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Autumn 2013, Vol. 21 No. 3

Hong Kong J. Dermatol. Venereol. (2013) 21, 134-138


Case Report

Fatal volcanic squamous cell carcinoma of the scalp

頭皮上致命的火山狀鱗狀細胞癌

A Tomizawa 殷衍伶, S Lee 李啟焱, R Cocciolone

Abstract

Cutaneous squamous cell carcinoma of the head and neck is an invasive skin cancer with significant morbidity and mortality, chiefly among older and immunocompromised patients. We present a case report of a patient without obvious immune suppression developing multiple, eruptive cutaneous squamous cell carcinomas of the scalp. Despite multiple excisions, radiotherapy and adjuvant oral retinoids, the patient developed regional parotid metastasis and died of his disease within thirteen months. This case serves as a stark and tragic reminder that painful, eruptive cutaneous squamous cell carcinoma of the head and neck must be managed actively due to the potential for rapid progression and a fatal outcome.

頭頸的皮膚鱗狀細胞癌是一種有顯著發病及死亡率的侵入性皮膚癌,多見於年老及免疫力低下的患者。我們報告一名沒有明顯免疫力受抑制的病人在其頭皮叢生的發疹性皮膚鱗狀細胞癌。儘管多次的切除手術、放射治療並輔以口服維甲酸治療,病人仍然發生癌細胞的局部腮腺轉移,並於發病後十三個月離世。這宗病例實在是一個悲切的提示,我們必須積極治理頭頸上伴有痛感的發疹性皮膚鱗狀細胞癌,以對抗其潛在的快速惡化和致命特質。

Keywords: Acitretin, fatal outcome, radiotherapy, squamous cell carcinoma

關鍵詞: 依曲替酸、致命結果、放射治療、鱗狀細胞癌