scholarly journals A surgical approach to squamous cell carcinoma of penis that also resolved the psychological dysfunction of the patient

2020 ◽  
Vol 92 (1) ◽  
pp. 58-60
Author(s):  
Napoleon Moulavasilis ◽  
Konstantina Yiannopoulou ◽  
Marios Frangoulis ◽  
Ioannis Katafigiotis ◽  
Georgios Liapis ◽  
...  

In this case study, we present an unusual case with squamous cell carcinoma surrounding the penis involving foreskin and glans of penis. In addition, multiple satellite nodules were noted in the pubis. A 57-year-old circumcised heterosexual male patient presented with a penile lesion existing for 10 years. At the same time, he was referred to an outpatient memory clinic because of persistent subjective memory complaints associated with depression and anxiety. The patient was operated under general anaesthesia. The lesion was resected circumferentially with macroscopic clearance, resulting in complete degloving of the penile shaft. Neurovascular bundles were preserved. Histopathological analysis of the lesion revealed an invasive and poorly differentiated squamous cell carcinoma, and the surgical margins were free from tumour. The patient was followed for 18 months. He did not have voiding difficulty. Pelvic tomographic and physical examination findings did not reveal any episode of recurrence or metastasis. Treatment of carcinoma resulted in a simultaneous full recovery of his memory decline and he remained free of depression and anxiety symptoms over time.

2019 ◽  
Vol 7 ◽  
pp. 2050313X1984735 ◽  
Author(s):  
Catherine F Roy ◽  
Simon F Roy ◽  
Feras M Ghazawi ◽  
Erica Patocskai ◽  
Annie Bélisle ◽  
...  

We present a case of a 64-year-old man who presented with a rapidly growing tumor in the left buttock and intergluteal cleft area, which was affected by hidradenitis suppurativa. The patient was on tumor necrosis factor-alpha inhibitors for hidradenitis suppurativa for 2 years prior to the development of the mass. Initial biopsy of the mass showed a well-differentiated squamous cell carcinoma with spindle cells and positive epithelial immunomarkers. Subsequent excisional biopsy of the tumor showed an infiltrating poorly differentiated squamous cell carcinoma composed of islands of atypical sarcomatoid spindle cells. Squamous cell carcinoma arising in hidradenitis suppurativa is a rare complication which may occur secondary to chronic inflammation and epidermal hyperproliferation in hidradenitis suppurativa–affected areas.


2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 188-188
Author(s):  
Marta De Vega ◽  
Carlos Miliani ◽  
Juan Rodriguez Vitoria ◽  
Juan Antonio Martinez-Piñeiro ◽  
Fernando Pereira

Abstract Background Basaloid cell carcinoma of the esophagus (BSCCE) is a rare (0.07–4%) poorly-differentiated variety of squamous cell carcinoma (SCC), more aggressive and with a worse prognosis than typical SCC. There are no published studies on the best therapeutic option for these tumors or on of the effectiveness of Neoadjuvant chemoradiotherapie; so there is no standard treatment. We describe the characteristics and the therapeutic strategy applied to a patient with an avanced basaloid squamous cell carcinoma of the distal esophagus. Methods A 70-year-old woman with dysphagia and severe malnutrition was diagnosed with locally advanced esophageal cáncer of lower esophagus The biopsy indicated moderately differentiated basaloid cell carcinoma. The clinical diagnosis was cT4NxM0, We decided multimodal treatment with curative intent: Neoadjuvant chemoradiotherapie at a dose of 41.4 Gy and concomitant carboplatin and pacliotaxel 5 cycles (CROSS scheme) plus surgery. Results PET-TAC post-neoadjuvant re-evaluation showed partial morphological response (reduction of tumor metabolism in 34.7%). 6 weeks after radiochemotherapy we performed a three fields total esophagectomy. Postoperative course without incidents. The pathological diagnosis was BASALOID cell CARCINOMA located in distal esophagus of 10 cm long with 30% tumor residual; it affects gastro-oesophageal junction. Stage TNM 7th ed: ypT3 N0 (0/17) L0V1R0 Our patient is fine and without evidence of recurrence after 15 meses. Conclusion Basal squamous cell carcinoma is more common in men around 60 years old, being rare in older women. They are located more frequently in the middle than in lower esophagus. They are tumors of poor prognosis (poorly differentiated, locally advanced and with an aggressive biological behavior that predisposes to early metastasis) although the latest publications relate the prognosis especially with the stage of the tumor. There are no published data about the use of Neoadjuvant treatment for these tumors. We have carried out a multimodal treatment (Cross scheme) followed by surgery with clinical, radiological (PET-TAC) and pathological response (30% of residual tumor in the piece) CONCLUSION The multimodal treatment with Cross scheme and surgery was useful in patients with Basaloid tumor of the esophagus can be considered for patients with this type of tumor. Disclosure All authors have declared no conflicts of interest.


