PMC6351348_01
Posterior right thigh/buttocks five months prior to surgical intervention. Scars, sinus tracts, cysts, and inflamed nodules present without visible drainage or ulceration.
gr1.jpg
PMC6351348_01_gr1.jpg
fig0005
Upon arrival, there were numerous lesions on his medial proximal thigh, scrotal skin, and buttocks without purulence or signs of overt infection (Fig. 1).
Preoperative image, incision and drainage posterior thigh and buttocks. Visibly draining pustules and ulceration bilaterally with increase in number of inflamed nodules.
gr2.jpg
PMC6351348_01_gr2.jpg
fig0010
General surgery was consulted and performed incision and drainage with tissue biopsies and wound cultures (Fig. 2, Fig. 3).
Biopsy, buttocks (H&E 4x): squamous cell carcinoma infiltrating into dermis.
gr4.jpg
PMC6351348_01_gr4.jpg
fig0020
Tissue biopsy revealed moderate-to-poorly differentiated squamous cell carcinoma (Fig. 4).
Postoperative CT image displaying abscess (diameter 3.5 cm) and infiltrative SCC lesion (15 cm x 7 cm).
gr5.jpg
PMC6351348_01_gr5.jpg
fig0025
Further imaging showed extensive squamous cell carcinoma invading levator ani muscle (Fig. 5).