Abstract
Four representative cases of keratoacanthoma of the head and neck are presented; one of which contained squamous cell carcinoma at its base. Although keratoacanthoma has become recognized as a distinct clinical entity, its similarities to squamous cell carcinoma frequently result in difficult diagnosis. A discussion of the disease spectrum, diagnosis and management is presented. Prompt and complete surgical excision of head and neck keratoacanthoma is recommended.
Get full access to this article
View all access options for this article.
References
1.
Hutchinson
J
. The crateriform ulcer of the face, a form of epithelial cancer . Trans Pathol Soc London 1889 ; 40 : 275 –281 .
2.
Smith
JF
. A case of multiple primary squamous cell carcinoma of the skin . Br J Dermatol 1948 : 60 : 315 –318 .
3.
MacCormac
H
Scarff
RW
. Molluscum sebaceum . Br J Dermatol 1936 ; 48 : 624 –626 .
4.
Poth
DO
. Tumor like keratosis . Arch Dermatol 1939 ; 39 : 228 –238 .
5.
Duany
NP
. Squamous cell pseudoepithelioma (keratoaeanthoma) . Arch Dermatol 1958 ; 78 : 703 –709 .
6.
Jesunas
KP
. Keratoacanthoma: facial lesion requiring radical excision . South Med J 1975 ; 68 : 1116 –1119 .
7.
Schnur
PL
Bozzo
P
. Metastasizing keratoacanthomas? . Plast Reconstr Surg 1978 ; 62 : 258 –262 .
8.
Baer
RL
Kopf
AW
. Keratoacanthoma . In: Year book of dermatology . Chicago : Year Book Medical Publishers , 1963 .
9.
Szymanski
F
. Keratoacanthoma and squamous cell carcinoma . South Med J 1963 ; 56 : 609 –612 .
10.
Rook
A
Champion
R
. National cancer institute monograph. 1963 ; 10 : 257 –273 .
11.
Beare
JM
. Molluscum sebaceum . Br J Surg 1953 ; 41 : 167 –172 .
12.
Ghadially
F
Barton
B
Kerridge
D
. The etiology of keratoacanthoma . Cancer 1963 ; 16 : 603 –611 .
13.
Ereaux
LP
Schopflocker
P
Fournier
CJ
. Keratoacanthoma . Arch Dermatol Syphilol 1955 ; 71 : 73 –79 .
14.
Zelickson
AS
. Viral-like particles demonstrated in keratoacanthoma . Acta Dermatol Venereol 1962 ; 42 : 23 –26 .
15.
Popkin
G
Brodie
S
Hyman
A
Andrade
R
Kopf
A
. A technique of biopsy recommended for keratoacanthomas . Arch Dermatol 1966 ; 94 : 191 –193 .
16.
Davies
DG
. Keratoacanthoma or squamous cell carcinoma . J Laryngol Otol 1969 ; 83 : 333 –347 .
