Abstract

RODRIGUEZ BELTRAN, Susana  and  REYNOSO VON DRATLEN, Claudia. Epidermoid cancer on scalp, an unusual presentation. A case report. Rev. Fac. Med. (Méx.) [online]. 2017, vol.60, n.2, pp.17-21. ISSN 2448-4865.

This is a case report of a female patient of 47 years of age. She presented a large scalp injury, 10 cm wide, with a year of evolution. The histopathological study reported a moderately differentiated squamous cell carcinoma and the tomography showed a scalp tumor eroding the skull. She was treated at the medical oncology services and radiation therapy services for debulking, radiotherapy and 5 cycles of cisplatin plus docetaxel. If the response is favorable, a surgical intervention will be performed with rotation flaps and a graft placement. The post-treatment histopathological study reported: a moderately differentiated epidermoid carcinoma, vascular permeation infiltrating dermis and subcutaneous tissue and bone fragments with no viable neoplasm data. Capecitabine was prescribed as maintenance. The patient died 5 years after the diagnosis because of pulmonary metastases.

The aim of this case report is to make emphasis in the fact that skin cancer can occur in unusual ways and in patients with rare risk factors like this case. Timely clinical suspicion may lead to a favorable diagnosis and treatment.

Keywords : Squamous cancer from thescalp; unusual presentation.