A Clinical Experience of Direct Extension to Parotid Gland of Cutaneous Squamous Cell Carcinoma.
- Author:
Hyo Seob LIM
1
;
Jong Myung KIM
;
Jai Ho CHUNG
Author Information
1. Departments of Plastic and Reconstructive Surgery, Ajou University School of Medicine, Suwon, Korea. jaihochung@hotmail.com
- Publication Type:Case Report
- Keywords:
Squamous cell carcinoma;
Parotid neoplasm;
Metastasis
- MeSH:
Aged;
Carcinoma, Squamous Cell*;
Facial Nerve;
Forearm;
Free Tissue Flaps;
Humans;
Incidence;
Lymph Nodes;
Male;
Neoplasm Metastasis;
Parotid Gland*;
Parotid Neoplasms;
Recurrence;
Skin Neoplasms
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2005;32(5):641-644
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cutaneous squamous cell carcinoma has a high incidence. However, regional metastasis occurs infrequently because skin cancer is usually recognized and treated early. We report the case of squamous cell carcinoma around the earlobe in a 74-year-old male patient. The cutaneous squamous cell carcinoma invaded ipsilateral parotid gland directly without lymphatic spreading. Wide excision was made with 1.5 cm margin and immediate reconstruction was performed with radial forearm fasciocutaneous free flap. During operation facial nerve was preserved. No recurrence was noted for 5 years and the patient was satisfied with good aesthetic result. Cutaneous squamous cell carcinoma spreads to the parotid gland usually through lymph nodes and there are few reports of invasive organ damage by direct invasion. We experienced a case of direct invasion to parotid gland without lymph node involvement of cutaneous squamous cell carcinoma and treated the cancer adequately with wide excision and free flap coverage.
