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Metastatic Squamous Cell Carcinoma (involvement of L inguinal lymph node)- T2N1M1 Stage 4 SCC

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic Squamous Cell Carcinoma (involvement of L inguinal lymph node)- T2N1M1 Stage 4 SCC

History: 36 YO AD AAM presented to WRAMC from Landstuhl. Pt has history of L groin ulceration 4 months PTA and now presents with palpable L inguinal mass and ulcerated L groin skin lesion. Reports weight loss of 5-10 lbs over past several weeks with 3-5 episodes of chills and night sweats. Pt also reports several recent episodes of nausea, vomiting and dizziness. Pt reports no changes in bowel or urinary habits.Biopsy at Landstuhl demonstrated high grade Squamous Cell Carcinoma (SCC) in L inguinal lymph node and high grade ulcerated SCC of overlying skin. Patient underwent further dissection for local control and has had Jackson-Pratt drain in place since 31 May. By surgery, patient is T2N1M1, stage 4 SCC.

Findings: CT Abdomen/Pelvis w/o Contrast -Enlargement of mass to 6.9x8.9cm from previous study(previous study not available) -No current evidence of metastatic disease

Ddx: 1. Skin Cancer with invasion and metastasis (Squamous vs. Melanoma) 2. Infection: foot, leg or groin; STD-(syphilis, chancroid, lymphogranuloma inguinale) 3. Keratoacanthoma 4. Lymphoma 5. Testicular Cancer

Exam: Abdomen: Soft, nontender, normal BS, no organomegalyGenitalia: L groin mass (approx 6cm in diameter), nontender. No drainage or fluctuance. JP intact. No inguinal adenopathy on R.Hgb 7.6 /Hct 23.3/Plt 641/WBC 15.3 Alk Phos 182/ALT 107/AST 84

No MeSH data available.


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Metastatic Squamous Cell Carcinoma (involvement of L inguinal lymph node)- T2N1M1 Stage 4 SCC

USU Teaching File MUTF - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1019&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Metastatic Squamous Cell Carcinoma (involvement of L inguinal lymph node)- T2N1M1 Stage 4 SCC

History: 36 YO AD AAM presented to WRAMC from Landstuhl. Pt has history of L groin ulceration 4 months PTA and now presents with palpable L inguinal mass and ulcerated L groin skin lesion. Reports weight loss of 5-10 lbs over past several weeks with 3-5 episodes of chills and night sweats. Pt also reports several recent episodes of nausea, vomiting and dizziness. Pt reports no changes in bowel or urinary habits.Biopsy at Landstuhl demonstrated high grade Squamous Cell Carcinoma (SCC) in L inguinal lymph node and high grade ulcerated SCC of overlying skin. Patient underwent further dissection for local control and has had Jackson-Pratt drain in place since 31 May. By surgery, patient is T2N1M1, stage 4 SCC.

Findings: CT Abdomen/Pelvis w/o Contrast -Enlargement of mass to 6.9x8.9cm from previous study(previous study not available) -No current evidence of metastatic disease

Ddx: 1. Skin Cancer with invasion and metastasis (Squamous vs. Melanoma) 2. Infection: foot, leg or groin; STD-(syphilis, chancroid, lymphogranuloma inguinale) 3. Keratoacanthoma 4. Lymphoma 5. Testicular Cancer

Exam: Abdomen: Soft, nontender, normal BS, no organomegalyGenitalia: L groin mass (approx 6cm in diameter), nontender. No drainage or fluctuance. JP intact. No inguinal adenopathy on R.Hgb 7.6 /Hct 23.3/Plt 641/WBC 15.3 Alk Phos 182/ALT 107/AST 84

No MeSH data available.