Jae Yun Lim
Resident in Kangbuk Samsung Hospital, South Korea
Title: Squamous Cell Carcinoma Presenting as Cellulitis
Biography
Biography: Jae Yun Lim
Abstract
Skin squamous cell carcinoma (SCC) presents as papules or plaques with erythematous or pigmented appearance that may ulcerate the skin. There are few reports from literature that SCC presents as skin cellulitis. By knowing the unusual presentations of SCC and diagnosing SCC in the early stage, advanced metastasis of the disease can be prevented and good prognosis with modest mean survival rate can be achieved.A 73-year-old female presented with diffuse erythematous patches with heating sense on left thigh. The patient received wide excision of well-differentiated squamous cell carcinoma of left shin 4 years ago. The patient was treated as an outpatient for cellulitis with antibiotics, which produced almost complete improvement after 6 months. However, multiple tiny erythematous papules with diffuse erythematous patches on left thigh were persistent after 6 months of antibiotics treatment. Punch biopsy of the lesion confirmed well-differentiated, microinvasive squamous cell carcinoma. The histologic examination of the lesion showed scattered atypical squamoid and basaloid tumor nests in the upper and deep dermal layer. Herein, we report a case with squamous cell carcinoma presenting as cellulitis.