A rare presentation of primary cutaneous basaloid squamous cell carcinoma of scalp

Authors

  • Mohamed Javid Institute of General Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
  • Shanthi Ponnandai Swaminathan Institute of General Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
  • Arun Victor Jebasingh Institute of General Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
  • Manivannan Velayutham Institute of General Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
  • Vikas Kawarat Institute of General Surgery, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20182523

Keywords:

Basaloid squamous cell carcinoma, Scalp ulceroproliferative growth

Abstract

Basaloid squamous cell carcinoma (BSSC) is a rare and aggressive variant of squamous cell carcinoma (SCC). It has predilection for the upper aero digestive tract with common metastasis to regional lymph node and common distant metastasis to lungs. While metastasis to scalp has rarely been reported, primary occurrence of BSCC arising from scalp has hardly ever been reported. We are reporting a case of 70 year female patient, who presented with an ulceroproliferative growth in posterior scalp. Biopsy from the edge of growth was reported as malignant adnexal tumor. A wide local excision was done and that biopsy was reported as Basaloid squamous cell carcinoma. We intend to present this case, considering its rarity and its primary presentation in an very unusual and unique location for this variant.

References

Wain SL, Kier R, Vollmer RT, Bossen EH. Basaloid squamous cell carcinoma of the tongue, hypopharynx and larynx: report of 10 cases. Hum Pathol. 1986;17:1158-66.

Kurman RJ, Toki T, Schiffman MH. Basaloid and warty carcinomas of the vulva: distinctive types of squamous cell carcinoma frequently associated with human papillomaviruses. Am J Surg Pathol. 1993;17:133-45.

Emmanuel P, Wang B, Wu M, Burstein DE. P63 immunohistochemistry in the distinction of adenoid cystic carcinoma from basaloid squamous cell carcinoma. Mod Pathol. 2005;18:645-50.

Diwakar IB, Srinivas T, Kolakebail JS, Shetty J, Kukreja P. basaloid squamous cell carcinoma of scalp from a pre-existing cylindroma metastasising to brain: a rare case report. JCDR. 2016 May;10(5):ED16.

Winzenburg SM, Niehans GA, Evan G, Kathleen D, Adams GL. Basaloid squamous carcinoma: a clinical comparison of two histologic types with poorly differentiated squamous cell carcinoma. Otolaryngol Head Neck Surg, 1998;119:471-5.

Boyd AS, Rapini RP. Cutaneous collision tumors. An analysis of 69 cases and review of the literature. Am J Dermatopathol. 1994;16:253-7.

Nichkaode PB, Nandkishore. Basaloid squamous cell carcinoma forearm: a rare entity. EJPMR. 2017;4(8):573-5.

Barnes L, Evenson JW, Reichart P, Sidransky D. (Eds): World Health Organisation Classification of Tumors. Pathology and Genetics of Head and Neck Tumors IARC Press: Lyon;2005:124-125.

Bhanja KC, Mallick SK, Sharma S, Saha R. Cutaneous casaloid squamous cell carcinoma of face, a rare variant: A case report. IJCRI. 2012;3(1):20-3.

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Published

2018-06-25

Issue

Section

Case Reports