We've updated our Privacy Policy to make it clearer how we use your personal data.
We use cookies to provide you with a better experience, read our Cookie Policy
EP30963
Abstract: A 49 y.o Caucasian man with h/o HTN presented with a non-traumatic moderate throbbing pain of the right thumb for the past 3 weeks. He previously presented to urgent care where he was treated for paronychia with topical antibiotics and warm soaks. On physical exam, he was afebrile, with an erythematous swollen lesion at the root of the nail. Due to failure of the prior treatment, he was started on oral antistaphyloccocal antibiotics for a total of 3 weeks. Imaging of the right thumb ruled out osteomyelitis. Upon follow-up, a partial avulsion was performed for then suspected ingrown nail. Despite this last procedure, the non-healing lesion worsened, easily bleeding to contact. A biopsy was performed. Pathology came back positive for invasive SCC. There was no history of prior chronic lesion on this patient’s thumb, and the only risk factor was a sun-exposed area on fair skin. The worsening of a chronic lesion despite a long course of antibiotic should trigger the suspicion of a malignant process. This case illustrates the need for a biopsy in a non-healing lesion which can masquerade a neoplastic process. Squamous cell carcinoma (SCC) is the second most common cancer of the skin. It’s a malignancy that can occur in any surface of the skin. In fair-skin individuals, the most common locations are the ones exposed to the sun. The clinical findings can vary based on the location and type of lesion. Chronic wounds, chronic inflammations, scarring, non-healing ulcers can be a manifestation of SCC.Summary: Cutaneous squamous cell carcinoma is a malignant tumor arising from epidermal keratinocytes. After basal cell carcinoma, it's the second most common cancer of the skin. it's a malignancy that can occur in any place of the skin. It presents with a wide variety of cutaneous lesions. In fair-skinned individuals, SCC most commonly arise in site frequently exposed to the sun especially to ionizing or UV radiation.
Ask the author a question about this poster.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Related Posters
VARIANTES ANATÓMICAS MAS FRECUENTES EN LESIÓN DE VIA BILIAR REPORTE DE TRES CASOS
Brito-Carmona R.D., Cuendis-Velázquez A., Bada Yllan O., Valenzuela-Salazar C. Campos-Badillo J.A. Serrano-Andrade F.X.
CIRUGÍA LAPAROSCÓPICA EN LA REINTERVENCIÓN EN CIRUGÍA ANTIRREFLUJO UNA REVISIÓN SISTEMÁTICA.
Campos-Badillo Julio Adan, ARCENIO LUIS VARGAS ÁVILA, JOSE ROLDAN TINOCO, ARMANDO SOTO LA MARINA BETANCOURT, SALVADOR GARCIA CIPRES, SALVADOR CHAVEZ ACEVEDO
LAPAROSCOPIC SURGERY REINTERVENTION OF ANTI-REFLUX SURGERY: A SYSTEMATIC REVIEW
Campos-Badillo Julio Adan, López-Olivera Karen Denisse
Etiological diagnostics of cardiomyopathies in the cardiology unit of the HUEH internal medicine department during the period from 8 January 2014 to 14 June 2014
*Axler JEAN PAUL; **Lesly Ed. ARCHER; *Raema Mimrod JEAN; *Gerald VERNELUS; *Rodolph MALEBRANCHE
Medical Student: Move over Stem Cells – Exosomes are Here! What are Exosomes & their role in Regenerative Medicine?
Amartej Singh Deol MD4 & Advisor: Shivinder S. Deol MD