Squamous Cell Carcinoma
Recurrent SCC of Nasal Tip
HISTORY 71-year-old man presents with recurrence of SCC of nose following Mohs excision on 2-9-17. Partial rhinectomy was performed with incomplete Mohs excision leaving residual positive margins due to patient’s comfort. Two additional excisions of involved margins were done under anesthesia achieving clear margins. First stage reconstruction was performed on 4-11-18. DISCUSSION Management of a…
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SCC of Scalp
HISTORY 86-year-old man presents with 3-month history of a mass in the left occipital scalp. 1 year prior, the patient underwent Mohs excision of a large scalp SCC. FNA biopsy on 1-22-18 found atypical squamous cells. CT PET scan showed cancer limited to the mass itself with no lymph node enhancement. Patient experienced progressively increasing…
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Multiple Skin Cancers in an Organ Transplant Recipient
HISTORY 71-year-old organ transplant recipient presents with several SCC’s of scalp and face. Mohs excisions and closures were performed. Tissue of the left temple incidental to reconstruction was submitted for histologic analysis. Incidental BCC was found in the specimen requiring additional treatment. 4 to 6 o’clock margin was involved. The patient with bilateral kidney…
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Recurrent SCC of Nasal Tip
HISTORY 71-year-old man presents with recurrence of SCC of left nose. Mohs excision of left nasal tip SCC was performed on 2-9-17. Left nasal fullness under flap, initially thought to be a scar, progressed until drainage appeared. Pathology of draining debris under flap showed invasive squamous cell carcinoma. Intranasal mapping biopsies were performed on 2-12-18.…
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Forehead SCC with Perineural Invasion
HISTORY 83-year-old man presented in 02/2017 with a 3-year history of a forehead and temple SCC. The cancer was initially treated with cryoablation and 5-FU. Excision on 9/2/16 was performed with residual circumferential margins. Histology found poorly differentiated sclerosing squamous cell carcinoma, with perineural invasion of 0.1 mm nerves. Wide local resection with radial…
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Scalp SCC Metastasis to Neck
HISTORY 64-year-old man presents in 11/2017 with tender, right postauricular swelling. Fine needle aspiration biopsy showed squamous cell carcinoma. Extensive squamous cell carcinoma of scalp was treated with 4 levels of Mohs earlier that year in 01/2017. Additional smaller squamous cell carcinoma of the same area of the scalp was treated with Mohs in…
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Nose Reconstruction 3
Patient diagnosed by primary care physician biopsy. Diagnosis Squamous cell carcinoma of tip of nose. Mohs surgery performed by Dr. Gregory Bartlow at SCARS Center. Nose reconstruction performed by Dr. Simon Madorsky at SCARS Center.
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Lip Reconstruction 2
Patient diagnosed with Squamous cell carcinoma of right lower lip. Mohs excision performed by Dr. Gregory Bartlow at SCARS Center. Lip Reconstruction performed by Dr. Simon Madorsky at SCARS Center.
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Forehead Reconstruction 2
Patient diagnosed with Squamous cell carcinoma of left forehead. Mohs surgery performed by Dr. Gregory Bartlow at SCARS Center. Forehead reconstruction performed by Dr. Simon Madorsky at SCARS Center.
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Ear Reconstruction 3
Patient Diagnosis: Basal cell carcinoma, Bowen’s Disease of right ear. Mohs surgery performed by Dr. Gregory Bartlow at SCARS Center. Ear reconstruction performed by Dr. Simon Madorsky at SCARS Center.
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