Advanced Ulcerated Squamous Cell Carcinoma of the Hand with Locoregional Axillary Lymph Node Metastasis - Case Report and Literature Review.

Authors:
Uwe Wollina
Uwe Wollina
Academic Teaching Hospital Dresden-Friedrichstadt
Germany
Gesina Hansel
Gesina Hansel
Hospital Dresden-Friedrichstadt
Germany
Birgit Heinig
Birgit Heinig
Academic Teaching Hospital Dresden-Friedrichstadt
Germany

Open Access Maced J Med Sci 2019 Mar 14;7(5):791-793. Epub 2019 Mar 14.

Center for Physical and Rehabilitative Medicine, Städtisches Klinikum Dresden, Dresden, Germany.

Background: Cutaneous squamous cell carcinoma (SCC) of the hand is the most common soft-tissue malignancy in this particular region. A literature survey suggested a higher rate of metastases in advanced SCC of the hand compared to head-and-neck cutaneous SCC.

Case Report: An 84-year-old man presented with an ulcerated firm tumour on the dorsum of his right hand. A diagnostic biopsy confirmed the diagnosis SCC. Imaging suggested an involvement of the tendons of digits 3 and 4. A diagnostic ultrasound suggested a loco-regional axillary lymph node metastasis. After discussion in the interdisciplinary tumour board, amputation of the affected digits followed by lymph node excision was recommended.

Conclusions: Advanced SCC of the hand requires interdisciplinary management. Amputation is part of the surgical spectrum in advanced cases.

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Source
http://dx.doi.org/10.3889/oamjms.2019.200DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447345PMC
March 2019
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