Squamous Cell Carcinoma Clinically Mimicking a Rhinophyma in a Black Male

L. Richard Njock, E. G. S. Minka Ngom, G. Alenda, J. V. Fokouo Fogha, V. Fonyam

.
ENT-HNS, General Hospital of Douala, Douala, Cameroon.

DOI: 10.4236/ijcm.2012.32031                

Abstract

The clinical features of rhinophyma can mask the existence or coexistence of a skin cancer. Many tumours can mimic rhinophyma. Many authors report cases of cancerisation of rhinophyma or the coexistence of rhinophyma and a cancer. Few authors have however reported cases of squamous cell carcinoma mimicking rhinophyma. We present the clinical case of a 48 year-old male with squamous cell carcinoma of the nose (tip of the nasal pyramid and vestibule), a histologic diagnosis after being confronted by an atypical clinical presentation of rhinophyma. Treatment consisted of radiation therapy and evolution was characterised by tumoral regression.

Keywords

Rhinophyma; Squamous Cell Carcinoma; Black Race

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	K. C. Allah, et al., “Rhinophyma in a Black African Male Patient,” Revue de Stomatologie et de Chirurgie Maxillo-Faciale, Vol. 110, No. 6, 2009, pp. 347-349. doi:10.1016/j.stomax.2009.03.009
[2]	J. O. Roberts and C. M. Ward, “Rhinophyma,” Journal of the Royal Society of Medicine, Vol. 78, No. 8, 1985, pp. 678-681.
[3]	M. E. Lutz and C. C. Otley, “Rhinophyma and Coexisting Occult Skin Cancers,” Dermatologic Surgery, Vol. 27, No. 2, 2001, pp. 201-202. doi:10.1046/j.1524-4725.2001.00251.x
[4]	N. R. Broadbent and D. F. Cort, “Squamous Carcinoma in Longstanding Rhinophyma,” British Journal of Plastic Surgery, Vol. 30, No. 4, 1977, pp. 308-309. doi:10.1016/0007-1226(77)90126-6
[5]	D. A. Ross and M. P. Davies, “Squamous Cell Carcinoma Arising in Rhinophyma,” Journal of the Royal Society of Medicine, Vol. 85, No. 4, 1992, pp. 236-237.
[6]	W. D. James, B. T. D. M. Elston, “Andrews’ Diseases of the Skin: Clinical Dermatology,” S. Elsevier, Philadelphia, 2006, pp. 245-248.
[7]	G. W. Wende, “Rhinophyma: A Pathological Analysis of Five Separate Tumors Occurring in the Same Patient,” The Journal of Cutaneous Diseases, Vol. 22, 1904, pp. 447-460.
[8]	L. I. Aguila and J. L. Sanchez, “Angiosarcoma of the Face Resembling Rhinophyma,” Journal of the American Academy of Dermatology, Vol. 49, No. 3, 2003, pp. 530-531. doi:10.1067/S0190-9622(03)00742-4
[9]	R. J. Motley, A. F. Douglas-Jones and P. J. Holt, “Sebaceous Carcinoma: An Unusual Cause of a Rapidly Enlarging Rhinophyma,” British Journal of Dermatology, Vol. 124, No. 3, 1991, pp. 283-284. doi:10.1111/j.1365-2133.1991.tb00575.x
[10]	D. W. Acker and E. B. Helwig, “Rhinophyma with Carcinoma,” Archives of Dermatology, Vol. 95, No. 3, 1967, pp. 250-254. doi:10.1001/archderm.1967.01600330008002
[11]	M. J. Kim, et al., “Squamous Cell Carcinoma Masquerading as Rhinophyma,” Annals of Dermatology, Vol. 21, No. 1, 2009, pp. 81-83. doi:10.5021/ad.2009.21.1.81
[12]	H. Sadick, et al., “Rhinophyma: Diagnosis and Treatment Options for a Disfiguring Tumor of the Nose,” Annals of Plastic Surgery, Vol. 61, No. 1, 2008, pp. 114-20. doi:10.1097/SAP.0b013e31815f12d2
[13]	D. Grossman, L. A. Goldsmith, S. I. Katz, B. A. Gilchrest, A. S. Paller and D. J. Leffell, Squamous Cell Carcinoma.