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Clinical Images

Invasive Fungating Squamous Cell Carcinoma of the Face

Annie K. Hung MD, Hanley Ma MD

June 26, 2015

This is a 79 year old man with no past medical history who presented to the hospital with a large fungating right facial mass (Figure 1). He reports first noticing a small growth at the right eyebrow over a year ago. Over time, he had become increasingly self conscious of the mass and was isolating himself at home, refusing to go out or seek medical attention. On MRI, the mass extended deep into the right orbit with marked destruction of the right globe, the medial orbital wall, ethmoid, frontal and maxillary sinuses (Figure 2). Biopsy demonstrated invasive squamous cell carcinoma. 

fungating

Figure 1: Large invasive fungating squamous cell carcinoma of the face

Figure 2: On MRI, the mass extended deep into the right orbit with marked destruction of the right globe, the medial orbital wall, ethmoid, frontal and maxillary sinuses.



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References: 

Boukamp P. Non-melanoma skin cancer: what drive tumor development and progression? Carcinogenesis. 2005 Oct; 26 (10): 1657-67. 

Chen AM, Daly ME, Vazquez E, Courquin J, Luu Q, Donald PJ, Farwell DG. Depression among long-term survivors of head and neck cancer treated with radiation therapy. JAMA Otolaryngol Head Neck Surg. 2013 Sep;139(9):885-9. 

Kolk A, Wolff KD, Smeets R, Kesting M, Hein R, Eckert AW. Melanotic and non-melanotic malignancies of the face and external ear - A review of current treatment concepts and future options. Cancer Treat Rev. 2014 Aug; 40(7):819-37


Authors: 

Annie Kwok Hung is a resident in internal medicine at the California Pacific Medical Center (CPMC) in San Francisco. She attended medical school at Texas A&M Health Science Center College of Medicine. 

Hanley Ma is a hospitalist at the California Pacific Medical Center (CPMC) in San Francisco. He attended medical school at the University of Minnesota and completed his internal medicine residency at CPMC. 



 

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