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.
Follow-up 2.10.26
After three months of palliative treatment with a Calcium Alginate Wound Dressing and nothing else, clinically there is no residual cancer and the would looks better. It has shrunk in diameter, in addition. For the present, the patient has no pain or any specific complaints regarding this lesion.
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