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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Main Authors: Norma Marigliano, Manuela Colosimo, Marcella Flocco, Francesca Mazzei, Maria V. Sirianni, Domenico Galasso, Luigi Tucci, Francesco Abbonante, Giovanni Ruotolo
Format: Article
Language:English
Published: PAGEPress Publications 2013-04-01
Series:Italian Journal of Medicine
Subjects:
Online Access:http://www.italjmed.org/index.php/ijm/article/view/206
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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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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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