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

Jong Chan Kim; Sung Gyun Jung; Kyung Ho Kim; Hong Lim Kim

doi:10.12790/jkssh.2016.21.3.162

Journal List > J Korean Soc Surg Hand > v.21(3) > 1106531

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Kim, Jung, Kim, and Kim: Basosquamous Carcinoma of the Hand in a Radiologist with Prolonged Radiation Exposure

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J Korean Soc Surg Hand 2016;21(3):162-166.

Published online: 11 September 2016

DOI: https://doi.org/10.12790/jkssh.2016.21.3.162

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

Jong Chan Kim¹, Sung Gyun Jung^1,, Kyung Ho Kim², Hong Lim Kim²

¹Department of Plastic and Reconstructive Surgery, National Medical Center, Seoul, Korea

²Department of Dermatology, National Medical Center, Seoul, Korea

Correspondence to: Sung Gyun Jung, Department of Plastic and Reconstructive Surgery, National Medical Center, 245 Eulji-ro, Jung-gu, Seoul 04564, Korea, TEL: +82-2-2260-7207, FAX: +82-2-2272-7207, E-mail: sunggyun_jung@hotmail.com

Received 6 June 20161 August 2016 Accepted 6 August 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Finger, Radiation, Basosquamous carcinoma, Reversed cross finger flap

REFERENCES

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Fig. 1.

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

Fig. 2.

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

Fig. 3.

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

Fig. 4.

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

Fig. 5.

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

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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