Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome
Introduction: Squamous-cell carcinoma is the second most common form of skin cancer. It can develop on normal skin, actinic keratoses, leukoplakia, and burn scars. The tumor is characterized by remarkable variability at the macroscopic and histopathologic levels. <br />Case report: A 93-year-o...
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PAGEPress Publications
2013-04-01
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Series: | Italian Journal of Medicine |
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author | Norma Marigliano Manuela Colosimo Marcella Flocco Francesca Mazzei Maria V. Sirianni Domenico Galasso Luigi Tucci Francesco Abbonante Giovanni Ruotolo |
author_facet | Norma Marigliano Manuela Colosimo Marcella Flocco Francesca Mazzei Maria V. Sirianni Domenico Galasso Luigi Tucci Francesco Abbonante Giovanni Ruotolo |
author_sort | Norma Marigliano |
collection | DOAJ |
description | Introduction: Squamous-cell carcinoma is the second most common form of skin cancer. It can develop on normal skin, actinic keratoses, leukoplakia, and burn scars. The tumor is characterized by remarkable variability at the macroscopic and histopathologic levels. <br />Case report: A 93-year-old woman was admitted to nursing home with a diagnosis of dementia syndrome and squamous cell nodular carcinoma on cheeks and neck region. The physical examination revealed firm, black excrescences with irregular surfaces over both cheekbones, which were roughly the size of hazelnuts. Similar nodules were present with ulcers on other areas of the face. The patient was admitted to the day hospital twice for wide excision of the tumors in the zygomatic region. Later, the neck tumors were removed, and the wound was repaired with a rotation flap after careful control of bleeding. For the latter surgery, the patient was hospitalized for a few days in a geriatric ward to ensure optimal medical care and psychological support. The histological examination revealed ulcerated, well-differentiated squamous-cell carcinoma that extended down to the subcutaneous layer. Shortly after surgery, she returned to the nursing home to resume rehabilitation and group therapy. |
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language | English |
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spelling | doaj.art-87bfa1373d3647d587c27178484bd6dc2023-12-02T04:59:36ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522013-04-014318518810.4081/itjm.2010.185163Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndromeNorma MariglianoManuela ColosimoMarcella FloccoFrancesca MazzeiMaria V. SirianniDomenico GalassoLuigi TucciFrancesco AbbonanteGiovanni RuotoloIntroduction: Squamous-cell carcinoma is the second most common form of skin cancer. It can develop on normal skin, actinic keratoses, leukoplakia, and burn scars. The tumor is characterized by remarkable variability at the macroscopic and histopathologic levels. <br />Case report: A 93-year-old woman was admitted to nursing home with a diagnosis of dementia syndrome and squamous cell nodular carcinoma on cheeks and neck region. The physical examination revealed firm, black excrescences with irregular surfaces over both cheekbones, which were roughly the size of hazelnuts. Similar nodules were present with ulcers on other areas of the face. The patient was admitted to the day hospital twice for wide excision of the tumors in the zygomatic region. Later, the neck tumors were removed, and the wound was repaired with a rotation flap after careful control of bleeding. For the latter surgery, the patient was hospitalized for a few days in a geriatric ward to ensure optimal medical care and psychological support. The histological examination revealed ulcerated, well-differentiated squamous-cell carcinoma that extended down to the subcutaneous layer. Shortly after surgery, she returned to the nursing home to resume rehabilitation and group therapy.http://www.italjmed.org/index.php/ijm/article/view/206Multifocal squamous-cell carcinomaDementia syndromeHistologyOutcome. |
spellingShingle | Norma Marigliano Manuela Colosimo Marcella Flocco Francesca Mazzei Maria V. Sirianni Domenico Galasso Luigi Tucci Francesco Abbonante Giovanni Ruotolo Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome Italian Journal of Medicine Multifocal squamous-cell carcinoma Dementia syndrome Histology Outcome. |
title | Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome |
title_full | Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome |
title_fullStr | Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome |
title_full_unstemmed | Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome |
title_short | Destructive, multifocal squamous-cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome |
title_sort | destructive multifocal squamous cell carcinoma nodules on the cheecks and neck of an elderly woman with a dementia syndrome |
topic | Multifocal squamous-cell carcinoma Dementia syndrome Histology Outcome. |
url | http://www.italjmed.org/index.php/ijm/article/view/206 |
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