Author(s):  
Dr. Xavier Antonio Chan Gómez ◽  
Dr. Jorge Daher Nader ◽  
Bella Vallejo López

Disorders in patients who develop squamous cell carcinoma can lead to severe conditions. The present case study evidences the advance of this pathology in a patient who goes to the medical services when the problem has advanced. Objective- To describe the case of a patient who underwent surgery to remove a tumor from the vulvar region to prevent it from triggering in severe states. Method - Surgery of a vulvar tumor, performed on a female patient of 62 years. Result- Squamous cell carcinoma, infiltrative verrucous type, with dimensions of 7x6 cm, with an invasion depth of 2.7 mm in the central region    Conclusion- This type of pathology should not be allowed to worsen when it occurs, as it deteriorates the quality of life of patients over the years. If it is detected and treated early, complications can be avoided. In the present case, the histopathological diagnosis was epidermoid carcinoma. It is expected that the information collected will be useful to professionals and that it contributes as an alert to detect early health problems in patients.


2004 ◽  
Vol 18 (1) ◽  
pp. 111-118 ◽  
Author(s):  
Hong Zhang ◽  
Jing Liu ◽  
Philip T Cagle ◽  
Timothy C Allen ◽  
Alvaro C Laga ◽  
...  

Author(s):  
Martin Hayward ◽  
Sofoklis Mitsos

This case study looks at A patient with T2N1M0 squamous cell carcinoma, and provides questions with model answers.


2012 ◽  
Vol 57 (No. 8) ◽  
pp. 420-429 ◽  
Author(s):  
A. Demirutku ◽  
K. Ozer ◽  
Y. Devecioglu ◽  
Z. Mutlu ◽  
O. Duzgun ◽  
...  

  The aim of this study was to observe the effectiveness of treatment with radical pinnectomy and investigate postoperative relapse cases in pinnal squamous cell carcinoma in cats. Twelve cats which were brought to surgery clinic of Istanbul University, Faculty of Veterinary Medicine were used. Biopsies were taken from the cases in which squamous cell carcinoma was suspected following anamnesis and the clinical examination of patients that were brought to our clinic. The patients were diagnosed on the basis of histopathological analysis of biopsy samples. Haemogram and biochemical blood analysis were performed and thoracic radiographs were taken as routine in cases that a decision was made to operate. After the area was prepared for operation radical pinnectomy or total external acoustic canal ablation along with radical pinnectomy were performed in the patients that were eligible for operation. Relapses seen in the postoperative period were re-operated with the techniques selected according to invasion status. Periodic controls of the patients were made after the operations and the cats were examined for relapse. In seven out of 12 cases, only squamous cell carcinoma; in three cases, actinic dermatitis actinic dermatitis in addition to squamous cell carcinoma, and in two cases, only actinic dermatitis lesions were detected. In the postoperative period, relapse was observed in the cases in which the squamous cell carcinoma lesion reached the lower half of the pinna or the external acoustic canal while relapse was not observed in cases with actinic dermatitis lesions or when the squamous cell carcinoma lesion was on the top part of the pinna. Relapse cases were re-operated using different operative techniques. It is concluded that performing radical pinnectomy on actinic dermatitis lesions detected on the pinna before development into squamous cell carcinoma, and removing the tumour according to its localization with radical pinnectomy or total external acoustic canal ablation alongside radical pinnectomy is the most reliable treatment option in terms of relapse in cases of pinnal squamous cell carcinoma.  


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