Nasal and Upper Lip Reconstruction of a Case of Squamous Cell Carcinoma Nose Stage IV—A Case Report

Medhat Emil Habib,Mazen Al-Samarrae,Mahaba Mamoun,Christoph Reuter

doi:10.4236/mps.2014.44011

Abstract

We report a case of 77 years old male patient who presented to our hospital with bleeding from a fungating mass of the nose. Investigations revealed the lesion to be moderately differentiated basaloid type squamous cell carcinoma, with lung, liver and spleen metastasis. Oncologists started palliative chemotherapy for the patient. Excision of the tumour required removal of most of the nose including the lateral nasal cartilages and the nasal septum. Nasal reconstruction was done by using left nasolabial flap after deepithelialising 3 parts of it and covering that flap with a forehead flap. Residual tumour of the upper lip required further excision later on and coverage with a fan flap. The patient survived about 6 months after the surgery in a good appearance and was accepted and approached well by his family. We think that this type of reconstruction is suitable for late stages cancer nose considering the life expectancy of this category of patients.

Highlights

The site of the nose, being at the center of the face, makes any lesion in it well evident and noticeable
The patient presented in this case was found to have stage IV squamous cell carcinoma with metastasis to internal organs
Nasal reconstruction was done in a way that could afford good shape of the nose and acceptance by the community

Summary

Introduction

The site of the nose, being at the center of the face, makes any lesion in it well evident and noticeable. It is rare to get patients presenting to the clinic for the first time with a large fungating mass with bleeding. The bad smell of the cancer, the disfigurement, the haemorrhage from the tumour and the community avoidance are all factors that can push the patient to seek medical advice. The patient presented in this case was found to have stage IV squamous cell carcinoma with metastasis to internal organs. (2014) Nasal and Upper Lip Reconstruction of a Case of Squamous Cell Carcinoma Nose Stage IV—A Case Report. Habib et al classical ways of nasal reconstruction incorporating cartilage grafts or other steps with possible additional complications were not preferred to be done. Nasal reconstruction was done in a way that could afford good shape of the nose and acceptance by the community

Case Report

Operative Procedures

Discussion

Summary