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Macripò G, Caliendo V, Grassi M, Lista P, Ribero S, Giacone E, Milanese E, Ciuffreda L. Squamous Cell Carcinoma of the Umbilicus: Management of an Unusual Localization. TUMORI JOURNAL 2018; 97:236-8. [DOI: 10.1177/030089161109700219] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We describe the case of a squamous cell carcinoma spreading to the skin and regional lymph nodes from the umbilicus. Bilateral inguinal lymphadenectomy and a session of electrochemotherapy with bleomycin 15 mg/m2 were performed. However, because of the development of new cutaneous nodules in the abdominopelvic region, we performed targeted palliative therapy with erlotinib 150 mg/day. Targeted adjuvant therapy was preferred to the use of a major cytotoxic agent because of the high risk of superinfection and heart failure. Erlotinib produced a partial clinical response with reduction of the number and size of the skin nodules. CT scan performed after 60 days of treatment did not show any new lesions. To our knowledge, this is the first report of an umbilical metastatic squamous cell carcinoma treated with modern targeted therapy. This therapeutic strategy can be considered a valid palliative option in the management of metastatic cutaneous nodules of this rare primary site.
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Affiliation(s)
- Giuseppe Macripò
- Department of Oncology and Hematology, Dermatologic Surgery, AOU San Giovanni Battista-Molinette, Ospedale San Lazzaro, Turin
| | - Virginia Caliendo
- Department of Oncology and Hematology, Dermatologic Surgery, AOU San Giovanni Battista-Molinette, Ospedale San Lazzaro, Turin
| | - Marcella Grassi
- Department of Oncology and Hematology, Dermatologic Surgery, AOU San Giovanni Battista-Molinette, Ospedale San Lazzaro, Turin
| | - Patrizia Lista
- Department of Oncology and Hematology, Section of Medical Oncology, Centro Oncologico Subalpino (COES), AOU San Giovanni Battista-Molinette, Turin, Italy
| | - Simone Ribero
- Department of Oncology and Hematology, Dermatologic Surgery, AOU San Giovanni Battista-Molinette, Ospedale San Lazzaro, Turin
| | - Elena Giacone
- Department of Oncology and Hematology, Dermatologic Surgery, AOU San Giovanni Battista-Molinette, Ospedale San Lazzaro, Turin
| | - Enrica Milanese
- Department of Oncology and Hematology, Section of Medical Oncology, Centro Oncologico Subalpino (COES), AOU San Giovanni Battista-Molinette, Turin, Italy
| | - Libero Ciuffreda
- Department of Oncology and Hematology, Section of Medical Oncology, Centro Oncologico Subalpino (COES), AOU San Giovanni Battista-Molinette, Turin, Italy
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Zaccagna A, Siatis D, Pisacane A, Giacone E, Picciotto F. Surgical treatment of primary melanoma of the umbilicus with sentinel lymph node biopsy and plastic reconstruction: Case report and review of the literature. Eur J Surg Oncol 2011; 37:233-6. [DOI: 10.1016/j.ejso.2010.09.015] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2010] [Revised: 09/03/2010] [Accepted: 09/20/2010] [Indexed: 11/16/2022] Open
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Cecchi R, Pavesi M, Buralli L, Rapicano V, De Gaudio C. Primary umbilical melanoma. Australas J Dermatol 2009; 50:220-2. [DOI: 10.1111/j.1440-0960.2009.00544.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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