J Korean Soc Surg Hand.  2016 Sep;21(3):162-166. 10.12790/jkssh.2016.21.3.162.

Basosquamous Carcinoma of the Hand in a Radiologist with Prolonged Radiation Exposure

• Kim JC
• Jung SG
• Kim KH
• Kim HL

• KMID: 2353822
• DOI: http://doi.org/10.12790/jkssh.2016.21.3.162

Abstract

Basosquamous carcinoma is a rare epithelial neoplasm, mostly occurring on the head and neck area. There are few reports of basosquamous carcinoma on the finger. Here, the authors experienced treatment of basosquamous carcinoma on the finger in a radiologist. Treatment was successful by the wide excision and the cross-finger flap operation with a split-thickness skin graft and K-wire fixation. The rare finger basosquamous carcinoma case in our study is likely to be linked with radiation. Considering of the high reliance of C-arm during hand surgeries, we think that the hand of the surgeons should be more strictly protected.

Keyword

Finger; Radiation; Basosquamous carcinoma; Reversed cross finger flap

MeSH Terms

Carcinoma, Basosquamous*
Fingers
Hand*
Head
Neck
Neoplasms, Glandular and Epithelial
Radiation Exposure*
Skin
Surgeons
Transplants

Figure

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  Fig. 1. The 0.8 cm diameter wound on the dorsum the fourth finger.

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  Fig. 2. Covering of the defect with a finger flap lifted from the third finger.

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  Fig. 3. The flap survived well, and healed without recurrence for two years.

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  Fig. 4. Basal cell carcinoma blending into areas of squamous cell carcinoma (H&E, ×200).

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  Fig. 5. Basaloid cells, which are slightly larger, paler, and more rounded than the cells of a solid basal cell carcinoma (H&E, ×400).

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  Fig. 6. The area of squamous cell carcinoma characterized by large polygonal squamoid cells with eosinophilic cytoplasm reflecting cytoplasmic keratinization (H&E, ×400).

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