Abstract

PAEZ, ADRIANA M; HINOJOSA, SALOME; JARAMILLO, DANIEL  and  PAREJA, PAOLA Y. INVASIVE SQUAMOUS CELL CARCINOMA TO SKULL: A CLINICAL CASE PRESENTATION. rev.fac.med [online]. 2014, vol.22, n.1, pp.50-57. ISSN 0121-5256.

Within non-melanoma skin cancer (NMSC) group, squamous cell carcinoma (SCC) represents 25%, with an incidence over life of 7 to 11%. Epidermoid Carcinnoma is more aggressive than basal cell carcinoma (BCC). It also can invade deep structures, causing significant local destruction. The case of a 71 years old woman, who was previously pathologically diagnosed with moderately differentiated epidermoid carcinoma in the scalp, is reported. There is a high rate of frontal recurrence with invasion to skull and epidural space. Surgery was performed and the secondary defect was repaired with flap and graft. Biopsy showed free edges . However after one month, the patient presented cancer invasion roof of the orbit. The surgical treatment by plastic surgery and neurosurgery is described. The incidence of skin cancer has increased in recent years, because of larger sun-exposed areas and increased longevity. However, its evolution is slowed down most of the times with early diagnosis and appropriate treatment, aspects to which the patient had not had access to, ending in exceptional intracranial invasion, rare implication in clinical practice.

Keywords : Squamous Cell Carcinoma; plastic surgery; scalp; frontal bone; parietal bone.

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