Abstract
Abstract Background Cutaneous squamous cell carcinoma accounts for 20% of all non-melanoma skin cancer cases and is primarily observed in the head and neck region. In specific scenarios, a minority of cases may exhibit metastasis to the primary regional basin drainage. Our objective was to review our 7-year experience with lymph node dissection cases in cutaneous malignancies and assess the trend over time at a tertiary referral centre. Method The Plastic Reconstructive Surgery Department of Hospital Kuala Lumpur conducted a retrospective analysis on patients who were diagnosed with cutaneous squamous cell carcinoma and underwent lymph node dissection over a span of seven years. Fifty six of 124 cutaneous squamous cell carcinoma patients had their data recovered. Twelve participants had lymph node dissection surgery. This study documented subject prognoses and lymph node surgery performed. Results Nine men and 3 women comprised the 12-person cohort. The median age of diagnosis was 56.9 years, and the minimum follow-up was 5 years. Two of twelve patients had positive nodes, indicating cancer. According to the National Comprehensive Cancer Network, the first patient had two high-risk indicators, while the second had four. The initial patient manifested cutaneous metastasis, whereas the subsequent patient demonstrated nodal metastasis and ultimately succumbed to the ailment. A total of six patients received radiotherapy treatment. Our patient group exhibited a higher negative rate for complete lymph node dissection in cases of occult regional metastases. Conclusion The identified high-risk factors included the presence of a palpable lymph node, moderate degree of differentiation, and perineural involvement. The utilisation of sentinel lymph node biopsy and PET/CT imaging as supplementary measures in instances of occult lymph nodes may prove advantageous, however, further investigation is warranted.
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