Squamous Cell Carcinoma
Eyelid Reconstruction 2
Patient diagnosed with Squamous cell carcinoma, well differentiated, keratoacanthomatous type on lower left eyelid. Eyelid reconstruction by Dr. Simon Madorsky at SCARS Center.
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Chin Reconstruction 1
Biopsy diagnosis of SCCa and Mohs surgery by Dr. Gregory Bartlow. Chin Reconstruction by Dr. Simon Madorsky at SCARS Center.
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Cheek Reconstruction 1
Squamous Cell Carcinoma of cheek. Treatment radiation therapy, Mohs surgery coordinated with primary dermatologist at SCARS Center, and reconstruction by Simon Madorsky, MD.
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Hand SCC In Situ
HISTORY 68-year-old woman presents with a many month history of squamous cell in situ of left hand. This large 2.5 cm lesion on the hand poses a unique challenge to ensuring hand function post-operatively. Treatment options include C&D (curettage and desiccation), curettage only with post-treatment imiquimod, Mohs excision with a skin graft closure, or superficial…
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Diagnosis change: AFX to Pleomorphic Sarcoma of Neck
HISTORY 93-year-old man presents with an incidentally discovered left neck mass during evaluation of a left ear SCC. Initial biopsy on 9-5-17 showed atypical fibroxanthoma. Excision of the left neck lesion with 5 mm margins on 9-26-17 revealed malignant spindle and epithelioid cell neoplasm consistent with pleomorphic dermal sarcoma. Deep and peripheral margins were involved.…
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Twice Recurrent Upper Eyelid SCC
HISTORY 53-year-old man presents with a recurrent upper eyelid induration and margin retraction for 3 months. Punch biopsy confirmed squamous cell carcinoma (SCC) recurrence. The first SCC excision with frozen sections and reconstruction was done 12-17-13 elsewhere. Subsequently, the eyelid was treated with LN2 in 2014 for surface AK. Carcinoma recurred at the lid margin…
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LOWER LIP ATYPIA AT MARGINS OF SQUAMOUS CELL CARCINOMA
HISTORY 89-year-old man presents with several month history of lesion on bottom lip. A biopsy was taken on 8-9-17 and showed severe squamous atypia without ruling out deeper SCC. Excision of lesion done 9-6-17 showed invasive squamous cell carcinoma with foci of moderate squamous dysplasia from 9 to 3 o’clock. Patient has history of…
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CHEEK FLAP ISCHEMIC COMPLICATION
HISTORY 70-year-old man with history of sarcoidosis on chronic prednisone. Left preauricular cheek squamous cell carcinoma was treated with Mohs excision and inferior SMAS partial island flap reconstruction. The healing was complicated by wound dehiscence, partially due to wound ischemia and wound tension. DISCUSSION The third case represents a dehiscence due to likely ischemia…
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Deeply Invasive Squamous Cell Carcinoma of Cheek
HISTORY: 82-year-old man with a 1 year history of squamous cell carcinoma on the right lower cheek biopsied on 4/28/2017. Radical resection of the right cheek carcinoma and deep facial lymph node biopsy was performed. Intraoperative Mohs margin evaluation confirmed clear margins. Final permanent histology margins were close but clear. Evidence of perineural invasion…
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Metastatic Squamous Cell Carcinoma
HISTORY 76-year-old man with a rapidly growing mass on angle of jaw. Fine needle aspiration on 12/6/16 diagnosed squamous cell carcinoma. The presumptive primary carcinoma was skin. On 12/16/16, the patient underwent a left parotidectomy and cervical lymphadenectomy. Pathology showed multiple lymph node involvement. Radiation and concurrent chemotherapy treatment began on 1/18/2017 and was completed…
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