Metastatic Cutaneous Squamous Cell Carcinoma
Metastatic Cutaneous Squamous Cell Carcinoma
Case: A 79-Year-Old Male With Metastatic CSCC
April 2016
- A 79-year-old male presented to dermatologist with a large ulcerative lesion on clavicle; he reported lesion first appeared 5 months ago while living in Florida for the winter
- Diagnosed with localized cutaneous squamous cell carcinoma
- Standard surgical excision performed with 4 mm clinical margins; postoperative margins negative
May 2018
- Patient returns to dermatologist for follow-up c/o multiple lesions on shoulder and neck around the site of prior excision
- PE:
- Multiple visible, ulcerated lesions, approximately 2-3cm in diameter; suspected tumor depth >5mm
- Multiple palpable nodes ~2cm
- Imaging confirmed 7 mm invasion into subcutaneous fat; parotid nodal involvement
- Biopsy confirmed cutaneous squamous cell carcinoma, poorly-differentiated
- Diagnosis: Metastatic cutaneous squamous cell carcinoma
- Stage IV: T3N2M0
- Patient started on cemiplimab
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