Presented by Dr. Antoine LeBlanc
Houlton, Maine
The patient is a 94 year old woman in good health. She has no significant underlying health conditions. For the past couple of years she has had a painless, slowly enlarging erosive squamous cell carcinoma of the scalp. It is 2.2 cm in diameter. The calvarium is exposed. Histopath shows focal perineural invasion.
What is the Goldilocks approach here?
Although her general health is good, she does not drive and trips to hospital are difficult to arrange. She is reluctant to pursue interventions, but the morbidity of her tumor is worrisome.
