<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>BACKGROUND.</bold> Excision of facial cutaneous carcinomas requires further reconstruction in a combined team with plastic surgeons. Among the traditional risk factors, the unprotected occupational exposure to sunlight can be identified. Giant masses at the level of the nose are frequently squamous carcinomas in origin. Moreover, repeated tumor trauma favours local-regional and remote extension.<bold>MATERIAL AND METHODS.</bold> We present step by step the surgical management of an old woman with a nasal mass of 58/36/20 mm. Also, the patient presented right genian tumefaction of approximately 6 months in evolution.<bold>RESULTS.</bold> The patient was submitted to surgical resection with free margins, leaving a considerable nasal and genian groove defect. Teaming up with the plastic surgeon, we applied complex reconstruction techniques with a satisfactory aesthetic and functional result. The histopathologic diagnosis confirmed our suspicion of an acantholytic squamous cell carcinoma with lymph nodes metastasis.<bold>CONCLUSION.</bold> Our case exhibited traditional risk factors, living in a rural environment. The tumor degree of aggressiveness was increased by repeated self-inflicted trauma. Late presentation to healthcare services implied complex facial reconstruction for the combined resection of the nasal tip and genian lymph node.</abstract>

BACKGROUND. Excision of facial cutaneous carcinomas requires further reconstruction in a combined team with plastic surgeons. Among the traditional risk factors, the unprotected occupational exposure to sunlight can be identified. Giant masses at the level of the nose are frequently squamous carcinomas in origin. Moreover, repeated tumor trauma favours local-regional and remote extension.MATERIAL AND METHODS. We present step by step the surgical management of an old woman with a nasal mass of 58/36/20 mm. Also, the patient presented right genian tumefaction of approximately 6 months in evolution.RESULTS. The patient was submitted to surgical resection with free margins, leaving a considerable nasal and genian groove defect. Teaming up with the plastic surgeon, we applied complex reconstruction techniques with a satisfactory aesthetic and functional result. The histopathologic diagnosis confirmed our suspicion of an acantholytic squamous cell carcinoma with lymph nodes metastasis.CONCLUSION. Our case exhibited traditional risk factors, living in a rural environment. The tumor degree of aggressiveness was increased by repeated self-inflicted trauma. Late presentation to healthcare services implied complex facial reconstruction for the combined resection of the nasal tip and genian lymph node.

Complex facial reconstruction after removal of giant nasal ulcerated acantholytic squamous carcinoma

ENT Department, Emergency University Hospital

Plastic Surgery Department, Emergency University Hospital

“Carol Davila” University of Medicine and Pharmacy

Romanian Journal of Rhinology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

BACKGROUND. Excision of facial cutaneous carcinomas requires further reconstruction in a combined team with plastic surgeons. Among the traditional risk...

Complex facial reconstruction after removal of giant nasal ulcerated acantholytic squamous carcinoma

Published Online: Jul 25, 2018

Page range: 181 - 186

Received: May 03, 2018

Accepted: May 22, 2018

DOI: https://doi.org/10.2478/rjr-2018-0020

Keywords
cutaneous, squamous cell carcinoma, nose, adenopathy, histopathology

© 2018 Daniela Vrinceanu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Complex facial reconstruction after removal of giant nasal ulcerated acantholytic squamous carcinoma

Published Online: Jul 25, 2018

Page range: 181 - 186

Received: May 03, 2018

Accepted: May 22, 2018

DOI: https://doi.org/10.2478/rjr-2018-0020

Keywordscutaneous, squamous cell carcinoma, nose, adenopathy, histopathology

© 2018 Daniela Vrinceanu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Keywords
cutaneous, squamous cell carcinoma, nose, adenopathy, histopathology