Abstract

We are reporting two cases of perianal squamous cell carcinoma in-situ, negative for high-risk (HR) and low-risk (LR) human papilloma viruses. A brief review of anal and perianal squamous cell carcinoma and the role of HPV are presented.

Highlights

  • Squamous cell carcinoma, the second most common form of skin cancer, most often affects sun-exposed surfaces

  • Invasive perianal squamous cell carcinoma is a locally infiltrative malignant skin tumor that exhibits destructive growth. It is a relatively uncommon tumor, which develops from the precursor lesion anal intraepithelial neoplasia (AIN)

  • Squamous cell carcinoma tends to develop on previously damaged skin, such as that injured by sun exposure

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Summary

Introduction

The second most common form of skin cancer, most often affects sun-exposed surfaces. Squamous cell carcinoma can involve skin surfaces not previously exposed to sunlight, such as in the anal and perianal regions. Invasive perianal squamous cell carcinoma is a locally infiltrative malignant skin tumor that exhibits destructive growth. It is a relatively uncommon tumor, which develops from the precursor lesion anal intraepithelial neoplasia (AIN). Case 2 A 60-year-old female was seen in the dermatology clinic for evaluation of a nonhealing, tender lesion in the intergluteal cleft. Up to one-third of anal squamous cell carcinomas appear to be associated with HPV infection. Bjørge [1], in a large case-cohort study, found that patients seropositive for HPV's 16 and 18 had an increased risk of developing anal and perianal skin cancer.

Discussion
Daniell HW

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