Cutaneous reactions to tattoos are well reported and include allergic reactions, infections, and foreign body granuloma or may be a presenting sign of sarcoidosis. There have been very few reported cases of squamous cell carcinoma (SCC) arising in tattoo-treated skin. We report a case of SCC arising within a red-ink tattoo and discuss the potential the role of chronic low-grade inflammation in pathogenesis. This should serve to raise awareness of potential tattoo-related serious adverse effects.
KlüglIHillerKALandthalerMBäumlerW.Incidence of health problems associated with tattooed skin: a nation-wide survey in German-speaking countries. Dermatology. 2010;221:43-50.
2.
SowdenJMByrneJPHSmithAG. Red tattoo reactions: X-ray microanalysis and patch-test studies. Br J Dermatol. 1991;124:576-580.
3.
VasoldREngelEKönigBLandthalerMBäumlerW.Health risks of tattoo colors. Anal Chem. 2008;391:9-13.
4.
BaeumlerWVasoldRLundsgaardJTalbergHJ. Chemicals used in tattooing and permanent make up products. In: Workshop on the technical/scientific and regulatory issues on the safety of tattoos, body piercing and related practices. European Commission, Ispra, 2003:21-37.
5.
JacobCI.Tattoo-associated dermatoses: a case report and review of the literature. Dermatol Surg. 2002:28:962-965.
6.
McquarrieDG.Squamous-cell carcinoma arising in a tattoo. Minn Med. 1966;49:799-801.
7.
OrtizAYamauchiPS.Rapidly growing squamous cell carcinoma from permanent makeup tattoo. J Am Acad Dermatol. 2009;60:1073-1074.
8.
PaprottkaFJBontikousSLohmeyerJA. Squamous-cell carcinoma arises in red parts of multicolored tattoo within months. Plast Reconstr Surg Global Open. 2014;2:e114.
9.
SarmaDPDentlingerRBForystekAMStevensTHuerterC.Poorly differentiated squamous cell carcinoma arising in tattooed skin. Case Rep Medicine. 2010;2010:431813.
10.
VitielloMEcheverriaBRomanelliP. Multiple eruptive keratoacanthomas arising in a tattoo. J Clin Aesthet Dermatol. 2010:3:54-55.
11.
CombemalePBousquetMKanitakisJBernardP.Malignant transformation of leg ulcers: a retrospective study of 85 cases. J Eur Acad Dermatol Venereol. 2007;21:935-941.
12.
JonesRWRowanDMKirkerJWilkinsonEJ.Vulval lichen planus: progression of pseudoepitheliomatous hyperplasia to invasive vulval carcinomas. BJOG. 2001;108:665-666.
13.
CarlsonJAAmbrosRMalfetanoJ. Vulvar lichen sclerosus and squamous cell carcinoma: a cohort, case control, and investigational study with historical perspective; implications for chronic inflammation and sclerosis in the development of neoplasia. Hum Pathol. 1998;29:932-948.