Skin & Soft Tissue
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Skin & Soft Tissue
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Management of skin and soft tissue lesions of the head and neck, from excision and margin planning through to reconstruction.
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Dermoid and Epidermoid Cysts
Submental Dermoid Cyst in an 15 year old Female
A 15-year-old female presented with a two-month history of a painless submental mass. Ultrasound revealed a hypovascular cystic lesion extending into the sublingual space, alongside incidental microcytic hypochromic anemia. The mass was successfully excised via a transverse submental approach. Histopathology confirmed a benign, inflamed dermoid cyst with lamellated keratin and skin appendages. The patient had an uneventful recovery and was discharged in stable condition.
Basal Cell Carcinoma
Wide Local Excision of a 1.8 cm Micronodular Conchal Basal Cell Carcinoma
Detailed case report of a solitary, painless conchal lesion in a 74-year-old patient. Features full pre- and postoperative histopathologic analysis, deep margin clearance (0.2 cm) without cartilage sacrifice, and recovery outcomes.
Dermoid and Epidermoid Cysts
A Solitary Erythematous Chest Wall Mass in a 1-Year-Old: Diagnostic and Surgical Considerations of a Ruptured Epidermoid Cyst
A 1-year-old female presented with a solitary, tender, erythematous 3–4 cm anterior chest mass with a crusted apex, accompanied by normal systemic inflammatory markers. Ultrasonography identified a 21-mm complex cystic nodule with marked local inflammation and a sinus tract extending toward the skin surface. Complete surgical excision was performed without complications, and histopathology confirmed a benign, ruptured, and inflamed epidermal inclusion cyst with no evidence of malignancy.
Other Skin Malignancies
Case of undifferentiated sarcoma on the right anterior axillary region, WLE+ FLAP+ Axillary LN sampling were preformed, the mass weighted 510 grams
A 52-year-old male presented with a three-month history of a right anterior shoulder mass. The lesion had previously been surgically excised on two occasions; however, repeating surgical intervention was recommended
Basal Cell Carcinoma
case of WLE done for Right Ear Lobe SCC
A 66-year-old male presented with a right ear lesion that had been present for 6 months. The lesion had gradually increased in size, prompting medical evaluation.
Benign Soft-Tissue Lesions
Case of Excisional biopsy preformed for a cystic lesion on the right cheek
A 37-year-old male presented with a swelling that had been present for approximately 1–2 years. The swelling was gradually persistent, with no associated pain, redness, or inflammatory symptoms.
Squamous Cell Carcinoma
Case of Large ulcerated Recurrent SCC on the left shoulder, WLE + Flap was done
A 37-year-old male presented with a left shoulder mass that had been present for 2 years. The mass had gradually increased in size, prompting medical evaluation
Squamous Cell Carcinoma
SCC case for 98yrs Female, WLE + Flap under Local Anesthesia and Sedation
A 98-year-old female presented with a facial lesion that had been present for 7 months. The lesion had progressively increased in size and was associated with pain and intermittent discharge, prompting medical evaluation
Squamous Cell Carcinoma
Recurrent Moderately Differentiated Squamous Cell Carcinoma of the Lower Lip in a 58-Year-Old Male
A 58-year-old male presented to the surgical oncology clinic with a progressively enlarging ulcerative lesion on the lower lip, present for approximately one year. He is a known case of hypertension, for which he is receiving antihypertensive medications. The patient has a longstanding history of heavy tobacco use and remains an active smoker. He does not have a known history of diabetes, hepatitis, or other significant comorbidities. The persistent nature and progressive enlargement of the lesion prompted further investigation for malignancy.
