title: Primary cutaneous myxoid spindle cell squamous cell carcinoma: a rare skin cancer.
abstract: A 72-year-old woman presented to the plastic surgery outpatient department with a nodular lesion to her shin. This nodule had increased in size, but was slow growing. The patient had a history of sun-damaged skin. On visual examination, the lesion was thought to be a naevus or basal cell carcinoma. The nodule was excised. Histologically, the lesion was classified as a primary cutaneous myxoid spindle cell squamous cell carcinoma. Currently, there is only one other paper that describes this rare skin cancer. As a result of the histological findings, the lesion margin was further excised. The wound failed to heal as expected due to the patient developing a methicillin-resistant Staphylococcus aureus infection. She is currently being closely monitored due to the unknown pathway the carcinoma may take.
authors.affiliation: Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
authors.forename: Carla Natalie
authors.initials: CN
authors.lastname: Harris
authors.affiliation: Department of Pathology, Salford Royal NHS Foundation Trust, Salford, UK.
authors.forename: Ruth
authors.initials: R
authors.lastname: Green
authors.affiliation: Mersey Regional Specialist Plastic, Reconstructive & Trauma Surgery Unit, Whiston Hospital, St. Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, UK.
authors.forename: Irfan
authors.initials: I
authors.lastname: Khan
mesh_terms: D000368:Aged; D002277:Carcinoma / Q000473:pathology* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007866:Leg; D055624:Methicillin-Resistant Staphylococcus aureus; D009506:Nevus / Q000473:pathology; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery; D013207:Staphylococcal Skin Infections / Q000382:microbiology; D013530:Surgical Wound Infection / Q000382:microbiology; D014945:Wound Healing