Abstract
Verrucous carcinoma (VC) is a rare subtype of squamous cell carcinoma. VC commonly occurs in the mucosa, but rarely occurs in the skin. The treatment for VC is surgical removal of the tumor. Because lymph node metastasis of VC is rare, the indications for prophylactic neck dissection for cutaneous VC of the neck are controversial. Here, we present the case of a 68-year-old man with a huge cutaneous VC of the neck and the long-term clinical course. The tumor occupied the entire right cervical skin, with suspected lymph node metastasis in the affected neck. Tumor resection and neck lymph node dissection were performed. Pathological examination revealed cutaneous VC with invasion to the adjacent tissues and no lymph node metastasis. Cutaneous VC of the neck is likely to grow locally without regional lymph node metastasis regardless of the long-term course and the size of the tumor.
Highlights
Verrucous carcinoma (VC) is a rare subtype of squamous cell carcinoma (SCC) [1]
We report the case of a huge cutaneous VC of the neck with suspected lymph node metastasis, for which we performed tumor excision and elective neck dissection
We diagnosed the tumor as cutaneous SCC of the neck that had infiltrated into the parotid and sternocleidomastoid muscles, with suspected lymph node metastasis
Summary
1. Department of Otorhinolaryngology and Head and Neck Surgery, Kameda Medical Center, Chiba, JPN 2.
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