Vol 25, No 1 (2020)
Published online: 2020-01-01

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Giant locally advanced and metastatic squamous cell skin carcinoma of head and neck region: case report

Jan Stuk12, Jaroslav Vanasek123, Karel Odrazka1456, Martin Dolezel147, Iveta Kolarova1, Ales Hlavka1, Martina Vitkova1, Jan Vodicka8, Karel Pokorny8
DOI: 10.1016/j.rpor.2019.10.009
Rep Pract Oncol Radiother 2020;25(1):20-22.



At the present time, the skin tumors are among the most common cancers. Optimal therapy is based on the extent of the disease and the age of the patient. The need for radiotherapy occurs for inoperable locally advanced tumors and in the event of failure, salvage surgery is applied.

Materials and methods

We provided a case report of an older patient with giant squamous cell skin carcinoma and a review of published articles.


We present a rare case of giant squamous cell skin carcinoma with metastatic satellite tumors that was primarily treated with curative radiotherapy. Five months after radiotherapy, a recurrent tumor was detected at the site of origin and the treatment was completed by salvage surgery. Full remission was achieved for four years.


Despite the seemingly incurable finding it is always necessary to consider radical treatment regardless of the patient´s age. Curative treatment could achieve long term remission in the group of older patients.

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Reports of Practical Oncology and Radiotherapy