Abstract
We present 2 cases of unusually large squamous cell carcinoma (SCC) on the face in aged patient.
Case 1: A 95-year-old woman had a dome shaped tumor sized 55×50×30 mm on her left cheek. The tumor was dark red in color and had a irregularly ulcerated surface. The histological examination specified it as a poorly differentiated SCC (Grade III, T3 N0M0).
Case 2: A 88-year-old woman developed a pedunculated tumor measuring 60×45×20 mm on her middle portion of lower forehead. The tumor was bright red in color and had a granular surface with keratinization. It was histologically diagnosed as a well differentiated SCC (Grade I, T3N0M0) Both tumors were removed with 15-20 mm excision distance and the defects were covered with split thickness skin grafting.
Out of 25 SCCs operated at out division for these 10 years (1982-1991), 9 SCCs were developed in facial region. Among the 9 SCCs, the present 2 cases were characterized by their largest size of the tumor and highest age of the patient.
