Posts Tagged ‘radiation therapy’
Large Thigh BCC Treated with Radiation
HISTORY 92-year-old man presents with 15-year history of basal cell carcinoma on left thigh. The 9.3 cm x 8.6 cm superficial plaque was treated with electron beam radiotherapy completing 6000 cGy in 30 fractions on 3-13-2018. DISCUSSION The 6-week course of radiation was tolerated well by this patient. He had minimum oozing from previous biopsy…
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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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Left Ear Multiple Recurrent Basal Cell Carcinoma
HISTORY 64-year-old woman presents with recurrence of left ear basal cell carcinoma. She has a history of sun lamp tanning and scuba diving with multiple sun burns. Basal cell carcinoma was first removed from left scapha and treated with a skin graft in July 2009. The area subsequently developed crusting and was treated with…
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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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FIELD CANCERIZATION WITH BASAL CELL CARCINOMA
2012 Radiation Simulation Persistent cheek recurrence of BCC at edge of flap recent CT showing resected right temporal bone with overlying flap and evidence of deep tumor HISTORY This 69-year-old man presented with greater than 25-year history of multiple basal cell carcinomas of the face and neck. His most problematic cancer has been in the…
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BASOSQUAMOUS CARCINOMA INVADING PAROTID GLAND
SMAS Fasciocutaneous Island flap used to reconstruct the parotid and facial defect. HISTORY 79 year old man presented in 3/2017 with basal cell carcinoma of the right ear involving the parotid and the tragal cartilage. 3 levels of Mohs were done without clear margins. Mapping biopsies were performed on 3/20/17 showing metatypical basal cell carcinoma…
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BASOSQUAMOUS CELL CARCINOMA INVADING DEEP PAROTID
HISTORY 79 year old man presented in 3/2017 with basal cell carcinoma of the left tragus, involving the parotid and the tragal cartilage. 3 levels of Mohs were done with positive deep margins. Mapping biopsies were performed on 3/20/17. DISCUSSION This is the case of 79-year-old man, who presented with deeply invasive basosquamous cell carcinoma of…
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SQUAMOUS CELL CARCINOMA OF FOREHEAD WITH PERINEURAL INVASION
HISTORY This 81 year old man presented with invasive squamous cell carcinoma with perineural invasion of the left forehead and scalp. Mohs was performed on 2/21/2017. Additional wide margin resection was performed on 2/27/17. It was negative for residual squamous cell carcinoma. DISCUSSION This 81-year-old man presented with invasive squamous cell carcinoma with perineural invasion…
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LEFT FOREHEAD SQUAMOUS CELL CARCINOMA
HISTORY 82 year old man presented in 02/2017 with a 3 year history of a crusty forehead lesion treated with cryoablation and 5-FU. Incisional biopsy in 2016 revealed poorly differentiated sclerosing squamous cell carcinoma, with perineural invasion. Excision a few months later was performed with residual circumferentially involved margins. CT with contrast showed only local…
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Superficial Radiotherapy – An Alternative Treatment of Superficial Carcinomas
First successful treatment of skin cancer with fractionated radiation therapy was reported by Steinbeck and Sjogren in Sweden in 1899. Since then, superficial radiation and low energy Grenz X-rays have been utilized in office settings by radiation oncologists and dermatologists for the same purposes. In the United States, the practice continued through the 1970’s and…
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