A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy

Basal cell carcinoma (BCC) of the scrotum is uncommon and its pathogenesis is not well understood. The clinical behaviour of scrotal BCC is thought to be more aggressive and has a higher metastatic potential than BCC of other regions. The mainstay of treatment for localized scrotal BCC is wide local...

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Main Authors:	Tan, Guan Hee, Elsa JR, Fam, XI, Shukor NA, Goh, Eng Hong, Praveen Singam, Ho, CCK, Zulkifli Md. Zainuddin
Format:	Article
Language:	English
Published:	Pusat Perubatan Universiti Kebangsaan Malaysia 2017
Online Access:	http://journalarticle.ukm.my/11873/ http://journalarticle.ukm.my/11873/ http://journalarticle.ukm.my/11873/1/15_tan_et_al_pdf_19086.pdf

id	ukm-11873
recordtype	eprints
spelling	ukm-118732018-07-10T04:35:02Z http://journalarticle.ukm.my/11873/ A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy Tan, Guan Hee Elsa JR, Fam, XI Shukor NA, Goh, Eng Hong Praveen Singam, Ho, CCK Zulkifli Md. Zainuddin, Basal cell carcinoma (BCC) of the scrotum is uncommon and its pathogenesis is not well understood. The clinical behaviour of scrotal BCC is thought to be more aggressive and has a higher metastatic potential than BCC of other regions. The mainstay of treatment for localized scrotal BCC is wide local excision, while metastatic disease may need systemic chemotherapy for palliative control. A rare clinical scenario of scrotal BCC presenting concurrently with another metastatic cancer has never been reported. The present case illustrates the diagnostic challenge and management dilemma due to simultaneous presentation of scrotal BCC and metastatic squamous cell carcinoma (SCC). A 70-year-old man complained of a non-healing scrotal ulcer while he was being investigated for metastatic squamous cell carcinoma (SCC) of the external auditory meatus. The scrotal lesion was initially thought to be metastatic SCC. It was later confirmed to be BCC with biopsy and histopathological examination. He underwent surgical resection of the scrotal BCC for local control followed by palliative chemotherapy with cisplatin and radiotherapy for lymph node metastases. He remained well and did not have any local recurrence following 6 months after palliative treatment. Surgery coupled with palliative chemoradiation can offer good quality of life for patients with scrotal BCC and concurrent metastatic SCC. Pusat Perubatan Universiti Kebangsaan Malaysia 2017 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/11873/1/15_tan_et_al_pdf_19086.pdf Tan, Guan Hee and Elsa JR, and Fam, XI and Shukor NA, and Goh, Eng Hong and Praveen Singam, and Ho, CCK and Zulkifli Md. Zainuddin, (2017) A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy. Medicine & Health, 12 (1). pp. 113-117. ISSN 2289-5728 http://www.medicineandhealthukm.com/toc/12/1
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	Basal cell carcinoma (BCC) of the scrotum is uncommon and its pathogenesis is not well understood. The clinical behaviour of scrotal BCC is thought to be more aggressive and has a higher metastatic potential than BCC of other regions. The mainstay of treatment for localized scrotal BCC is wide local excision, while metastatic disease may need systemic chemotherapy for palliative control. A rare clinical scenario of scrotal BCC presenting concurrently with another metastatic cancer has never been reported. The present case illustrates the diagnostic challenge and management dilemma due to simultaneous presentation of scrotal BCC and metastatic squamous cell carcinoma (SCC). A 70-year-old man complained of a non-healing scrotal ulcer while he was being investigated for metastatic squamous cell carcinoma (SCC) of the external auditory meatus. The scrotal lesion was initially thought to be metastatic SCC. It was later confirmed to be BCC with biopsy and histopathological examination. He underwent surgical resection of the scrotal BCC for local control followed by palliative chemotherapy with cisplatin and radiotherapy for lymph node metastases. He remained well and did not have any local recurrence following 6 months after palliative treatment. Surgery coupled with palliative chemoradiation can offer good quality of life for patients with scrotal BCC and concurrent metastatic SCC.
format	Article
author	Tan, Guan Hee Elsa JR, Fam, XI Shukor NA, Goh, Eng Hong Praveen Singam, Ho, CCK Zulkifli Md. Zainuddin,
spellingShingle	Tan, Guan Hee Elsa JR, Fam, XI Shukor NA, Goh, Eng Hong Praveen Singam, Ho, CCK Zulkifli Md. Zainuddin, A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy
author_facet	Tan, Guan Hee Elsa JR, Fam, XI Shukor NA, Goh, Eng Hong Praveen Singam, Ho, CCK Zulkifli Md. Zainuddin,
author_sort	Tan, Guan Hee
title	A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy
title_short	A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy
title_full	A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy
title_fullStr	A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy
title_full_unstemmed	A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy
title_sort	rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy
publisher	Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate	2017
url	http://journalarticle.ukm.my/11873/ http://journalarticle.ukm.my/11873/ http://journalarticle.ukm.my/11873/1/15_tan_et_al_pdf_19086.pdf
first_indexed	2023-09-18T20:01:20Z
last_indexed	2023-09-18T20:01:20Z
_version_	1777406868903165952

A rare case of scrotal basal cell carcinoma in the presence of metastatic squamous cell carcinoma of the external auditory meatus and its management strategy

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