Squamous Cell Carcinoma

Guzman, Anthony K.; Schmults, Chrysalyne D.; Ruiz, Emily S.

doi:10.1016/j.det.2022.07.004

Cited by 5 publications

(4 citation statements)

References 63 publications

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“…Long‐term UV‐light exposure to the anatomically exposed auricles is a primary risk factor for these lesions 1 . While BCCA is the most common UV‐light exposure‐related cutaneous malignancy on or immediately around the external ear, more aggressive lesions such as SCCA, melanoma, and MCC can all form on the external ear and surrounding adjacent skin 1–3 . Cumulative UV‐light exposure over time leads to increased incidence and prevalence of auricular and periauricular cutaneous malignancies as patients age 17 .…”

Section: Discussionmentioning

confidence: 99%

“… 1 While BCCA is the most common UV‐light exposure‐related cutaneous malignancy on or immediately around the external ear, more aggressive lesions such as SCCA, melanoma, and MCC can all form on the external ear and surrounding adjacent skin. 1 , 2 , 3 Cumulative UV‐light exposure over time leads to increased incidence and prevalence of auricular and periauricular cutaneous malignancies as patients age. 17 Important prevention measures for limiting UV exposure include avoiding exposed skin in the sun, use of a wide brimmed‐hat, sunscreen use, and avoidance of tanning beds.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of cutaneous malignancies including squamous cell carcinoma (SCCA), basal cell carcinoma (BCCA), and melanoma is rising in the United States 1–3 . Approximately 30% of cutaneous SCCA and BCCA cases and 20% of melanoma cases are diagnosed in the head and neck region 4–6 .…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of cutaneous malignancies including squamous cell carcinoma (SCCA), basal cell carcinoma (BCCA), and melanoma is rising in the United States. 1 , 2 , 3 Approximately 30% of cutaneous SCCA and BCCA cases and 20% of melanoma cases are diagnosed in the head and neck region. 4 , 5 , 6 As many cutaneous malignancies are associated with ultraviolet (UV) light (sun) exposure, the head and neck are especially vulnerable regions.…”

Section: Introductionmentioning

confidence: 99%

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Role of the otologist/neurotologist in managing auricular and periauricular cutaneous malignancies: A 10‐year otologic oncology experience

Patel,

Prince,

Benjamin

et al. 2023

Laryngoscope Investig Oto

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ObjectiveAuricular/periauricular cutaneous malignancies can be challenging to manage surgically due to the complex anatomy of the region. Otologists/neurotologists have unique skillsets that are well‐suited to surgically treat these patients. We aim to highlight the role of otologists and neurotologists in providing surgical care of patients with auricular and periauricular malignancies by describing the experience of a single fellowship‐trained neurotologist over a 10‐year period.MethodsRetrospective chart review of 387 patients with auricular and periauricular malignancy treated by a single neurotologist between 2012 and 2022 was completed. Tumor histology and procedures performed for each patient were extracted. Additional data was collected for a subset of 84 patients with complex cases requiring selective neck dissection, parotidectomy, lateral temporal bone resection, regional advancement or rotational flap reconstruction, and/or free tissue transfer reconstruction.ResultsWithin the series of 387 patients, squamous cell carcinoma was the most common histology (42.6%, n = 165), followed by basal cell carcinoma (40.8%, n = 158), and melanoma (9.8%, n = 38). Common surgical procedures included wide local excision (61.8%, n = 239), partial/sub‐total auriculectomy 18.3% (n = 71), or total auriculectomy 5.2% (n = 20). Within the 84‐patient subset, median age at diagnosis was 71.9 years. Dermatologists provided most patient referrals (50.0%, n = 42). Most common tumor locations included: auricular (58.3%, n = 49), pre‐auricular (21.4%, n = 18), and parotid (27.4%, n = 23). Revision surgery occurred in 22.6% of cases (n = 19), of which 26.3% (n = 5) for positive margins and 31.6% (n = 6) for recurrence. Mean follow‐up was 22.8 months. Disease‐specific 5‐year survival was 91%.ConclusionsWe demonstrate the feasibility of an otologist/neurotologist incorporating the surgical management of auricular and periauricular malignancies into their practice.Level of Evidence4.

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Section: Discussionmentioning

confidence: 99%