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Year : 2017  |  Volume : 3  |  Issue : 2  |  Page : 325-327

An image of cutaneous squamous cell carcinoma derived from complex epidermoid cyst in a 65-year-old male

Department of Family Medicine at Warren Hospital, St. Luke's University Health Network, Phillipsburg, New Jersey, USA

Correspondence Address:
Dr. Kristine V Cornejo
St. Luke's Warren Family Medicine Residency, St. Luke's University Health Network, 755 Memorial Parkway, Suite 300, Phillipsburg, New Jersey 08865
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJAM.IJAM_23_17

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An epidermal cyst is a benign intradermal lesion and may occur anywhere in the body. Carcinoma arising in a preexisting epidermal cyst is uncommon. Cutaneous squamous cell carcinoma is the second most common form of nonmelanoma skin cancer. A 65-year-old male with light skin pigmentation presented with chronic lower back pain secondary to a large “cauliflower-like” mass over his left flank, which started out as a “cheesy tumor” 20 years ago. The patient reported that the mass had recently begun to drain foul-smelling mucous and bloody discharge and was growing in size. This image illustrates the importance of proper comprehensive biannually or annually history and physical examination as screening tools for skin cancer. Primary care physicians are encouraged to educate their patients on the use of sunscreen containing zinc oxide and conducting regular self-examinations. The following core competencies are addressed in this article: Medical knowledge, Patient care.

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