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Self-healing Primary Squamous Carcinoma Of The Skin

British Journal of Dermatology 46: 1934; 519-523

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Abstract

A third case is added to the two already described of what the author has called “multiple primary, self-healing squamous epithelioma of the skin,” and the later history of the first case is given. There seems now to be justification for claiming that this is a distinct and hitherto unrecognized dermatosis.

Case Details

Personal Characteristics

A sheet-iron worker, j. Mcc., aged 42 years

Clinical Characteristics

A single large plaque lying over scarpa’s triangle on the right thigh. It was oval, 3 1/2 by 3 centimeters, and raised about 3 millimeters above the normal skin-level; dull red in colour, with a smooth, shining surface, and in the centre a depressed area, 1 centimeter in diameter, dotted with irregular, blackish, hyperkeratotic points. The margin of this central area was undermined, but there was nowhere any ulceration. The plaque was firm, elastic, freely movable, and neither painful nor tender. The inguinal glands on both sides were just palpable. His skin elsewhere presented no abnormality of note.

Remission Characteristics

Healing by first intention and no recurrence to date (october 12th), while no alteration has taken place in the regional glands

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

The lesion was excised whole by mr. J.a.g. Burton on june 21st

Non-Clinical Treatment

A course of anti-syphilitic treatment was given

Additional Notes

His W.R. was at first positive, and on this account a course of anti-syphilitic treatment was given, but a second test before the first injection and a third on the occasion of the second injection were both negative.