Abstract

A 42-year-old lady presented with complaints of a slow growing fungating growth over the left shoulder of 3 months duration. This was associated with pain of 2 weeks duration and occasional sero-purulent discharge. Past history of burns to the upper torso, neck and back sustained 15 years ago was elicited. Physical examination revealed a large ulcero-proliferative growth involving the left shoulder and upper arm with areas of scarring and contractures adjacent to the lesion (Figure 1). There was no axillary adenopathy. Rest of the examination was unremarkable. Edge wedge biopsy revealed moderately differentiated squamous cell carcinoma. Computerized Tomogram (CT) of the thorax showed the tumor was infiltrating into the adjacent soft tissues, with no regional adenopathy or pulmonary metastases. The patient underwent wide local excision. Histopathological examination confirmed moderately differentiated squamous cell carcinoma with negative margins.

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