두개내 침범을 동반한 피부의 편평세포암 2예 : Two Cases of Cutaneous Squamous Cell Carcinoma with Intracranial Extension
Two Cases of Cutaneous Squamous Cell Carcinoma with Intracranial Extension
- 주제(키워드) Cutaneous squamous cell carcinoma , Intracranial extension , Local recurrence , Metastasis , Mohs micrographic surgery
- 발행기관 대한피부과학회
- 발행년도 2016
- 총서유형 Journal
- UCI G704-000562.2016.54.1.019
- KCI ID ART002078354
- 본문언어 한국어
초록/요약
Cutaneous squamous cell carcinoma (SCC) is the second most common skin malignant neoplasm. Cutaneous SCC shows a broad spectrum, ranging from easily managed superficial tumors to highly infiltrative, metastasizing ones that can cause death. We have experienced two patients with SCC with intracranial extension. One case was an 88-year-old man with a tumor on the forehead treated with Mohs micrographic surgery who presented with local recurrence at the perilesional region of the primary site after 3 years. Wide excision was performed, and histologic findings showed a SCC that extended to the dura mater. The other case was a 69-year-old woman who presented with an erythematous 2×4 cm-sized plaque on the right temple, and a biopsy examination revealed SCC. The patient refused surgery and 7 months later, presented with a 5×10 cm-sized oozing plaque with multiple ulcers. Radiologic evaluation demonstrated intracranial invasion and right retropharyngeal metastatic lymph nodes. She was treated with radiotherapy for 4 months.
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