Management of Squamous Cell Carcinoma in a Patient with Recessive‐Type Epidermolysis Bullosa Dystrophica

Background. Surgical treatment of a recessive dystrophic epidermolysis bullosa patient is very difficult for both the surgeon and the anesthetist because of the fragility of the skin and abnormal nature of the tumor bed. Objective. We report a case of 54‐year‐old Japanese recessive dystrophic epider...

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Veröffentlicht in:Dermatologic surgery 2004-11, Vol.30 (11), p.1424-1429
Hauptverfasser: Yamada, Mizuki, Hatta, Naohito, Sogo, Kana, Komura, Kazuhiro, Hamaguchi, Yasuhito, Takehara, Kazuhiko
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container_end_page 1429
container_issue 11
container_start_page 1424
container_title Dermatologic surgery
container_volume 30
creator Yamada, Mizuki
Hatta, Naohito
Sogo, Kana
Komura, Kazuhiro
Hamaguchi, Yasuhito
Takehara, Kazuhiko
description Background. Surgical treatment of a recessive dystrophic epidermolysis bullosa patient is very difficult for both the surgeon and the anesthetist because of the fragility of the skin and abnormal nature of the tumor bed. Objective. We report a case of 54‐year‐old Japanese recessive dystrophic epidermolysis bullosa patient with squamous cell carcinoma (SCC) of the lateral malleolus. Methods. A tumor measuring 5.0 × 5.5 cm was surgically excised. The defect was then reconstructed by full‐thickness skin grafting. To avoid airway complications, general anesthesia was administered using a face mask. Because the regional lymph nodes were swollen before surgery, the patient underwent sentinel lymph node biopsy. Results. The patient remains well with no sign of recurrence or metastasis 7 months after surgery. Conclusion. To preserve activities of daily living, surgery should be performed for squamous cell carcinomas arising in recessive dystrophic epidermolysis bullosa patients.
doi_str_mv 10.1111/j.1524-4725.2004.30440.x
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Surgical treatment of a recessive dystrophic epidermolysis bullosa patient is very difficult for both the surgeon and the anesthetist because of the fragility of the skin and abnormal nature of the tumor bed. Objective. We report a case of 54‐year‐old Japanese recessive dystrophic epidermolysis bullosa patient with squamous cell carcinoma (SCC) of the lateral malleolus. Methods. A tumor measuring 5.0 × 5.5 cm was surgically excised. The defect was then reconstructed by full‐thickness skin grafting. To avoid airway complications, general anesthesia was administered using a face mask. Because the regional lymph nodes were swollen before surgery, the patient underwent sentinel lymph node biopsy. Results. The patient remains well with no sign of recurrence or metastasis 7 months after surgery. Conclusion. To preserve activities of daily living, surgery should be performed for squamous cell carcinomas arising in recessive dystrophic epidermolysis bullosa patients.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/j.1524-4725.2004.30440.x</identifier><identifier>PMID: 15522026</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Inc</publisher><subject>Biological and medical sciences ; Bullous diseases of the skin ; Carcinoma, Squamous Cell - etiology ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Dermatology ; Epidermolysis Bullosa Dystrophica - complications ; Epidermolysis Bullosa Dystrophica - genetics ; Epidermolysis Bullosa Dystrophica - pathology ; Genes, Recessive ; Humans ; Male ; Medical sciences ; Middle Aged ; Skin Neoplasms - etiology ; Skin Neoplasms - pathology ; Skin Neoplasms - surgery ; Skin plastic surgery ; Surgery (general aspects). 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Surgical treatment of a recessive dystrophic epidermolysis bullosa patient is very difficult for both the surgeon and the anesthetist because of the fragility of the skin and abnormal nature of the tumor bed. Objective. We report a case of 54‐year‐old Japanese recessive dystrophic epidermolysis bullosa patient with squamous cell carcinoma (SCC) of the lateral malleolus. Methods. A tumor measuring 5.0 × 5.5 cm was surgically excised. The defect was then reconstructed by full‐thickness skin grafting. To avoid airway complications, general anesthesia was administered using a face mask. Because the regional lymph nodes were swollen before surgery, the patient underwent sentinel lymph node biopsy. Results. The patient remains well with no sign of recurrence or metastasis 7 months after surgery. Conclusion. To preserve activities of daily living, surgery should be performed for squamous cell carcinomas arising in recessive dystrophic epidermolysis bullosa patients.</description><subject>Biological and medical sciences</subject><subject>Bullous diseases of the skin</subject><subject>Carcinoma, Squamous Cell - etiology</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Dermatology</subject><subject>Epidermolysis Bullosa Dystrophica - complications</subject><subject>Epidermolysis Bullosa Dystrophica - genetics</subject><subject>Epidermolysis Bullosa Dystrophica - pathology</subject><subject>Genes, Recessive</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Skin Neoplasms - etiology</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin Neoplasms - surgery</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). 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Surgical treatment of a recessive dystrophic epidermolysis bullosa patient is very difficult for both the surgeon and the anesthetist because of the fragility of the skin and abnormal nature of the tumor bed. Objective. We report a case of 54‐year‐old Japanese recessive dystrophic epidermolysis bullosa patient with squamous cell carcinoma (SCC) of the lateral malleolus. Methods. A tumor measuring 5.0 × 5.5 cm was surgically excised. The defect was then reconstructed by full‐thickness skin grafting. To avoid airway complications, general anesthesia was administered using a face mask. Because the regional lymph nodes were swollen before surgery, the patient underwent sentinel lymph node biopsy. Results. The patient remains well with no sign of recurrence or metastasis 7 months after surgery. Conclusion. 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source MEDLINE; Journals@Ovid Complete; Access via Wiley Online Library
subjects Biological and medical sciences
Bullous diseases of the skin
Carcinoma, Squamous Cell - etiology
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Dermatology
Epidermolysis Bullosa Dystrophica - complications
Epidermolysis Bullosa Dystrophica - genetics
Epidermolysis Bullosa Dystrophica - pathology
Genes, Recessive
Humans
Male
Medical sciences
Middle Aged
Skin Neoplasms - etiology
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title Management of Squamous Cell Carcinoma in a Patient with Recessive‐Type Epidermolysis Bullosa Dystrophica
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