A Rare Case of Scrotal Basal Cell Carcinoma in the Presence of Metastatic Squamous Cell Carcinoma of the External Auditory Meatus and its Management Strategy
- Author:
Tan Gh
;
Elsa Jr
;
Fam Xi
;
Shukor Na
;
Goh Eh
;
Praveen S
;
Ho Cck
;
Zulkifli Mz
- Publication Type:Case Reports
- Keywords:
basal cell carcinoma;
squamous cell carcinoma;
scrotum
- MeSH:
Carcinoma, Basal Cell;
Carcinoma, Squamous Cell
- From:Medicine and Health
2017;12(1):113-117
- CountryMalaysia
- Language:English
-
Abstract:
Basal cell carcinoma (BCC) of the scrotum is uncommon and its pathogenesis is
not well understood. The clinical behaviour of scrotal BCC is thought to be more
aggressive and has a higher metastatic potential than BCC of other regions. The
mainstay of treatment for localized scrotal BCC is wide local excision, while
metastatic disease may need systemic chemotherapy for palliative control. A rare
clinical scenario of scrotal BCC presenting concurrently with another metastatic
cancer has never been reported. The present case illustrates the diagnostic challenge
and management dilemma due to simultaneous presentation of scrotal BCC and
metastatic squamous cell carcinoma (SCC). A 70-year-old man complained of a
non-healing scrotal ulcer while he was being investigated for metastatic squamous
cell carcinoma (SCC) of the external auditory meatus. The scrotal lesion was
initially thought to be metastatic SCC. It was later confirmed to be BCC with
biopsy and histopathological examination. He underwent surgical resection of the
scrotal BCC for local control followed by palliative chemotherapy with cisplatin
and radiotherapy for lymph node metastases. He remained well and did not have
any local recurrence following 6 months after palliative treatment. Surgery coupled
with palliative chemoradiation can offer good quality of life for patients with scrotal
BCC and concurrent metastatic SCC.
- Full text:P020170621449542008818.pdf
