Squamous Cell Carcinoma Associated with the Use of Depigmenting Products in a Dark-Skinned Adult Woman in Côte d'Ivoire
Carcinome Épidermoïde Associé à l'Utilisation de Produits Dépigmentants chez une Femme Adulte à la Peau Foncée en Côte d'Ivoire
DOI:
https://doi.org/10.5281/hra.v2i6.5722Keywords:
Squamous cell carcinoma, Voluntary skin depigmentation, Actinic keratosis, ClobetasolAbstract
ABSTRACT
Voluntary skin depigmentation carries the risk of several skin complications, including squamous cell carcinoma. This study reports a case of squamous cell carcinoma associated with skin depigmentation in a 63-year-old female with phototype VI, who works as a traveling saleswoman, and came for consultation in the dermatology department at Treichville University Hospital in Abidjan. The development of the carcinoma was favored by exposure to topical corticoids over a long period, prolonged exposure to UV radiation, and the presence of actinic keratoses. Histology analysis was consistent with squamous cell carcinoma. The other paraclinical examinations were normal. We classified this primary cutaneous tumor as TNM stage 0. Treatment consisted of carcinologic excision (1 cm margin) with VY advancement flap and cryotherapy of actinic keratoses. The patient was also given sunscreen, advice on better photoprotection for clothing and better cosmetic habits (neutral soap for cleansing and emollient cream). The clinical course after three months was satisfactory.
RÉSUMÉ
La dépigmentation volontaire de la peau comporte le risque de plusieurs complications cutanées, dont le carcinome épidermoïde. Cette étude présente un cas de carcinome épidermoïde associé à la dépigmentation cutanée chez une femme de 63 ans de phototype VI, qui travaille en tant que commerciale itinérante, et qui est venue en consultation au service de dermatologie à l'hôpital universitaire de Treichville à Abidjan. Le développement de ce carcinome a été favorisé par une exposition prolongée aux corticoïdes topiques, une exposition prolongée aux rayons UV et la présence de kératoses actiniques. L'histologie était conforme à un carcinome épidermoïde. Les autres examens paracliniques étaient normaux. Nous avons classé cette tumeur cutanée primitive comme étant de stade TNM 0. Le traitement a consisté en une excision carcinologique (marge de 1cm) avec lambeau de VY et cryothérapie des kératoses actiniques. La patiente a également reçu un écran solaire, des conseils sur une meilleure photoprotection vestimentaire et de meilleures habitudes cosmétiques (savon neutre pour le nettoyage et crème émolliente). Le suivi après trois mois était satisfaisant.
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Copyright (c) 2024 Koffi Kouamé Pacôme Gbandama, A Diabaté, KA Kouassi, TJG Loemba Yala, A-S Allou, HS Kourouma
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