136/bcr-2019-229940

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    Footnotes

    • Contributors JJ was involved in the patient’s care, gathered all data and wrote the case report. RDS was the patient’s surgeon and supervised his care, as well as critically reviewed the case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.