Basal Cell Carcinoma
Right Lower Eyelid Basal Cell Carcinoma Treated with Wide Local Excision and Nasolabial Transposition Flap
A 41-year-old female presented with a lesion on the lateral aspect of her right lower eyelid, which had been progressively enlarging over the past six months. She denied any associated symptoms such as pain, discharge, bleeding, or changes in vision. Her past medical and surgical history was unremarkable, and there were no notable comorbidities or prior dermatological conditions. On physical examination, a small lesion was observed over the lateral right lower eyelid, without surrounding inflammation or ulceration. There was no regional lymphadenopathy, and the rest of the ophthalmologic and systemic examination was within normal limits.
Squamous Cell Carcinoma
Right Nasal Squamous Cell Carcinoma with Postoperative Surveillance and Supra-omohyoid Neck Dissection
A 36-year-old male presented for follow-up one month after excision of a right nasal lesion diagnosed as squamous cell carcinoma (SCC). He is an active smoker and has no notable past medical history. His surgical history includes an ear surgery under general anesthesia three years prior and a recent excision of the right nasal lesion. Given the oncologic nature of the excised lesion, further evaluation was pursued to assess potential locoregional spread. The patient was referred to dermatology and underwent ultrasonography of the head and neck.
Squamous Cell Carcinoma
Recurrent Poorly Differentiated Squamous Cell Carcinoma of the Lower Lip in a 66-Year-Old Male
A 66-year-old male presented to the outpatient surgical oncology clinic with a recurrent lesion of the lower lip. He had undergone two previous surgical interventions for a lower lip mass over the past two years, both of which yielded histologically confirmed squamous cell carcinoma (SCC) with involved resection margins. Despite prior interventions, the patient reported persistent recurrence and progressive enlargement of the lesion. He now presented with an advanced, ulcerated lesion involving the right lower lip, causing functional discomfort during speech and eating. The patient has a history of chronic, heavy tobacco use and remains an active smoker. He has no history of diabetes or viral hepatitis. Cardiovascular history includes a recent coronary CT angiogram that showed mild proximal LAD stenosis, but no significant coronary artery disease.
Benign Soft-Tissue Lesions
Management of a 22-Year-Old Male with a Swelling in the Right Post-Auricular Region
A 22-year-old male presented with a swelling in the right post-auricular region, which he had noticed several months prior. The mass was asymptomatic, with no associated pain, discharge, or noticeable changes in size. There were no identifiable factors that exacerbated or alleviated the condition. The patient had no significant past medical, surgical, or family history.
Basal Cell Carcinoma
Left Preauricular Basal Cell Carcinoma
A 69-year-old male presented with a left preauricular lesion that had been slowly increasing in size over the past year. The patient reported no associated symptoms such as bleeding, itching, or discharge. He had no significant past medical or surgical history.
Benign Soft-Tissue Lesions
Neurofibroma of the Tongue in a 14-Year-Old Female
A 14-year-old female presented with a raised, non-ulcerating lesion on the posterior tongue. She had no significant past medical or surgical history. On clinical examination, the lesion was soft and non-fluctuant, with no associated cervical lymphadenopathy. Neurological evaluation was normal, with no focal deficits or abnormalities in other systems.
Other Skin Malignancies
Dermatofibrosarcoma Protuberans with Five Recurrences in a 61-Year-Old Male
An 61-year-old male from Sulaymaniyah, Iraq, presented with palpable hardness for about 2 months on the left chest wall at the site of previous operation with no significant past medical history. He has undergone 4 previous operations at the same site for the same condition, and also received radiotherapy, not a smoker. With no significant family history of the same condition or other malignancies.
Other Skin Malignancies
Spindle Cell Sarcoma in an 86-Year-Old Male
An 86-year-old male presented with a progressively enlarging back mass for the past two months. He was a non-smoker. His past medical history was significant for hypertension (HTN), ischemic heart disease (IHD), and percutaneous coronary intervention (PCI). Additionally, he had undergone femur surgery in the past.
Squamous Cell Carcinoma
Squamous Cell Carcinoma of Lower Lip with Cervical Lymph Node Metastasis
A 51-year-old female presented to our clinic with a large, painful lesion on her lower lip, which had been slowly increasing in size.