An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical Fibroxanthoma
Objective. To report a unique case of pinna squamous cell carcinoma (SCC) arising shortly after resection of atypical fibroxanthoma (AFX) at the same site. Case report. An 81-year-old gentleman presented with a nodular right pinna lesion. This was excised, and histology confirmed AFX. Ten weeks late...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Otolaryngology |
| Online Access: | http://dx.doi.org/10.1155/2018/6092169 |
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| author | Eugene Omakobia Ahmad Orabi Richard Knights |
| author_facet | Eugene Omakobia Ahmad Orabi Richard Knights |
| author_sort | Eugene Omakobia |
| collection | DOAJ |
| description | Objective. To report a unique case of pinna squamous cell carcinoma (SCC) arising shortly after resection of atypical fibroxanthoma (AFX) at the same site. Case report. An 81-year-old gentleman presented with a nodular right pinna lesion. This was excised, and histology confirmed AFX. Ten weeks later, an ulcerative lesion appeared at the resection site. This was confirmed to be SCC. Comparative analysis revealed no morphological resemblance between the initial AFX and new SCC lesion, and there was no evidence of initial misdiagnosis. Conclusion. SCC is the most common cancer involving the pinna. Whilst prolonged sun exposure is an important risk factor for SCC, chronic inflammation and wounds are other potential sources. We postulate whether SCC could have arisen from the previous scar tissue in a manner similar to Marjolin’s ulcer. This would be a highly unusual finding in the pinna and to our knowledge unprecedented in the English literature. |
| format | Article |
| id | doaj-art-8c72456dc37d4319a447ef258c348e57 |
| institution | Kabale University |
| issn | 2090-6765 2090-6773 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Otolaryngology |
| spelling | doaj-art-8c72456dc37d4319a447ef258c348e572025-02-03T06:07:15ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/60921696092169An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical FibroxanthomaEugene Omakobia0Ahmad Orabi1Richard Knights2Department of ENT, Calderdale Royal Hospital, Halifax, UKDepartment of ENT, Calderdale Royal Hospital, Halifax, UKDepartment of Histopathology, Calderdale Royal Hospital, Halifax, UKObjective. To report a unique case of pinna squamous cell carcinoma (SCC) arising shortly after resection of atypical fibroxanthoma (AFX) at the same site. Case report. An 81-year-old gentleman presented with a nodular right pinna lesion. This was excised, and histology confirmed AFX. Ten weeks later, an ulcerative lesion appeared at the resection site. This was confirmed to be SCC. Comparative analysis revealed no morphological resemblance between the initial AFX and new SCC lesion, and there was no evidence of initial misdiagnosis. Conclusion. SCC is the most common cancer involving the pinna. Whilst prolonged sun exposure is an important risk factor for SCC, chronic inflammation and wounds are other potential sources. We postulate whether SCC could have arisen from the previous scar tissue in a manner similar to Marjolin’s ulcer. This would be a highly unusual finding in the pinna and to our knowledge unprecedented in the English literature.http://dx.doi.org/10.1155/2018/6092169 |
| spellingShingle | Eugene Omakobia Ahmad Orabi Richard Knights An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical Fibroxanthoma Case Reports in Otolaryngology |
| title | An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical Fibroxanthoma |
| title_full | An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical Fibroxanthoma |
| title_fullStr | An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical Fibroxanthoma |
| title_full_unstemmed | An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical Fibroxanthoma |
| title_short | An Unusual Case of Pinna Squamous Cell Carcinoma Arising Shortly after Resection of Atypical Fibroxanthoma |
| title_sort | unusual case of pinna squamous cell carcinoma arising shortly after resection of atypical fibroxanthoma |
| url | http://dx.doi.org/10.1155/2018/6092169 |
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