CUTANEOUS SQUAMOUS CELL CARCINOMA REGIO INFRAAURICULA. SEBUAH KASUS DI RSUP DR. SARDJITO YOGYAKARTA

Abstract

CUTANEOUS SQUAMOUS CELL CARCINOMA REGIO INFRAAURICULA. A CASE REPORT IN DR. SARDJITO HOSPITAL YOGYAKARTA

Atika Dwitama¹, Raden Artanto Wahyono²

¹General Surgery Resident, Department of Surgery, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia

²Teaching Staff, Oncology Surgery Division, Department of Surgery, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia

ABSTRACT

Introduction: Managing cSCC in the head and neck requires both surgical and non-surgical approaches

Case Illustration: A 39-year-old woman had a wound below her left ear that progressed into a lump over the past two months. After undergoing a biopsy, she was referred to Dr. Sardjito General Hospital in Yogyakarta. We found a hyperpigmented mass with an ulcer on its surface in the left infraauricular region, measuring 7 x 5 cm, along with left-sided level IIb cervical lymphadenopathy. Histopathological examination confirmed the presence of Keratinizing Squamous Cell Carcinoma (SCC), pT3N1M0. The patient underwent surgery with wide excision accompanied by Radical Neck Dissection (RND), followed by wound reconstruction using a rotational skinflap.

Discussion: In high-risk cSCC cases, additional procedures like Radical Neck Dissection (RND) are often required to reduce the risk of regional recurrence, non-surgical therapies may be considered as adjuvant treatments to improve overall survival.

Conclusion: The presence of lymph node and other organ involvement is a special consideration in patients with cSCC of the head and neck region who will undergo surgical procedures in the form of wide excision and RND.

Keywords: cutaneous squamous cell carcinoma, head and neck cancer, wide excision, and metastasis.