Squamous cell carcinoma (SCC) is the second most common malignancy skin cancer. It is characterized by abnormal, accelerated growth of squamous cells (SCs). SCC occurs when DNA damage from exposure to ultraviolet radiation or other damaging agents trigger abnormal changes in the SCs, presenting as painless lesions on areas of high sun exposure, such as the dorsum of the hand and upper extremity. For most skin SCC, the surgical excision alone is standard practice. However, recent efforts in new treatment strategies have involved around adjuvant or concomitant electrochemotherapy (ECT). ECT is a non-thermal tumor ablation modality, safe and effective on any type of solid tumor. An 87-year-old patient affected by hand SCC with invasion of deep structures including tendons was treated with neoadjuvant intra-tumoral ECT sessions followed by a selective surgical removal and reconstruction of the substance loss with collagen dermal template (CDT). Two neoadjuvant intra-tumoral ECT procedures, at distance of 3 months, with the aim to reduce the tumor size before a selective surgery, were performed. This study shows that combined surgical selective excision with ECT and CDT is a valid technique for the extended-deep dorsal hand tumor lesions reconstruction.

De Angelis, B., Balzani, A., Pagnotta, A., Tati, E., Orlandi, F., D'Autilio, M., et al. (2021). Malignant Skin Cancer Excision in Combined Therapy with Electro-Chemotherapy and Dermal Substitute. CURRENT ONCOLOGY, 28(3), 1718-1727 [10.3390/curroncol28030160].

Malignant Skin Cancer Excision in Combined Therapy with Electro-Chemotherapy and Dermal Substitute

De Angelis, Barbara;Balzani, Alberto;Pagnotta, Alessia;Tati, Eleonora;Orlandi, Fabrizio;Cervelli, Valerio;Gentile, Pietro
2021-01-01

Abstract

Squamous cell carcinoma (SCC) is the second most common malignancy skin cancer. It is characterized by abnormal, accelerated growth of squamous cells (SCs). SCC occurs when DNA damage from exposure to ultraviolet radiation or other damaging agents trigger abnormal changes in the SCs, presenting as painless lesions on areas of high sun exposure, such as the dorsum of the hand and upper extremity. For most skin SCC, the surgical excision alone is standard practice. However, recent efforts in new treatment strategies have involved around adjuvant or concomitant electrochemotherapy (ECT). ECT is a non-thermal tumor ablation modality, safe and effective on any type of solid tumor. An 87-year-old patient affected by hand SCC with invasion of deep structures including tendons was treated with neoadjuvant intra-tumoral ECT sessions followed by a selective surgical removal and reconstruction of the substance loss with collagen dermal template (CDT). Two neoadjuvant intra-tumoral ECT procedures, at distance of 3 months, with the aim to reduce the tumor size before a selective surgery, were performed. This study shows that combined surgical selective excision with ECT and CDT is a valid technique for the extended-deep dorsal hand tumor lesions reconstruction.
2021
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/19 - CHIRURGIA PLASTICA
English
dermal substitute
electrochemotherapy
malignant skin tumor treatment
skin cancer treatment
squamous cell carcinoma
Aged, 80 and over
Bleomycin
Humans
Ultraviolet Rays
Carcinoma, Squamous Cell
Electrochemotherapy
Skin Neoplasms
De Angelis, B., Balzani, A., Pagnotta, A., Tati, E., Orlandi, F., D'Autilio, M., et al. (2021). Malignant Skin Cancer Excision in Combined Therapy with Electro-Chemotherapy and Dermal Substitute. CURRENT ONCOLOGY, 28(3), 1718-1727 [10.3390/curroncol28030160].
De Angelis, B; Balzani, A; Pagnotta, A; Tati, E; Orlandi, F; D'Autilio, Mflm; Cervelli, V; Gentile, P
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/280267
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